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October 22, 2025

The Menstrual Cycle: More Than Just Bleeding

By Nicole Arencibia, APRN, Fertility Center of Miami

A typical menstrual cycle lasts around 28 days, though anywhere from 24 to 35 days can be completely normal. What matters most isn’t the exact number of days, but how consistent your cycle is for you.

Your cycle has several key phases, each guided by specific hormones that prepare your body for a potential pregnancy.

Phase 1: The Follicular Phase – Waking Up the Ovaries

At the start of your cycle, your brain releases Follicle-Stimulating Hormone (FSH). This hormone “wakes up” several small follicles in your ovaries.

Each follicle holds an immature egg, and as the follicles grow, they begin to produce estrogen. Estrogen’s role is to thicken your uterine lining, creating a soft, nutrient-rich environment in case an embryo implants later on.

Think of this stage as your body’s preparation mode. everything is getting ready for the possibility of new life.


Phase 2: Ovulation – The Main Event

As one dominant follicle matures, estrogen levels peak, signaling your brain to release another hormone, Luteinizing Hormone (LH).

This surge of LH triggers ovulation, the release of a mature egg from your ovary. The egg travels down the fallopian tube, where it can meet sperm and potentially become fertilized.

For most women, ovulation occurs around day 14 of the cycle, but this can vary depending on the length and regularity of your cycle.

Knowing when you ovulate can be extremely helpful if you’re trying to conceive. Tracking your cycle, monitoring basal body temperature, or using ovulation predictor kits can all give you valuable insight.


Phase 3: The Luteal Phase – Preparing for Implantation

After ovulation, the empty follicle transforms into a temporary structure called the corpus luteum. This structure releases progesterone, a hormone that stabilizes and supports the uterine lining in case a fertilized egg implants.

If fertilization happens, the corpus luteum keeps producing progesterone until the placenta takes over. If pregnancy doesn’t occur, estrogen and progesterone levels drop sharply, triggering the shedding of the uterine lining, your period.

This marks the end of one cycle and the beginning of the next.


How Hormones Affect More Than Fertility

The shifts in FSH, LH, estrogen, and progesterone don’t just prepare your body for pregnancy, they affect nearly every part of your well-being.

These hormonal changes can influence:

  • Mood and emotional balance
  • Energy levels and sleep quality
  • Skin health and hair growth
  • Appetite and metabolism

By paying attention to your body’s patterns (such as changes in mood, cervical mucus, or even sleep) you can gain deeper insight into your overall health.


When to Seek Guidance

While some cycle irregularities are normal, consistently irregular or painful periods, or cycles that are too short or too long, may indicate a hormonal imbalance or underlying fertility concern.

At Fertility Miami, our expert medical team specializes in identifying and treating these issues with compassion and advanced reproductive care. Whether you’re just starting your fertility journey or have been trying for some time, we’re here to help you understand your body and optimize your chances of conception.


Take Control of Your Fertility Today

Understanding your menstrual cycle is one of the most powerful ways to connect with your reproductive health. If you’re ready to learn more about your cycle, evaluate your fertility, or explore personalized treatment options, our caring specialists are here to support you.

Contact Fertility Miami today to schedule a consultation and take the next step toward your fertility goals.

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