Periods Beyond Biology: How Menstrual Symptoms Affect Work, School, and Well-Being

Periods Beyond Biology: How Menstrual Symptoms Affect Work, School, and Well-Being

One in three people skip daily tasks during their period, yet most stay silent about it.

 

 

Every month, the body goes through a remarkable cycle preparing for a potential pregnancy. The ovaries release an egg during ovulation, and the uterus builds a thicker lining to support it.

If the egg is not fertilized, the body sheds this lining in a process we know as menstruation, or a period. While it may seem like a simple biological rhythm, menstruation is far more than that. It shapes physical health, emotions, and daily life in ways many people rarely talk about.

But menstruation isn’t just a biological process, it’s a lived experience that can affect physical health, mental health, social engagement, and even economic participation.


Common Period Symptoms

Around 90% of people who menstruate report experiencing a range of physical and psychological symptoms. These can vary in intensity from cycle to cycle, but they are part of a well-documented and biologically driven process.

Food Cravings

One of the most common symptoms is food cravings. According to a study, about half of American women crave chocolate at the beginning of their period. This may be due to hormonal shifts and changes in serotonin levels, which affect appetite and mood.

Breast Sensitivity

Breast tenderness is another frequent symptom, often peaking the day before menstruation begins. This is caused by hormonal changes: estrogen and progesterone levels rise, leading to swelling and sensitivity in the milk glands and ducts.

Cramps and Physical Discomfort (Dysmenorrhea)

One of the most reported period symptoms is cramping, also known as dysmenorrhea. It’s estimated that up to 84% of people who menstruate experience discomfort during their cycle.

These cramps are caused by prostaglandins, hormone-like substances that help the uterus contract to expel the uterine lining. While these contractions are necessary, they can be extremely painful and disrupt daily life, especially during the first few days of menstruation.

Mood Swings and Psychological Symptoms

After ovulation, estrogen and progesterone levels drop, leading to potential psychological symptoms such as mood swings, irritability, anxiety, or even depressive episodes. These emotional effects are not “all in someone’s head”, they are directly tied to hormone fluctuations.


So How do All of these Symptoms Affect People in Real Life?

A 2017 survey of 42,879 menstruating individuals aged 15 to 45 aimed to understand how menstrual symptoms impact day-to-day activities. The findings were striking:

  • Dysmenorrhea (cramps) was the most common symptom, reported by 85% of participants
  • Psychological symptoms were reported by 77%
  • Fatigue was reported by 71%
  • 38% of all participants said they could not complete all their normal daily tasks while menstruating
  • Only 48.6% of those who had to change their tasks due to symptoms felt comfortable telling others that menstruation was the reason

This means 1 in 3 menstruating individuals give up normal daily activities because of symptoms, and many don’t feel safe or supported enough to talk about it. In household contexts, half didn’t mention menstruation when transferring responsibilities, suggesting a persistent cultural stigma.

 

Why It Matters and What We Can Learn

The menstrual cycle isn’t just a personal inconvenience. It affects how people function socially, professionally, emotionally, and even financially. Here’s why it matters:

  • Workplace productivity: People often push through symptoms at work without accommodations.
  • School performance: Students may miss class or struggle to focus during exams.
  • Household responsibilities: Parents or caregivers might have to shift tasks or silently endure while still doing them.
  • Stigma: Most people still don’t feel safe or comfortable being honest about how their period affects them.

The menstrual cycle is more than a biological process, it’s a recurring experience that can affect every aspect of daily life. From physical symptoms like cramps and fatigue to emotional shifts and heavy bleeding, the impacts are real and far-reaching. Yet many people continue to carry these burdens quietly due to stigma, lack of awareness, or insufficient support. This silence often results in missed work, altered routines, and unacknowledged discomfort; consequences that could be alleviated through greater understanding and inclusive policies.

 

Bottom Line

To move forward, we must recognize that menstrual health is health. Normalizing conversations about periods, advocating for better healthcare responses, and ensuring supportive environments in schools, homes, and workplaces are essential steps. Whether through flexible accommodations, informed education, or open dialogue, creating space for people to talk honestly about their menstrual experiences helps foster a culture of empathy, dignity, and equity. The menstrual cycle is not something to hide, it’s something we must understand and support.





Work Cited 
Estrogen : any of a group of steroid hormones which promote the development and maintenance of female characteristics of the body. Such hormones are also produced artificially for use in oral contraceptives or to treat menopausal and menstrual disorders.(https://languages.oup.com/google-dictionary-en/)
Progesterone: a steroid hormone released by the corpus luteum that stimulates the uterus to prepare for pregnancy.  https://languages.oup.com/google-dictionary-en/
Schoep ME;Nieboer TE;van der Zanden M;Braat DDM;Nap AW; (n.d.). The impact of menstrual symptoms on everyday life: A survey among 42,879 women. American journal of obstetrics and gynecology. Retrieved August 1, 2022, from https://pubmed.ncbi.nlm.nih.gov/30885768/ 
Period problems. Period problems | Office on Women's Health. (n.d.). Retrieved August 1, 2022, from https://www.womenshealth.gov/menstrual-cycle/period-problems 
Grandi, G., Ferrari, S., Xholli, A., Cannoletta, M., Palma, F., Romani, C., Volpe, A., & Cagnacci, A. (2012). Prevalence of menstrual pain in young women: What is dysmenorrhea? Journal of pain research. Retrieved August 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3392715/ 
Hormes, J. M., & Niemiec, M. A. (n.d.). Does culture create craving? evidence from the case of menstrual chocolate craving. PLOS ONE. Retrieved August 1, 2022, from https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0181445 
Premenstrual syndrome (PMS). Premenstrual syndrome (PMS) | Office on Women's Health. (n.d.). Retrieved August 1, 2022, from https://www.womenshealth.gov/menstrual-cycle/premenstrual-syndrome 

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