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Philipp Marx

First period: what’s normal, what you need, and when to get help

The first period can bring relief, confusion, and uncertainty at the same time. Many questions are practical: how much blood is normal, what to do at school, which products work best, and how to manage pain. This guide calmly and clearly explains what is typical in the first months, which warning signs matter, and how to find a relaxed approach.

A small emergency kit with pads, spare underwear, and a pouch ready for a first period

What the first period means

The first period is called menarche. It shows that your body has started a cycle: the uterine lining builds up and is shed again if no pregnancy occurs.

Important: nothing has to be regular right away. Especially in the first months and years, irregular intervals are very common because the hormonal rhythm is still stabilizing. NHS: Starting your periods

When the first period comes and why timing varies so much

The first period can start early, in the middle of, or later in puberty. Two people the same age can have completely different timing without anything being wrong.

Genetics often plays a role. Stress, heavy physical activity, rapid weight changes, and chronic illnesses can also affect the rhythm. If you feel like your body is generally stalled or you have severe symptoms, a quick check at a pediatric or adolescent clinic is a sensible shortcut.

Nicknames like "Anne Frank": a cultural note that surprises many

Menstruation has long been referred to indirectly, with nicknames or euphemisms. That wasn’t because it was rare, but because it was considered embarrassing.

A historical episode is well documented: in Japan the diary of Anne Frank was very popular in the 1960s. Reports describe that the euphemism "Anne’s day" for a period spread at that time and hygiene products were even marketed for a while using Anne’s name. JTA: The Japanese tampon named for Anne Frank

The background is that Anne Frank also wrote about bodily development in her diary and noted in October 1942 that she expected her first period. Anne Frank House Research: Health in the Secret Annex

For your everyday life this is not a rule or a standard. It just shows how language changes when people talk more openly about a normal body topic.

Signs: how you might notice it’s about to start

Some people feel a pulling in the lower abdomen, breast tenderness, more pimples, a different energy level, or mood swings. Often there is also whitish discharge in the months beforehand. That is often normal and part of the hormonal adjustment.

If discharge smells strongly, turns greenish, or is accompanied by itching and burning, it’s worth having it checked because that is less likely to be normal puberty.

How long the first period lasts and how much blood is normal

The first bleeding can be very light or heavier than expected. The color can also vary, from bright red to dark red or brown. Brown is often simply older blood that has flowed more slowly.

Clots can occur, especially on heavier days. Small clots are often not a reason to panic. More important is how you feel during it.

Irregular is common at the start

In the first one to two years the interval between bleedings can vary widely. Sometimes nothing happens for a long time after the first period. That can be normal as long as things are generally moving toward stability and you don’t have serious warning signs.

Products for the start: what’s really practical

You don’t have to find one perfect product. Many start with pads or period underwear because they’re simple and easy to change quickly.

Pads

Start with a regular absorbency and have a heavier option for nighttime. If you leak, it’s often a matter of fit and flow, not a sign of failure.

Period underwear

It can work as the main protection or as a backup, for example at school. For many it’s reassuring mentally because the risk of stains goes down.

Tampons

Tampons are an option, but you don’t have to rush into using them. If you want to try, choose a small size, stay calm, and listen to your body. If it hurts, stop and use something else. Pain is not required.

How often to change

Change as often as you need to feel clean and secure. If something becomes soaked, smelly, or uncomfortable, it’s time to change. It’s about comfort and hygiene, not a perfect number.

Period at school: an emergency kit that saves stress

Many teens are stressed more by logistics than by the bleeding itself. A small kit reduces pressure, even if you rarely need it.

  • 2 to 3 pads or tampons
  • A spare pair of underwear
  • A small bag for used products
  • Optional: thin leggings or a longer top as backup

If you get a stain once, it doesn’t mean you failed. It happens to many people, including adults.

Pain and cramps: what’s normal and what isn’t

Period pain can feel like cramps, pressure, or backache. Mild to moderate pain is common. Some people also have nausea, headaches, or fatigue.

What often helps

  • Heat, for example a hot water bottle
  • Light exercise, a walk, or stretching
  • Eating and drinking regularly
  • Rest and sleep when possible

Pain relievers, if you need them

Some people need medication for period pain. Which medicines suit you depends on age, health, and other medications. If you’re unsure, a quick check at the pharmacy or a medical practice is sensible. A factual guide on period pain is also available from the NHS. NHS: Period pain

Smell, hygiene and discharge

Menstrual blood can smell, especially if it has been in a pad for a while. A slight odor is normal. A very strong, rotten smell or itching and burning are more likely signs that something is wrong.

For intimate hygiene, water and a mild routine are enough. Perfumed products and aggressive washing can irritate the skin and make problems worse.

Myths and facts that really help

  • Myth: You can’t exercise during your period. Fact: Exercise is usually okay and can even help with cramps if you feel up to it.
  • Myth: Irregular means something is always wrong. Fact: Irregular cycles are common at the start; what matters is the overall pattern and symptoms.
  • Myth: Severe pain is just normal. Fact: Pain is common, but very severe or progressively worse pain should be evaluated.
  • Myth: Passing through is embarrassing. Fact: That’s a practical problem that happens to many people and can be solved.

Warning signs: when you should get help

Many things are normal, even if they feel unfamiliar. But there are situations where a checkup makes sense.

Get checked if

  • You bleed very heavily, for example if you soak through a pad or tampon every hour for several hours
  • You experience dizziness, fainting, extreme fatigue, or a racing heart
  • You have severe pain that prevents daily activities
  • You repeatedly have bleeding between periods
  • You go months without bleeding after an initial phase

Very heavy bleeding can, in rare cases, be related to bleeding disorders. ACOG outlines a structured approach for adolescents with heavy menstrual bleeding. ACOG: Heavy menstrual bleeding in adolescents

Conclusion

The first period is usually less a medical problem than a new everyday routine. Irregular intervals, changing flow, and mild to moderate pain are common at the start. With the right products, a small emergency kit, and a calm strategy it gets easier quickly. If bleeding is very heavy, pain stops you from living your life, or you feel dizzy and weak, seek help — there are good reasons and good solutions.

Disclaimer: Content on RattleStork is provided for general informational and educational purposes only. It does not constitute medical, legal, or other professional advice; no specific outcome is guaranteed. Use of this information is at your own risk. See our full Disclaimer .

Frequently asked questions about the first period

The first period can start across a wide age range because puberty varies a lot, and differences of several years among peers are common.

Yes, irregular intervals are common in the first one to two years because the hormonal rhythm is still stabilizing; what’s more important are severe symptoms or very heavy bleeding.

Many bleedings last a few days, but at the start it can be shorter or longer, and more important than the exact number is whether you feel stable during it.

Brown blood is common and often means the blood flowed more slowly; without severe pain or other warning signs it is usually not problematic.

For many a pad or period underwear is easiest at the start, and tampons are an option if you’re comfortable with them, but you don’t have to force it.

A small emergency kit with products, spare underwear, and a bag helps, and if you don’t have anything you can ask a trusted person because you don’t have to manage it alone.

Change so you feel clean and secure, and if something is soaked or uncomfortable that’s a practical signal to change.

If pain is so severe that school, sports, or sleep don’t work, or if it gets significantly worse over time, you should have it evaluated.

If you are soaking through a pad or tampon every hour for several hours or experience circulatory problems like dizziness, fainting, or a racing heart, that’s a reason to seek prompt evaluation.

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