What Does a Normal Period Really Look Like?
Periods are often shrouded in mystery and sometimes even stigma, making it difficult for people to know what’s "normal" when it comes to menstrual cycles. The truth is, there’s no one-size-fits-all for what a period should look or feel like. However, understanding the general range of "normal" can help you recognize patterns in your own cycle and identify when something may need attention. We are often told that our pain, mood changes, flow etc. are just a normal part of our cycles. Let's talk about it!
Understanding The Menstrual Cycle
The menstrual cycle isn’t just about the bleeding phase. It’s a full process that includes four key phases: menstrual, follicular, ovulation, and luteal. Each phase contributes to the overall cycle and helps explain what we experience during our periods.
A typical cycle length can vary. While 28 days is often cited as "average," a normal, healthy cycle can range from 21 to 35 days. However, anything under 24 days is considered a shorter cycle and may require further investigations. Knowing the general rhythm of your own cycle can make it easier to spot anything that seems unusual.
What a Normal Period Looks Like
Let’s break down some of the key aspects of a period that are considered normal.
duration
A typical period lasts between 3 and 7 days. Some people might have shorter periods, while others might bleed for a full week. If your period consistently falls outside this range, it may be worth discussing with a healthcare provider.
flow
The amount of blood loss during a period is another important factor. Most people lose around 30-45mL over the course of a period. Anything over 80mL is considered heavy periods. In practice, if on the heaviest day you are changing your menstrual product more than every 3 hours, it may indicate you have heavier bleeding (also known as menorrhagia). Heavier bleeding is common on the first couple of days, with flow tapering off toward the end.
colour
The colour of period blood can vary from bright red to dark brown. Bright red blood is usually seen during heavier flow days, while brown or dark blood often appears at the beginning or end of the period. This color change is typically normal and has to do with the oxidation of blood, similar to how a scab darkens over time.
consistency
Blood consistency may also vary. Small clots are usually normal, especially on heavier days, which are often less than the size of a quarter. Larger clots (greater than a quarter) or consistently large amounts of clotting, however, may indicate heavier flow or underlying conditions like fibroids.
When To Seek Support
While period experiences vary, there are some signs that may indicate it’s time to seek advice from a healthcare provider:
Heavy Bleeding (Menorrhagia): If you’re soaking through pads or tampons every hour for several hours, experiencing large clots, or needing double protection to manage bleeding, this could indicate a heavier-than-normal flow that warrants proper assessment.
Severe Pain (Dysmenorrhea): Intense cramping that disrupts daily activities or requires medication may indicate an underlying condition, like endometriosis or fibroids.
Consistent Irregular Cycles: If your cycle is consistently shorter than 21 days or longer than 35 days, it could signal a hormonal imbalance or other health concerns.
Missed Periods: Missing a period isn’t uncommon, but definitely is something that should be discussed with your health care provider.
Other symptoms: Many people experience various symptoms before their period and during their period. There are many things that can be assessed and managed to help with fatigue, bloating, breast tenderness, headaches, etc. In general, period symptoms should be manageable. If symptoms consistently interfere with daily life, it’s wise to talk to a healthcare provider for assessment and treatment.
A Final Word
Periods can vary widely from person to person, and what’s "normal" for you may not be the same for someone else. Tracking your cycle, symptoms, and any changes can give you a clearer picture of what’s typical for you. If anything feels off or unmanageable, there’s no need to navigate it alone—this is where we can work together to assess and treat your menstrual concerns. If you have questions, feel free to book a complimentary consult to understand how Naturopathic Medicine can help.
Ready to make a change?
You deserve a healthcare experience that goes beyond symptom management and considers your unique history, symptoms and needs. If you're seeking a better understanding of your cycle and period health, I invite you to book a free complimentary call with me here.
Be well,
Dr. Jessica Nazareth, ND