Pharm. Oluoma Profile picture
Jun 28, 2025 11 tweets 4 min read Read on X
THE MENSTRUAL CYCLE EXPLAINED.

Every month, your body goes through the same process over and over again starting from adolescence till menopause.

This process is totally out of your control, as nature bids it to be.

However, knowing about it is powerful and helps inform your decisions.

Are you curious yet? Let’s get into itMenstrual cycle
As a woman, your body naturally primes you to get pregnant and that’s what the menstrual cycle is all about.

During the cycle, your ovaries and uterus go through changes simultaneously but we’re going to simplify that.

Your cycle is divided into four phases:

- Menstrual Phase
- Follicular phase
- Ovulation
- Luteal/secretory phase.

These phases translate into one another as the hormones in charge of them rises or falls.Phases
There’re 4 dominant hormones in the menstrual cycle:
- Follicle stimulating hormone (FSH)
- Leuteinizing hormone (LH)
- Estrogen
- Progesterone.

Release of these hormones start at the hypothalamus.

The hypothalamus is a part of the brain responsible for secreting hormones, and in this case, it secretes the gonadotropin-releasing hormones (GnRH)

These hormones in turn stimulate the anterior pituitary gland (also in the brain) to release the gonadotropins.

The gonadotropins are the FSH and LH.Hypothalamus
The first day your period starts marks the first day of the cycle.

The cycle lasts from 21-35 days with the average being 28 days.

The menstrual phase (period) can last for 3-8 days, with an average of 5 days.

During this time, the follicles (in the ovaries) starts to grow triggered by FSH.
When the menstrual phase is over, you go into the follicular phase proper where a dominant follicle emerges and others die away.

This follicle secretes estrogen, which sends a positive feedback to the brain for more LH and FSH (gonadotropins).

A day before your ovulation (which normally occurs on the 14th day), there’s a surge in LH that forces the egg out of the ovary and into the fallopian tube.
The released egg travels down the fallopian tube to get fertilized by sperm, and implanted in the already nourished uterus.

However, if fertilization doesn’t happen the egg is reabsorbed or broken down in the uterus while the body prepares for yet another cycle. Fallopian tubes
To simplify this using a 28 day average cycle:

- Menstruation occurs on day 1-5 of the cycle (Shedding of the uterine lining)

- The follicles grow and a dominant one emerges with the egg

- The follicle ruptures on the 14th day, signaling ovulation which lasts for 24 hours.

- This makes way for the luteal phase which primes the body for pregnancy.

- If fertilization doesn’t occur, the lining sheds and the cycle begins again.Summary
Simplified role of the hormones:

- Follicle stimulating hormone: Stimulates growth of the follicles
- Leuteinizing hormone: Forces the egg out of the ovary
- Estrogen: Encourages ovulation and helps the body prepare for pregnancy
- Progesterone: Nourishes the uterus and maintains pregnancy.
HOW DO YOU KEEP TRACK OF YOUR CYCLE?

The menstrual cycle is different for most women and can be confusing, so one of the best ways to keep track is using a digital app or a calendar.

To get your cycle length, mark the beginning of your period every month, and when it ends.

The days in-between the beginning of one period and a day before the next one is your cycle length.Calendar
A normal cycle length is anywhere from 21-35 days.

Your follicular phase can vary, however the luteal phase is almost always the same; 14 days to your next period.

To know the exact date of ovulation, subtract 14 days from the length of your cycle, for example:

Cycle length 35 - 14 =21

Therefore, your ovulation is on the 21st day.

If you plan on getting pregnant, your ovulation window is best to try for a baby.

If you don’t, it’s best to avoid intercourse or use a contraceptive.
What other questions do you have concerning your cycle?

Let’s hear them in the comments below

Follow @zizelle_ for more beneficial information.

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More from @zizelle_

Jan 6
MENSTRUAL CYCLE 101

Here’s everything you need to know about your cycle, written in clear, factual and understandable language.

A 🧵 Menstrual cycle
1. Although 28 days is considered the average cycle length, most women naturally have cycles that range from 21-35 days and that’s completely normal.

In the same way, normal periods can last 3-7 days, and not just the commonly assumed 5 days. Cycle length
2. Your cycle length is calculated from the first day of your period to the day before your next period begins.

Ovulation typically occurs about 12–14 days before your next period, because the luteal phase is relatively consistent in most women.

To predict ovulation, subtract 14 days from your cycle length or use a tracking app.Cycle length
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Dec 29, 2025
IF CIPROFOXACIN HAD FEELINGS,..it would be exhausted by now.

Typhoid? Give me Cipro
UTI? Cipro please
Back pain? Do you have Cipro?

I get it. It’s popular and “strong”, however when it is abused, everyone pays the price.

Here’s what so many people do not know 👇🏻 Ciprofloxacin
WHAT IS CIPROFLOXACIN?

Ciprofloxacin is a potent prescription only antibiotic belonging to the fluoroquinolone class.

It works by stopping bacteria from multiplying, but not just any bacteria; specific bacteria.

It only works when it is indicated for that specific purpose.

It is not for general infection 📌
WHAT IS CIPROFLOXACIN NOT USED FOR?

Ciprofloxacin does not treat:
- Viral infections
- Body pains or inflammation
- “Any infection” without proper diagnosis

The fact that it is strong does not mean it is universal 📌
Read 6 tweets
Nov 13, 2025
Amina is 9.

She woke up in the middle of the night to pee and saw her bedsheet stained with blood.

Terrified, she ran to her mum who’s a doctor.

Her mum hugged her and calmed her fears, but she was worried.

Because in their family, fibroids run deep.

Will Amina develop fibroids?Fibroids
So many people do not know that early onset of menstruation is a risk factor for fibroid growth.

This is because fibroids are fueled by estrogen and progesterone, and the earlier the exposure to these hormones, the greater the likelihood of developing fibroids.
Add to that a family history of fibroids and being a black girl.

Amina has everything lined up for her.

What are fibroids?

Fibroids are non-cancerous growths that develop in the wall of the uterus.

They’re very common and by age 50, at least 50-70% of women would develop them.

However, most are asymptomatic and are only found during a scan.
Read 9 tweets
Oct 13, 2025
MODERN TOOLS TO PROTECT YOURSELF AGAINST STIs

The beauty of modern medicine is, it has given us a lot of alternatives.

Ignorance should no longer be an excuse to have a sexually transmitted infection.

What are those tools?
Let’s bridge the gap 👇🏼 Modern tools
1. PrEP (Pre-exposure prophylaxis)

PrEP is a daily and on-demand medication that protects you before HIV exposure.

Basically, it prepares your immune system for battle.

Who’s eligible for PrEP?
- Those with an HIV-positive partner
- Sex workers
- People who inject drugs
- Those with multiple partners.
2. PEP (Post-exposure prophylaxis)

PEP is an emergency HIV prevention pill.

It protects you from the virus if taken within 72 hours of exposure. With PEP, every second counts!

Who’s eligible for PEP?
- Sexual assault survivors
- Condom breakage/slip
- Healthcare workers (needle stick injuries)
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Sep 16, 2025
5 SILENT SIGNS OF INSULIN RESISTANCE

Insulin resistance is the underlying cause of so many chronic health conditions, notably type 2 diabetes and cardiovascular diseases.

Most people do not know they’re insulin resistant, until complications arise.

What signs do you watch out for?Insulin
1. Post meal crashes

You eat, feel a burst of energy, then crash into fatigue or brain fog some hours later.

- This happens because your insulin spikes but cells are not responding properly to it.
2. Increased hunger shortly after eating

Even after a full meal, you may feel hungry again quickly.

- This happens because the brain isn’t getting the fuel signal it needs to record satiety.

Glucose is locked out of the cells.
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Sep 7, 2025
ARE YOU A MOUTH BREATHER OR A NOSE BREATHER?

Most people don’t know they breathe through their mouths.

Mouth breathing might not seem like a big deal, but it can cause serious facial and health complications if left unchecked.

6 signs that show you’re a mouth breather 👇🏼 Mouth breathing
WHAT IS MOUTH BREATHING?

Mouth breathing is a situation where a person consistently breathes in and out through the mouth instead of the nose.

It is normal for short periods of time e.g during intense exercise, but it becomes a problem when it’s a default sleeping pattern especially at rest.
WHAT IS THE DIFFERENCE BETWEEN MOUTH AND NOSE BREATHING?

- In mouth breathing, the air goes in raw, dry, cold and unfiltered, while in nose breathing, the tiny hairs trap dust and allergens.

The nose also warms and humidifies the air before it gets to the lungs.

- In nose breathing, there is better balance of oxygen and CO2, while mouth breathing lowers CO2 severely.
Read 10 tweets

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