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Periods: all the facts!

Featured content from A Girl's Guide to Puberty and Periods: All the facts! (Chapter 6).

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 A copy of the book, A Girl’s Guide to Puberty and Periods. Front cover and a copy of the book open to Chapter Six, All the facts!

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Question and answer

It’s normal to have a lot of questions! Here are some answers to common questions girls have about body changes and periods.

A girls with her arms crossed and hand to her face, as if thinking. The letters “Q+A” float next to her.

How can you travel comfortably with your period?

Be prepared! If you are travelling and think you might get your period, be sure to bring enough menstrual products, a change of clothing in case of leaking, and anything you need to manage pain from period cramps.

A backpack with period-care products spilling out: a mini calendar with a highlighter, a chocolate bar, pads, pain-relief medicine, tampons and wipes.

It helps to carry extra pads or tampons with you during your period. Other girls suggest carrying a snack, a bottle of pain-relief pills (get this from an adult!) and a period tracker.

Questions about blood

What kind of menstrual blood is normal?

Normal menstrual blood ranges in color from light red to bright red to dark red to brown. Usually, the first day or two is a heavier blood flow, and then it becomes lighter.

A streak of red with different splotches of different colors and sizes, representing blood color and clots.

At what age is it normal to get your first period?

Most people will get their first period between ages 8 and 14 years old. But remember that everyone’s body is different, and whenever you start is OK! Your body is on its own schedule!

The numbers “8” and “14” with “ish” underneath.

How do you know when your body is signaling to start your period the first time? 

You will know that you have your period for the first time because blood will come out of your vagina. Some girls feel the blood coming out, while others just notice a stain on their underwear.

Two pairs of underwear. One has three small blood stains on it. The other shows one large blood stain.

Is it natural to get some breast pains?

Yes, many people will experience breast tenderness, especially right before or during their period. Your breasts may also feel a little sore sometimes as part of the growing process.

a sad girl looks down at her chest, where a lightning bolt and squiggly lines indicate that her breast hurts.

Why is my period sometimes only 3 days and sometimes as long as 7 days?

Everyone’s cycle length is different, and yours may change over time. For the first year or two after you start your period, it’s normal to be irregular. It will likely become more regular over time.

Seven pieces of paper with each day of the week written at the top. Each paper has a different sized red dot. A line with arrowheads on either side runs over the papers.

Why does my period skip sometimes? And/or occur more than one time per month?

For a year or two after you start your period, it’s normal for your cycle to be irregular, but it will likely become more regular over time. Your period doesn’t go by the “month” exactly. It happens on average every 25 to 35 days. So that may mean you get it twice in one “month”!

 Three pages from a yearly calendar for May, June and July. The month of May shows red line with dots over four days. June has three question marks on it. July shows two red lines with dots: one is three days close to the beginning of the month and one is four days at the end of the month.

Questions about cramps

Why do some girls get cramps and some don’t?

It all depends on the hormones in your body! Hormones called “prostaglandins” help the uterus shed its lining during your period, and they also cause menstrual cramps. Some people have more prostaglandins than others, and so they might experience more severe menstrual cramps.

What can help cramps besides medication?

Using a heating pad, sitting in a hot bath or getting some exercise can make cramps feel better. If this doesn’t help, talk to a parent, doctor or another adult you trust about your cramps.

Are extremely painful cramps normal?

Some period cramps are normal, but they shouldn’t keep you from playing sports, going to school, or doing any of your regular activities. If your cramps are so painful that you aren’t able to go about your day normally, you should talk to a doctor or a trusted adult.

An illustration of prostaglandins that’s a pink puff with eyes, a mouth, arms and legs. It’s waving. Next to it is a girl bent over in pain.

Prostaglandins cause menstrual cramps. If cramps prevent you from your normal daily activities, talk to an adult.

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Check out the full version of this chapter with even more info and illustrations when you download it. 

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Source: 


Marni Sommer, DrPH, MSN, RN, Professor at the Mailman School of Public Health, Columbia University and co-authors. A Girl’s Guide to Puberty and Periods. Grow and Know, 2021.

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