122 | The "Normal" Menstrual Cycle: When to Refer and When to Support

Let's talk about a "normal" menstrual cycle. What counts as "normal," how can we spot concerning signs, and when does it make sense to consider medical referral or further testing? We'll dive into this and more in this brief episode. For more information and clinical strategies to support clients around menstrual health, join the upcoming Menstrual Health Intensive. 

Key Takeaways

• Bleeding longer than 8 days warrants referral for possible clotting issues, fibroids, or other concerns

• Heavy menstrual flow is often subjective, but if it interferes with daily life or causes soaking through protection, refer for assessment

• A stable luteal phase is a good sign; significant variation may indicate something else is going on

• Many clients were never taught basic cervical fluid physiology - this is valuable clinical information to share

Reference

Bahamondes, L., & Ali, M. (2015). Recent advances in managing and understanding menstrual disorders. F1000Prime Reports, 7, 33. https://doi.org/10.12703/P7-33

Upcoming

Liane Moccia and I are launching an 8-week Menstrual Health Intensive for Practitioners starting September 15, 2026 (you can join later!). Review the sales page and join us if you're interested in more education on this topic. 20 NPCE available.