損傷之病，亦以眾矣。若比之女人，則十倍易治。凡女子十四以上，則有月事。月事來日得風冷濕熱、四時之病相協者，皆自說之。不爾與治誤相觸動，更增困也。
The menstrual cycle is the regular natural change that occurs in the female reproductive system (specifically the uterus and ovaries) that makes pregnancy possible.The cycle is required for the production of oocytes, and for the preparation of the uterus for pregnancy.The menstrual cycle occurs due to the rise and fall of estrogen.This cycle results in the thickening of the lining of the uterus, and the growth of an egg, (which is required for pregnancy).The egg is released from an ovary around day fourteen in the cycle; the thickened lining of the uterus provides nutrients to an embryo after implantation.If pregnancy does not occur, the lining is released in what is known as menstruation or a "period".
Up to 80% of women report having some symptoms during the one to two weeks prior to menstruation.Common symptoms include acne, tender breasts, bloating, feeling tired, irritability and mood changes.These symptoms interfere with normal life and therefore qualify as premenstrual syndrome in 20 to 30% of women. In 3 to 8%, they are severe.
The first period usually begins between twelve and fifteen years of age, a point in time known as menarche.[6] They may occasionally start as early as eight, and this onset may still be normal.[3] The average age of the first period is generally later in the developing world and earlier in developed world. The typical length of time between the first day of one period and the first day of the next is 21 to 35 days in adults (an average of 28 days[3][7][8]). Menstruation stops occurring after menopause which usually occurs between 45 and 55 years of age.[9] Bleeding usually lasts around 3 to 7 days.[3]
The menstrual cycle is governed by hormonal changes.[3] These changes can be altered by using hormonal birth control to prevent pregnancy.[10] Each cycle can be divided into three phases based on events in the ovary (ovarian cycle) or in the uterus (uterine cycle).[1] The ovarian cycle consists of the follicular phase, ovulation, and luteal phase whereas the uterine cycle is divided into menstruation, proliferative phase, and secretory phase.
Stimulated by gradually increasing amounts of estrogen in the follicular phase, discharges of blood (menses) flow stop, and the lining of the uterus thickens. Follicles in the ovary begin developing under the influence of a complex interplay of hormones, and after several days one or occasionally two become dominant (non-dominant follicles shrink and die). Approximately mid-cycle, 24–36 hours after the luteinizing hormone (LH) surges, the dominant follicle releases an ovocyte, in an event called ovulation. After ovulation, the ovocyte only lives for 24 hours or less without fertilization while the remains of the dominant follicle in the ovary become a corpus luteum; this body has a primary function of producing large amounts of progesterone. Under the influence of progesterone, the uterine lining changes to prepare for potential implantation of an embryo to establish a pregnancy. If implantation does not occur within approximately two weeks, the corpus luteum will involute, causing a sharp drop in levels of both progesterone and estrogen. The hormone drop causes the uterus to shed its lining in a process termed menstruation. Menstruation also occurs in closely related primates (apes and monkeys)
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