All health topics

Periods and menstrual health

Patient education

A cycle is a range, not one number

A cycle is a range, not one numberA circle standing for one cycle. Day one, the first day of bleeding, is marked at the top, and a shaded arc from there covers the bleeding days, about two to seven of them. Below, a line shows the gap from one day one to the next: the usual range is shaded from twenty-one to thirty-five days, with twenty-eight marked inside it rather than at the end of it.Day 1Bleedingabout 2 to 7 daysThe rest of thecycle, with nobleedingFrom one Day 1 to the next21 days2835 daysusual range

Twenty-eight days is one number inside a range, not the correct answer. What matters more than the number is whether yours is steady, and whether it has changed.

Drawn for AfyaMesh. Not yet checked by a clinician.

What it is

A period is the bleeding that comes from the womb about once a month between puberty and the change of life. It is not an illness and not something to be ashamed of. Pain or bleeding heavy enough to stop your day is a different matter, and it has causes that can be found and treated.

When to seek urgent care

Bleeding soaks a pad or cloth every hour for several hours; you feel faint, dizzy or very breathless with the bleeding; there is severe lower belly pain with a missed period; or there is fever with pain and a discharge that smells.

What are the facts

Most recent survey in each country - Cameroon has not asked these questionsData year · These are not live counts.

Being honest about the gap first: Cameroon's most recent Demographic and Health Survey, in 2018, did not include the menstrual health questions. Nothing below is a Cameroonian figure, and the countries that have asked are shown instead.

Not measured here

No data
  • Cameroon's 2018 survey did not ask whether women could wash and change in privacy during their last period
  • The figure for Cameroon is unknown rather than good or bad

Where it has been asked

84% to 97%
  • Of women in twelve nearby countries were able to wash and change in privacy and used appropriate materials during their last period
  • The lowest was DR Congo and the highest Kenya

Why it is counted at all

A health matter
  • WHO asks for menstruation to be treated as a health and human rights issue rather than a hygiene one, which puts information, products, water and privacy on the same footing as treatment

Country comparison

Your country

Enable GPS or choose a country in the interactive reader to compare its figures with the top ten.

Between 3 and 16 women in every 100 could not wash and change in privacy during their last period in the countries that measured it. The problem there is a door and water, not anybody's hygiene.

Able to wash and change in privacy, with appropriate materials

Percentage of women whose last period was in the past year, at each country's most recent survey. Cameroon is absent because the question was not asked, not because the answer was bad.

Able to wash and change in privacy, with appropriate materials. 12 bars, measured in % of women. Highest: Kenya, 96.6%.
Group% of women
Kenya202596.6%
Ghana202296.5%
Tanzania202296.2%
Cote d'Ivoire202195.9%
Senegal202395.4%
Mali202394.6%
Nigeria202494.4%
Burkina Faso202193.9%
Zambia202493.9%
Rwanda202592.8%
Malawi202491.9%
DR Congo202384.0%

Measured in % of women.

How to read these numbers

Cameroon is not on this chart. Its 2018 survey predates the menstrual health module, so there is no national figure to show and none has been estimated for it here.

The measure combines two things: having somewhere private to wash and change, and using materials considered appropriate. A country can score well on one and poorly on the other and the single figure will not show it.

It counts women whose most recent period was within the last year, so it describes women who menstruate rather than all women.

Sources checked 2026-11-07.

How it shows

Most cycles start somewhere between three and five weeks apart and the bleeding lasts a few days. Cramping low in the belly or the back in the first days is common. Cycles are often irregular in the first year or two after they begin, and again as they come to an end.

What to do

Keep a simple note of the day bleeding starts each month - on paper is enough - because the pattern is what a clinician asks for first. Clean cloth and pads both work; what matters is changing them often and washing your hands. Warmth on the belly and moving about help the cramping for many people. See a clinician if the pain stops you going to school or work, if bleeding soaks through a pad or cloth every hour, if you bleed between periods or after sex, or if periods stop for three months and you are not pregnant.

Heavy or painful periods have several causes and the treatment that fits depends partly on whether you want to be pregnant soon, so this is a conversation rather than something to buy at a counter. Painkillers bought from a stall for period pain are often the wrong ones and some of them irritate the stomach; ask a pharmacist which to use.

What is usual, and what is worth asking about

Cycles vary between people and across a life. They are often irregular in the first year or two after they begin and again as they come to an end, and that is ordinary rather than a sign of something wrong. Cramping in the first days is common.

What is worth asking about is bleeding heavy enough to soak through a pad or cloth every hour, pain that keeps you away from school or work, bleeding between periods or after sex, or periods that stop when you are not pregnant. None of those is something to put up with for years, and each has causes that can be found.

Managing a period, and why it is a health question

Clean cloth and disposable pads both work. What matters is changing often, washing hands, and having somewhere private to change and wash. Where that privacy does not exist, the problem is not the person's hygiene; it is the lack of a door and water.

The WHO describes menstrual health as a health and human rights matter rather than a hygiene matter, which is a deliberate change of framing: it puts information, products, water, sanitation and the ability to take part in daily life without shame on the same footing as treatment. Girls missing school during their periods is a health outcome, not a private inconvenience.

Bleeding, iron and tiredness

Heavy periods month after month are one of the commonest reversible causes of anaemia in women of childbearing age, and they are routinely missed because both the bleeding and the tiredness get treated as normal. A blood count is cheap and settles it.

If you are told you are anaemic, ask what is causing it rather than only taking iron. Treating the tiredness without finding the bleeding leaves the cause running.

Sources

  1. WHO statement on menstrual health and rights · World Health Organization · CC BY-NC-SA 3.0 IGO

Statistics and population data

Most recent survey in each country - Cameroon has not asked these questions. Sources checked 2026-11-07; this is separate from clinical review.

  1. The DHS Program - STATcompiler indicator data, read 7 November 2026
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