Periods and fertility in the menstrual cycle (2024)

The length of the menstrual cycle varies from woman to woman, but the average is to have periods every 28 days. Regular cycles that are longer or shorter than this, from 23 to 35 days, are normal.

The menstrual cycle is the time from the first day of a woman's period to the day before her next period.

Girls can start their periods anywhere from age 8 upwards, but the average is around 12 years. The average age for the menopause (when periods stop) in this country is 51.

Between the ages of 12 and 52, a woman will have around 480 periods, or fewer if she has any pregnancies.

Read more about starting periods.

What happens during the menstrual cycle?

To understand the menstrual cycle, it helps to know about the reproductive organs inside a woman's body. These are:

  • 2 ovaries – where eggs are stored, developed and released
  • the womb (uterus) – where a fertilised egg implants and a baby develops
  • the fallopian tubes – two thin tubes that connect the ovaries to the womb
  • the cervix – the entrance to the womb from the vagin*
  • the vagin*

The menstrual cycle is controlled by hormones. In each cycle, rising levels of the hormone oestrogen cause the ovary to develop and release an egg (ovulation). The womb lining also starts to thicken.

In the second half of the cycle, the hormone progesterone helps the womb to prepare for implantation of a developing embryo.

The egg travels down the fallopian tubes. If pregnancy doesn't occur, the egg is reabsorbed into the body. Levels of oestrogen and progesterone fall, and the womb lining comes away and leaves the body as a period (the menstrual flow).

The time from the release of an egg to the start of a period is around 10 to 16 days.

Watch an animation about how the menstrual cycle works.

Video: menstrual cycle

This animation explains in detail how the menstrual cycle works.

Media last reviewed: 21 October 2023
Media review due: 21 October 2026

What are periods?

A period is made up of blood and the womb lining. The first day of a woman's period is day 1 of the menstrual cycle.

Periods last around 2 to 7 days, and women lose about 20 to 90ml (about 1 to 5 tablespoons) of blood in a period.

Some women bleed more heavily than this, but help is available if heavy periods are a problem.

Find out about heavy periods.

What happens during ovulation?

Ovulation is the release of an egg from the ovaries. A woman is born with all her eggs.

Once she starts her periods, 1 egg develops and is released during each menstrual cycle.

Pregnancy happens if a man's sperm meet and fertilise the egg. Sperm can survive in the fallopian tubes for up to 7 days after sex.

Occasionally, more than 1 egg is released during ovulation. If more than 1 egg is fertilised it can lead to a multiple pregnancy, such as twins.

A woman can't get pregnant if ovulation doesn't occur. Some methods of hormonal contraception – such as the combined pill, the contraceptive patch and the contraceptive injection – work by stopping ovulation.

When are you most fertile?

Theoretically, there's only a short time when women can get pregnant, and that is the time around ovulation.

It's difficult to pinpoint exactly when ovulation happens but in most women, it happens around 10 to 16 days before the next period.

Women who have a regular, 28-day cycle are likely to be fertile around day 14 of their menstrual cycle, but this won't apply to women whose cycles are shorter or longer.

Find out more about fertility awareness (natural family planning)

Normal vagin*l secretions

vagin*l secretions (sometimes called vagin*l discharge) change during the menstrual cycle. Around the time of ovulation, they become thinner and stretchy, a bit like raw egg white.

See your GP if you are concerned about a change in your vagin*l discharge.

More information

Read more about trying to get pregnant and infertility.

Page last reviewed: 05 January 2023
Next review due: 05 January 2026

Periods and fertility in the menstrual cycle (2024)

FAQs

What is the relation between fertility and menstrual cycle? ›

Fertility depends on the menstrual (ovarian) cycle, and in each cycle there is a “fertile window” during which women can conceive [1,4,5]. Studies on standard menstrual cycles suggest that the fertile window starts 5 days prior to ovulation and ends on the day of ovulation [4].

What is the cycle of fertility period? ›

You ovulate about 12 to 14 days before the start of a new menstrual cycle. Your fertile window is the five days leading up to ovulation, plus the day of ovulation and the day after ovulation — so about seven days in total.

What does your period tell you about fertility? ›

If your cycles are absent, shorter than 21 days, longer than 35 days or vary by several days per month, this indicates an irregular period, which may impact ovulation. If you aren't ovulating, you can't get pregnant. The key factor to keep in mind is whether or not cycles are consistent in length from month to month.

What is menstrual cycle question answer? ›

The menstrual cycle is a natural process. It is a complex cycle controlled by female hormones that cause regular bleeding (periods). The menstrual cycle has four phases: menstruation, the follicular phase, ovulation and the luteal phase. Some women may experience menstrual problems (e.g. heavy bleeding).

Do longer periods mean more fertile? ›

Irregular and long menstrual cycles have been linked to endocrine-related fertility problems such as reduced fecundability, pregnancy complications, and poor maternal health.

Does a 3 day period mean infertility? ›

Short menstrual cycle lengths and early or late onset of menstruation are associated with reduced fertility, according to a new study led by Boston University School of Public Health (SPH) researchers.

How to get pregnant fast? ›

Have sex regularly. The highest pregnancy rates occur in couples who have sex every day or every other day. Have sex near the time of ovulation. If having sex every day isn't possible — or enjoyable — have sex every 2 to 3 days a week starting soon after the end of your period.

Which hormone regulates the menstrual cycle? ›

The menstrual cycle is regulated by the complex interaction of hormones: luteinizing hormone, follicle-stimulating hormone, and the female sex hormones estrogen and progesterone. The menstrual cycle has three phases: Follicular (before release of the egg) Ovulatory (egg release)

Do short periods mean less fertile? ›

Shortened cycles can be an indication that the ovaries contain fewer eggs than expected. This is typically a pattern seen in women in the years leading up to perimenopause. Alternatively, a short cycle could indicate that ovulation is not occurring.

How do I know if I'm fertile? ›

You can use a special thermometer to check your temperature every morning before you get out of bed. You're most fertile 2 or 3 days before your temperature rises. Your cervical mucus becomes clearer and thinner with a slippery consistency, like egg whites.

What helps female fertility? ›

TABLE 3
NutrientRecommended food sources
Folic acidGreen-leafy vegetables, eggs, poultry
Vitamin DFish, eggs, cheese, milk, dairy
AntioxidantsFresh fruits (especially berry fruits) and vegetables, vegetable oil, spices (e.g., cinnamon), tea, coffee
PhytoestrogensPulses, flaxseed oil
8 more rows

Which hormone is responsible for ovulation? ›

Leutinizing hormone (LH), the other reproductive pituitary hormone, aids in egg maturation and provides the hormonal trigger to cause ovulation and the release of eggs from the ovary.

What hormones cause periods to start? ›

If you don't conceive, both estrogen and progesterone decrease. This can trigger symptoms of PMS. As you approach the end of your menstrual cycle, one of your progesterone hormones (prostaglandin) rises and triggers uterine contractions. This causes the lining of your uterus to shed and you get your period.

What happens when the egg is not fertilized? ›

But when the egg has not fertilized, the endometrium of the uterus sheds down through the vagin*. This is known as menstruation or menstrual cycle. The menstrual cycle is a monthly change in the female body commonly observed in primates.

Do shorter periods mean lower fertility? ›

It's normal for menstrual cycles to vary from one person to another. But having very short, very long, or unusually erratic cycles can signal fertility concerns, says Jenna Turocy, MD, an OB-GYN and reproductive endocrinologist at Columbia University Fertility Center.

Can you be infertile and still have regular periods? ›

Can you still be infertile if you have a period? Yes. Having regular predictable periods is a good indicator that you ovulate regularly. In other words, it means an egg is being released from your ovaries on a regular basis.

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