Hello! Today, we’re diving into a significant milestone in a young woman’s life—menarche, which is the onset of her first period. Typically happening between the ages of 9 and 16, this natural event marks the
exciting transition into womanhood. I’m Stephanie Hubbell, a certified nurse midwife and mental health nurse practitioner, and I’m passionate about supporting women on their unique health journeys. Throughout my career, I’ve met many women who just need a little guidance and understanding about their menstrual cycle to manage their emotional well-being more effectively.
Understanding Hormones in the Menstrual Cycle
The menstrual cycle is a fascinating and complex dance of hormones that significantly impacts how a young woman feels emotionally and mentally throughout each month..
Here’s a simple overview of the key hormones involved.
| Week of Cycle | Hormones | Effects on Mental Health |
|---|---|---|
| Week 1 (Menstrual Phase) | Low Estrogen, Low Progesterone | This phase might bring some feelings of fatigue and irritability. It’s perfectly normal to feel a bit off as you cope with physical changes. |
| Week 2 (Follicular Phase) | Rising Estrogen | As estrogen levels rise, you might notice a boost in energy and mood. Many women feel more motivated and positive during this time! |
| Week 3 (Ovulatory Phase) | Peak Estrogen, LH Surge | You may experience emotional highs here, feeling confident and social. However, some might also notice a few mood swings as ovulation approaches. |
| Week 4 (Luteal Phase) | Rising Progesterone, Drop in Estrogen | Many women experience PMS symptoms during this week, including irritability and emotional sensitivity. Remember, it’s okay to feel a bit more vulnerable during this time! |
Emotional and Mental Health Changes
As young women begin their menstrual journeys, they may notice significant emotional and mental health changes. Here are a few things to keep in mind:
- Mood Swings: It’s common to experience mood swings as hormones fluctuate throug
hout the cycle. Learning to recognize these changes can help you feel more in control and less overwhelmed. - Body Image Concerns: As your body changes, you might become more aware of how you look. Embracing the beauty of body diversity and understanding that everyone’s journey is unique can be incredibly empowering!
- Peer Pressure and Social Dynamics: Navigating friendships and social expectations can be challenging during adolescence. Talking about these experiences with trusted friends or family can provide much-needed support.
What a Midwife Would Teach About Menarche, Periods, and Emotional Health
As a midwife, I believe education and open communication are vital. Here are some friendly reminders I would share with young women during this exciting time:
- Understanding Your Body: Knowledge is your ally! I encourage you to learn about your menstrual cycle and how hormones affect your emotions. Ask questions—there’s no such thing as a silly question!
- Self-Care Practices: Remember to take care of yourself! Maintaining a balanced diet, staying hydrated, and finding enjoyable ways to relax can make a world of difference in how you feel.
- Emotional Awareness: It’s important to recognize and express your feelings. Journaling about your experiences or chatting with trusted friends can help you process your emotions.
- Open Communication: Creating a safe space to discuss your experiences and concerns is essential. Don’t hesitate to reach out to trusted adults about how you’re feeling.
- When to Seek Help: It’s important to know when to reach out for support. If you’re feeling sad for an extended period, experiencing overwhelming anxiety, or withdrawing from friends, don’t hesitate to connect with a healthcare provider. Remember, asking for help is a sign of strength!
What to Expect During an Assessment
If you or your guardians decide to seek an assessment with our friendly providers, here’s what you can expect:
- Comprehensive Evaluation: Your provider will ask about your menstrual history and how you’ve been feeling emotionally. This helps them understand your unique experience.
- Open Dialogue: You should feel comfortable discussing any concerns or questions you have. Menarche is a big change and we want to talk about it!
- Tailored Recommendations: Based on your evaluation, your provider will offer recommendations to help you manage emotional symptoms. These might include lifestyle changes, counseling, or other supportive measures.
Conclusion
Menarche is not just a biological event; it’s an exciting step in a young woman’s journey toward understanding her body and mental health. By fostering education, support, and open communication, we can empower young women to embrace their femininity and navigate the complexities of adolescence with confidence and grace.
As we continue this series exploring women’s mental health throughout the life cycle, let’s remember that every stage brings its own challenges and joys. Together, we can create a warm and supportive community that prioritizes mental well-being at every age.
-Stephanie Hubbell
Certified Nurse Midwife & Psychiatric Mental Health Nurse Practitioner
