life-stage-guides

Menstrual Cycle Phases: What Happens in Each Phase

A clear breakdown of the four menstrual cycle phases, the hormones driving each one, symptoms to expect, and what's worth logging for your health record.

This guide is for educational purposes only and is not a substitute for medical advice. The Four Phases of the Menstrual Cycle The menstrual cycle is a recurring sequence of hormonal events that prepares the body for potential pregnancy. Most descriptions focus on the period itself, but the period is just one phase. Understanding what happens across all four phases explains the full range of symptoms you might experience throughout the month. Phase 1: Menstrual Phase (Days 1 to 5, approximately) The cycle officially starts on the first day of menstruation. When the previous cycle's egg was not fertilized, the corpus luteum breaks down, progesterone and estrogen levels drop, and the uterine lining sheds. What happens hormonally: Both estrogen and progesterone are at their lowest levels. FSH begins to rise toward the end of menstruation, initiating the next round of follicle development. Common symptoms: Cramping, ranging from mild to severe Lower back ache Fatigue, often heavier in the first two days Bloating that gradually eases as bleeding progresses Headaches in some people What to track: Flow volume (light, moderate, heavy, very heavy), number of days, clotting, pain intensity a