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Obstetric and Gynecological Nursing - The Carter Center

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<strong>The</strong> purpose of a menstrual cycle is to bring an ovum to<br />

maturity <strong>and</strong> renew a uterine tissue bed that will be<br />

responsive to its growth should it be fertilized.<br />

<strong>The</strong> average age of onset of menstrual cycles is 21 to 35<br />

days.<strong>The</strong> accepted average length is 28 days.<strong>The</strong> length of<br />

the average menstrual flow is 1-9 days <strong>and</strong> the average<br />

length is 5 days.Amount of flow is from spotting to 80 ml on<br />

average.<br />

Four body structures that are involved in the normal<br />

physiology of the menstrual cycle are:<br />

- <strong>The</strong> hypothalamus<br />

- <strong>The</strong> pituitary gl<strong>and</strong><br />

- <strong>The</strong> ovaries <strong>and</strong><br />

- <strong>The</strong> uterus.<br />

- Cervix<br />

For a menstrual cycle to be complete, all four structures must<br />

contribute their part, in activity from any part will result in an<br />

incomplete or ineffective cycle.<br />

Some women have symptoms of anxiety, fatigue, abdominal<br />

bloating, headache, appetite disturbance, irritability <strong>and</strong><br />

depression in pre-manustural period. Some women may<br />

experience abdominal pain during ovulation <strong>and</strong> the release of<br />

accompanying prostagl<strong>and</strong>ins. Some even notice irritation<br />

when a drop or two of follicular fiuid or blood spills in to the<br />

abdominal cavity.<br />

28

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