The Four Phases of the Menstrual Cycle
Menstruation: Days 1-5
Your menstrual cycle begins on the first day of your period. This phase typically lasts around 3 to 7 days.
This is when your body uses hormones to signal to your womb that pregnancy has not occurred. Then, the lining of the uterus sheds. This is when your period begins.
While you're menstruating, keep track of the start date for accurate cycle monitoring.
During menstruation, many women experience pain or cramping in the lower belly, fatigue, bloating, acne, tender breasts, digestive issues, or other symptoms.
Many women also feel stronger emotions during this phase.
If you experience severe or debilitating effects, talk to your primary care doctor, OB-GYN, or gynecologist for ways you can get relief during your period.
Follicular Phase: Days 6-14
Following menstruation, the body enters the follicular phase.
Women are born with about 1-2 million eggs. As you age, your body loses eggs. By puberty, most women have 300,00 to 400,000 eggs remaining.
During the follicular phase of the menstrual cycle, your body sends hormonal signals to the ovarian follicles to prepare to release a developing egg.
The ovarian follicles are small sacs of fluid on the ovaries that contain an undeveloped egg.
When the body signals for this follicular phase, the ovarian follicles start working to mature the egg.
When an egg reaches maturity, it is released from the follicle to prepare for fertilization. In a normal cycle, only one egg is released at a time.
During this phase of your cycle, you will likely feel more energetic, happy, and inspired. This is due to a rise in the hormone estrogen.
Ovulation Phase: Day 14
When the mature egg is released from the ovary, it starts moving through the fallopian tube toward your uterus. This is the ovulation phase, which takes place usually on day 14.
Ovulation is a crucial time for conception, as the egg is viable for fertilization for about 12-24 hours.
To maximize your chances of getting pregnant, consider tracking ovulation through methods such as ovulation predictor kids or tracking changes in your basal body temperature.
If you are trying to prevent pregnancy, you should avoid unprotected sex in the days leading up to, the day of, and the day after ovulation.
Your basal body temperature is your temperature when you’re fully at rest.
If you’re tracking your cycle by taking your basal body temperature, you should take your temperature every morning as soon as you wake up, before getting out of bed.
You may see a slight dip in temperature right before ovulation, and a sharp increase when you ovulate. This is due to the hormone changes that happen during ovulation.
During ovulation, you may have an increase in libido, mood changes, anxiousness, and other hormonal-related changes.
If the egg is not fertilized during ovulation, then the egg will dissolve, and the process will begin the luteal phase.
Luteal Phase: Days 15-28
After the ovulation phase of the menstrual cycle, the empty follicle changes into the corpus luteum, which produces the progesterone hormone.
Progesterone helps prepare the body for pregnancy by thickening the uterine lining. A thickened lining makes it easier for a fertilized egg to implant in the uterus, to support a pregnancy.
If a pregnancy does not occur, the progesterone levels drop, and your period begins again, starting the cycle over.
During the luteal phase, you may experience fatigue, bloating, changes in appetite, and mood swings.
Trying to Conceive
The decision to start trying to conceive should come with preparation.
Dr. Crystal Acosta at CHRISTUS in Corpus Christi, Texas, highlighted the importance of maternal health before trying to get pregnant.
“This means making sure all chronic conditions, such as hypertension and diabetes, are well-controlled and all chronic medications are safe for pregnancy,” Dr. Acosta said. “This way, their doctor can make necessary medication switches before pregnancy.”
She said that well-controlled chronic conditions improve the chances of pregnancy and health outcomes for mom and baby.
If you have decided to start trying to get pregnant, it is crucial to prepare your body with the proper nutrients before you start trying to get pregnant.
"I would emphasize the importance of starting prenatal vitamins daily, from the moment the decision is made to start attempting to conceive,” Dr. Acosta said.
A prenatal vitamin should include a daily supply of folic acid, iron, calcium, vitamin D, and other essential vitamins.
Timing and Fertility
The most fertile window for conception is typically the five days leading up to ovulation and the day of ovulation.
If you are trying to get pregnant, you should have sex around this time. You are most likely to conceive by having sex at least every 2-3 days leading up to ovulation, and the day of ovulation.
You and your partner should discuss this when planning to start a family. By tracking your menstrual cycle, you can identify your fertile days and increase the likelihood of successful conception.
How to Track Your Menstrual Cycle
- Manual calendar method: Mark the start and end dates of each menstrual cycle to identify patterns. After several months of regular cycles, you can identify the approximate phases.
- Period tracking apps: Phone apps that can help you calculate the phases of your cycle by inputting the start and end dates of your period. Many can also provide insight into symptoms, predict ovulation, and answer frequently asked questions.
- Ovulation predictor kits: These kits detect hormonal changes signaling ovulation, helping you pinpoint your most fertile days.
- Basal body temperature tracking: Measure your resting body temperature each morning before you get out of bed. You can use an oral thermometer or one designed for basal body temperature. Your temperature changes a bit throughout your cycle, with a slight increase right after you ovulate.