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                                                                                                  Essentially, your
                                                                                                  uterus chooses her

                                                                                                  own adventure.




                                                                                      and reproductive
                                                                                      sciences at Yale School
                                                                                      of Medicine. Because         “If, for example, your
                                                                                      “four weeks” is easier       follicle-stimulating
                                                                                      to remember than “uh,        hormone levels, which
                                                                                      24 to 38ish days”—           tell ovaries to release
                                                                                      the real range,              more estrogen to prep
                                                                                      according to the             for ovulation, are
                                                                                      American College of          elevated early in the
                                                                                      Obstetricians and            cycle, you could
                                                                                      Gynecologists—the            ovulate earlier than the
                                                                                      myth has lived on, from      last month and have a
                                                                                      fifth grade sex ed to        shorter cycle,” explains
                                                                                      right now.                   Dr. Eyvazzadeh.
                                                                                         That’s problematic if        So if we’re gonna
                                                                                      you’re tracking your         talk about “normal” at
                                                                                      cycle to not get preg-       all, it’s all normal. The
                                                                                                                   only cycles that require
                                                                                      nant, sync your exer-
                                Basically
              no one                                                                  cise and diet to each        MD intervention are
                                                                                      menstrual phase, or
                                                                                                                   ones that fall outside
                                                                                      just protect your under-
                                                                                                                   the 24- to 38-day
                                                                                                                   range or are a full
                                                                                      wear drawer. It may
                                                                                      also lead to panic if
                                                                                      your period doesn’t          week shorter or longer
                                                                                                                   than the last one. Same
                           has a 28-day                                               strike right on day 28.      goes if you’ve got seri-
                         menstrual cycle                                              “I’ve had patients           ously heavy bleeding
                                                                                                                   or extreme pelvic pain
                                                                                      worried and anxious
                                                                                      because they think           or you never get your
                              Brought to you by:                                      they’re irregular when       period at all.

                The idea of a “normal” period is a lie.                               they aren’t,” says              Everyone else: Start
                                                                                      reproductive endocri-        thinking of your cycle
                               B y   S U Z A N N A H   W E I S S
                                                                                      nologist Aimee               as that friend who
                                                                                      Eyvazzadeh, MD.              always cancels. You’ll
                                                          else? Nearly 20 per-
                                                                                                                   catch up eventually—
                                                                                         If you’re not on
                   O                       one no         longer cycle, meaning       cycle length can also        unreliable.
                                                          cent have a 30-day-or-
                                                                                                                   she’s just reliably
                                                                                      hormonal BC, your
                                                                                      vary month to month,
                                                          some months, they
                                            kay, not,
                                            like, no
                                                          don’t get a period
                                                                                      says Joyce Harper,
                                                                                      PhD, professor of
                                                          at all.
                                                                                                                      Periods are
                                          one—there
                                                             The weird web of
                                                                                      University College
                                       are some           lies we’ve all bought       reproductive science at       really weird...
                              women out there who         into might’ve stemmed       London. (Essentially,
                              get their period exactly    from old-school studies     your uterus chooses her        7%                   9%
                              every 28 days—but the       that suggested the          own adventure each                       have a cycle shorter
                                                                                                                  of women
                              vast majority? Nope.        average cycle lasts         time. Hormones              have a 36-        than 25 days.
                                 Only 13 percent          28 days. Somewhere          released by your brain      to 50-day
                              have a precise four-        down the line, though,      control your cycle and         cycle.
                              week cycle, according       “average” became            are impacted by all of
                              to new data published       “normal,” says Mary         the things, like age,                           19%
                              in NPJ Digital Medi-        Jane Minkin, MD,            genetics, stress, body      65%                 have a
                                                                                                                    have a            31- to      ALLIE HOLLOWAY.
                              cine. And guess what        clinical professor of       weight, and sleep.)            cycle            35-day
                                                          obstetrics, gynecology,                                 between             cycle.
                                                                                                                   25 and
                                                                                                                  30 days.


           80  Cosmopolitan  Februar y 2020                                                                      SOURCE: NPJ DIGITAL MEDICINE, AUGUST 2019
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