Hormones

The Menstrual Cycle - Phases, Hormones and Their Functions

Learn everything you need to know about your menstrual cycle. Understanding it is essential as it impacts every aspect of your well-being.

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Reviewed by Jasveer Matharu · 1 November 2026

  1. Updated cycle phase explanations, added comparison tables and the shared phase graphic, and linked the reviewed evidence.

  2. First published

Elara Evidence2 claims assessed
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A menstrual cup and two tampons on a pink background.
Stock photograph for illustration. · Photo: Nataliya Vaitkevich / Pexels (opens in a new tab)

In this post, we will cover everything you need to know about your menstrual cycle.

Key points covered:

  • The menstrual cycle starts with the first day of the period and ends the day before the next period begins
  • The brain, ovaries, and uterus work together and communicate through hormones (chemical signals sent through the blood from one part of the body to another) to keep the cycle going.
  • The first part of the cycle (follicular phase) prepares an egg to be released from the ovary and builds the lining of the uterus
  • The second part of the cycle (luteal phase) prepares the uterus and body to either accept a fertilized egg or to start the next cycle if pregnancy doesn’t occur

Important:

  • The menstrual cycle is more than just the period. In fact, periods are just the first part of your cycle.
  • Understanding the menstrual cycle is important because it can impact the body from head to toe. You can see changes in your hair skin, bowel movements, mental health, physical strength, libido, and so on.
  • Hormonal methods of birth control prevent some or all of the steps in the cycle from happening.

Sections in the article:

What is the menstrual cycle?

By definition, the menstrual cycle begins with the first day of your period, which is counted as ‘Day 1’ and ends just before the next period (bleeding).

It’s the female body’s way of preparing for a possible pregnancy every month.

Understanding your cycle is very important as it impacts every aspect of female well-being, including hunger and sleep.

As the hormones in your cycle change throughout the month, your body and mind also go through a number of changes.

How long is the menstrual cycle?

Menstrual cycles often last around 28 days, but regular cycles from 21 to 35 days are normal. Timing can vary between people and from one cycle to the next.

How many women have irregular cycles?

A 28-day cycle is an example, not a rule. The NHS describes periods as irregular when the gap between their starts is less than 21 days or more than 35 days. Cycles are often more irregular in the years after periods begin and as menopause approaches. Speak to your GP or doctor if your usual pattern changes or your periods are irregular.

What are the menstrual cycle phases?

The ovarian cycle has two main phases: the follicular phase, from the first day of your period to ovulation, and the luteal phase, after ovulation until the next period. Ovulation marks the transition between them. For consistency with our cycle syncing guide, we explain four selected hormonal windows below: early follicular (menstrual), late follicular, mid-luteal and late luteal (premenstrual), with a separate explanation of ovulation. Researchers subdivide the cycle in different ways; this is not a universal four- or five-phase classification.

See the research behind this recommendation

Read the evidence on phase names, timing and symptoms.

Diagram of an ovulatory cycle. Early follicular includes menstruation and leads toward late follicular. Ovulation separates the follicular and luteal phases. Early luteal leads to mid-luteal, then late luteal. Without pregnancy, falling estrogen and progesterone lead to the next period. The diagram is not to scale or a fertility predictor.
How the cycle fits together: four selected windows within two broad ovarian phases. Ovulation is the transition; early luteal is the lead-in to mid-luteal. Timing varies. · Elara Care · AI-assisted schematic illustration

Follicular phase

Early follicular phase (menstrual phase)

  • When: The early follicular phase begins on the first day of your period. Bleeding usually lasts between 2 and 7 days. The whole follicular phase continues after your period finishes, right up to ovulation.
  • What happens: During the early follicular phase you shed your uterine lining (bleeding), and your estrogen and progesterone levels are low.
  • Possible symptoms: Abdominal cramps, fatigue, and brain fog. Experiences vary, and you may notice little change.
  • Early follicular phase tip: Gentler movement such as yoga or a walk may feel comfortable if you have cramps. If you feel well, your period alone is not a reason to avoid a harder session. In our article "Best workouts to do on your period" you can find a few suggestions. Listen to your body.
  • Elara Care team’s experience: In my personal experience, movement of any kind has significantly reduced menstrual cramps. This is one person’s experience. For pain relief, follow the medicine’s instructions and ask a pharmacist or clinician if you are unsure what is suitable for you.

Late follicular phase

  • When: The final part of the follicular phase, in the lead-up to ovulation. Its timing varies between cycles.
  • What happens: During this phase, estrogen rises toward a peak before ovulation, while progesterone remains relatively low. Follicles develop in the ovaries during the follicular phase; each contains an immature egg, and usually one becomes the dominant follicle that releases its egg. Estrogen helps rebuild the uterine lining after menstruation. This rebuilding is called the proliferative phase of the uterine cycle; it overlaps the follicular phase of the ovarian cycle.
  • Possible symptoms: You may notice changes in energy or how you feel. Higher estrogen does not guarantee greater strength, mental focus or a better mood.
  • Late follicular phase tip: If you feel ready for a harder workout or more social plans, you can plan around that. Be mindful of everything you say yes to and make time for rest.
  • Elara Care Team's experience: I feel like I have a lot more energy during this time. It's great for working out and sticking to my nutrition plan. However, the excess energy can sometimes make my mind feel like it's going at a million miles an hour, making it hard to concentrate on one thing. I've found that time blocking my work (scheduling it in my work calendar) helps me get things done. Learning

Ovulation: the transition from follicular to luteal

  • When: Usually around 10–16 days before your next period. The date can change from cycle to cycle, and some cycles do not include ovulation.
  • What happens: Ovulation is the release of an egg from an ovary. It marks the end of the follicular phase and the start of the luteal phase. Estrogen peaks before ovulation and then falls. An increase in luteinizing hormone (LH), called an LH surge, helps trigger the egg’s release. Progesterone starts to rise afterward. Researchers may use “ovulatory” or “periovulatory” to describe a window around this event.
  • Possible symptoms: Some people notice changes in discharge or sex drive, or mild one-sided discomfort around ovulation; others notice little change. There is no universal peak in energy, confidence or sociability.
  • Around ovulation tip: If you feel sociable or energetic, choose activities you enjoy. Meetings and difficult conversations can fit wherever they work for you.
  • Elara Care Team's experience: I take advantage of this time to meet up with friends. If possible I also try and schedule important meetings around this time as I feel much more positive. Like I can take over the world.

Mid-luteal phase

  • When: The middle part of the luteal phase, around a week after ovulation. The whole luteal phase starts after ovulation and ends the day before your next period; “mid-luteal” does not describe that entire span.
  • What happens: The body prepares for a possible pregnancy. Early in the luteal phase, the follicle that released the egg becomes the corpus luteum and produces progesterone and estrogen. Progesterone usually peaks about a week after ovulation, alongside a smaller second rise in estrogen. Progesterone helps prepare and maintain the uterine lining for a possible pregnancy.
  • Possible symptoms: Some women report PMS symptoms during the luteal phase, including fatigue or changes in mood. Progesterone can raise body temperature slightly, but the hormone pattern alone does not tell you how you will feel or how hard you can exercise.
  • Mid-luteal phase tip: Be mindful of your energy levels and ensure you get enough sleep. If you feel well, continue your usual workouts; if you feel warmer, tired or uncomfortable, a lighter session or more recovery may feel better.
  • Elara Care Team's experience: I generally feel a lot warmer on the train, so wearing a few layers so that I can remove them, helps me stay comfortable. I also find that my brain slows down slightly, making it much easier to focus on tasks that require prolonged concentration.

For more detailed information on the Luteal Phase, check out our complete article: Luteal Phase - What It Is and How It Impacts You

Late luteal phase (premenstrual phase)

  • When: The days before your next period. The timing varies; it is not a fixed day range for everyone.
  • What happens: If pregnancy does not occur, the corpus luteum breaks down and estrogen and progesterone fall. This hormone withdrawal leads to shedding of the uterine lining and the next period.
  • Possible symptoms: PMS can include mood swings, irritability, fatigue, bloating, breast tenderness, and sleep disturbances. Symptoms and their severity vary between people and cycles, and they can begin before the late luteal window.
  • Late luteal phase tip: Continue to work out and move your body if you feel well, and make time for recovery if symptoms call for it. Foods such as whole grains, legumes, fruits and vegetables can be part of balanced meals throughout the cycle. For practical meal ideas, check out our article on what to eat during the luteal phase. Speak to your GP or doctor if symptoms disrupt daily life.
  • Elara Care Team's experience: Maintaining a routine really helps me stay consistent with my workouts. I'll do my best to get into the gym, even if I end up using the session to mobilize and stretch. However, on days when I'm feeling really tired, I prioritize sleep. I also make sure to eat protein with every meal and keep dark chocolate in my fridge for when I want a "dessert".

What hormones are involved in the menstrual cycle?

The menstrual cycle is regulated by several different hormones. But the main ones are:

HormoneMain role in the cycleTypical pattern
FSH (follicle-stimulating hormone)Helps ovarian follicles grow; each contains an immature egg.Rises as a new cycle approaches, then helps recruit follicles early in the follicular phase.
Estrogen (mainly estradiol)Helps rebuild the uterine lining after menstruation.Rises before ovulation, then has a smaller second rise during the luteal phase.
LH (luteinizing hormone)An LH surge helps trigger egg release.Surges before ovulation; afterward it supports the corpus luteum.
ProgesteroneHelps prepare and maintain the uterine lining for a possible pregnancy.Rises after ovulation, usually peaks mid-luteal, then falls if pregnancy does not occur.

This is a simplified pattern for a cycle with ovulation. Hormone levels and timing vary; the table cannot identify your phase or diagnose a hormone problem.

See the research behind this recommendation

Read the evidence behind the hormone summary.

Breakdown of hormones and their functions in the menstrual cycle

Follicle stimulating hormone

Follicle-stimulating hormone is produced by the pituitary gland. It regulates the functions of both the ovaries and the testes. Lack or insufficiency of it can cause infertility in both men and women.

What is a follicle-stimulating hormone?

Follicle-stimulating hormone is one of the gonadotropic hormones, the other being the luteinizing hormone, and both are released by the pituitary gland into the bloodstream.

Follicle-stimulating hormone is essential to pubertal development. In women, this hormone stimulates the growth of ovarian follicles in the ovary before the release of an egg and it also increases a type of estrogen.

Estrogen

What is estrogen?

Estrogen is one of the main female sex hormones. While both women and men produce estrogen, it plays a bigger role in women’s bodies.

It has many roles in the body, from controlling puberty to strengthening bones. Having too much or too little estrogen can cause a range of different medical conditions (opens in a new tab).

There are three estrogens – estrone, estradiol, and estriol – the most potent of which is estradiol.

  • Estradiol is produced in women of childbearing age, mostly by the ovaries.
  • Estriol is the main estrogen produced during pregnancy, mostly in the placenta.
  • Estrone, produced by the adrenal glands and fatty tissue, is the only type of estrogen produced after menopause.

Estradiol

What is estradiol?

Estradiol is a steroid hormone made from cholesterol and is the strongest of the three naturally produced estrogens. It is the main estrogen found in women and has many functions, although it mainly acts to mature and maintain the female reproductive system. A natural increase in blood estradiol concentrations during the menstrual cycle causes an egg to mature and be released.

Another important role of estradiol is to thicken the lining of the uterus so that the egg can implant if it becomes fertilized. Estradiol also promotes the development of breast tissue and increases both bone and cartilage density.

In premenopausal women, estradiol is mostly made by the ovaries. Estradiol levels vary throughout the menstrual cycle, rising to a peak before ovulation and showing a smaller second rise in the luteal phase. Levels are relatively low during menstruation. Estradiol levels change during the transition to menopause and are generally lower afterward. In pregnant women, the placenta also produces estradiol, especially toward the end of pregnancy.

Men also produce estradiol; however, the amounts produced are much lower than in women. Within the testes, some testosterone is changed into estradiol and this estradiol is essential for the production of sperm. In both sexes, estradiol is also made in much smaller amounts by fat tissue, the brain, and the walls of blood vessels.

Luteinizing hormone

What is the luteinizing hormone?

Luteinizing hormone, like a follicle-stimulating hormone, is a gonadotrophic hormone produced and released by cells in the anterior pituitary gland.

It is crucial in regulating the function of the testes in men and ovaries in women.

In women, luteinizing hormone carries out different roles during the follicular and luteal phases. During the follicular phase, it helps the ovarian follicles produce hormones involved in the cycle, including estradiol.

An LH surge helps trigger the release of a mature egg from the ovary, a process called ovulation. This marks the transition from the follicular to the luteal phase; it does not always happen on day 14.

After ovulation, the remnants of the ovarian follicle form a corpus luteum.

The luteinizing hormone stimulates the corpus luteum to produce progesterone, which is required to support the early stages of pregnancy if fertilization occurs.

Progesterone

What is progesterone?

Progesterone belongs to a group of steroid hormones called progestogens. It is mainly secreted by the corpus luteum in the ovary during the luteal phase of the menstrual cycle.

It plays an important role in the menstrual cycle and in maintaining the early stages of pregnancy.

During the menstrual cycle, when an egg is released from the ovary at ovulation, the remnants of the ovarian follicle that enclosed the developing egg form a structure called the corpus luteum. This releases progesterone and estrogen. Progesterone usually peaks around a week after ovulation, in the mid-luteal phase.

Progesterone prepares the body for pregnancy in the event that the released egg is fertilized.

If pregnancy does not occur, the corpus luteum breaks down during the late luteal phase, progesterone and estrogen fall, and the next period begins.

If the egg is fertilized, progesterone stimulates the growth of blood vessels that supply the lining of the womb (endometrium) and stimulates glands in the endometrium to secrete nutrients that nourish the early embryo.

Progesterone then prepares the tissue lining of the uterus to allow the fertilized egg to implant and helps to maintain the endometrium throughout pregnancy.

During the early stages of pregnancy, progesterone is still produced by the corpus luteum and is essential for supporting the pregnancy and establishing the placenta. Once the placenta is established, it then takes over progesterone production at around weeks 8-12 of pregnancy.

During pregnancy, progesterone plays an important role in the development of the fetus; it stimulates the growth of maternal breast tissue; prevents lactation; and strengthens the pelvic wall muscles in preparation for labor.

The level of progesterone in the body steadily rises throughout pregnancy until labor occurs and the baby is born.

Although the corpus luteum in the ovaries is the major site of progesterone production in humans, progesterone is also produced in smaller quantities by the ovaries themselves, the adrenal glands, and, during pregnancy, the placenta.

Conclusion

Your menstrual cycle is your personal algorithm of life. Take time to learn about how changing hormones impact you throughout the cycle (we call this menstrual cycle literacy) to understand how you can take advantage of your hormones instead of suffering through them.

You might also be interested in the following article:

References:

  1. Fraser IS, Critchley HO, Broder M, Munro MG. The FIGO recommendations on terminologies and definitions for normal and abnormal uterine bleeding. Semin Reprod Med. 2011;29(5):383-90.
  2. Munster K, Schmidt L, Helm P. Length and variation in the menstrual cycle-a cross-sectional study from a Danish county. BJOG. 1992;99(5): 422–9.
  3. Treloar AE, Boynton RE, Behn BG, Brown BW. Variation of the human menstrual cycle through reproductive life. Int J Fertil. 1967;12(1 Pt 2):77-126.
  4. Fehring RJ, Schneider M, Raviele K. Variability in the phases of the menstrual cycle. JOGNN. 2006;35: 376-384.

Supporting source locations

Phase definitions and timing: Elliott-Sale et al. 2021: Table 3 (opens in a new tab) · McNulty et al. 2020: phase definitions (opens in a new tab) · Elliott-Sale et al. 2026: Table 1 (opens in a new tab) · NHS: cycle length, bleeding and ovulation (opens in a new tab) · NHS: irregular periods and when to seek care (opens in a new tab) · NHS: PMS symptoms and care (opens in a new tab) · NHS: period pain and practical self-care (opens in a new tab)

Hormone summary: Hormone roles: Society for Endocrinology — menstrual-cycle overview (opens in a new tab) · FSH: growth of ovarian follicles (opens in a new tab) · Estradiol: rebuilding the uterine lining (opens in a new tab) · LH: the surge before ovulation (opens in a new tab) · Progesterone: corpus luteum and uterine lining (opens in a new tab)

Evidence and sources

Explore the findings and sources for each recommendation.

Elara Evidence

2 claims assessed

These notes explain the research and guidance behind the article, what they support and where uncertainty remains.

Which claims were assessed

Two assessments cover the phase terminology, timing and hormone summary updated here. They do not constitute a new comprehensive appraisal of every hormone claim in this article.

How Elara assesses evidence

Confidence describes how certain we are about a research finding. It does not measure how healthy a food is, or promise that it will work for you.

What the confidence labels mean

Cycle phases, timing and terminology

Understanding the physiological sequence without fixed day ranges or individual symptom predictions
Evidence is indirectEvidence is indirect

Question. Cycle phases, timing and terminology and Understanding the physiological sequence without fixed day ranges or individual symptom predictions in Readers learning about natural ovulatory cycles.

Finding. This update uses the same phase definitions as the Cycle Syncing article. The broad ovarian phases are follicular and luteal; menstruation overlaps early follicular, and ovulation marks the transition. Early follicular, late follicular, mid-luteal and late luteal are selected windows, with early luteal explained as the lead-in to mid-luteal. Researchers use different subdivisions, so the five explanation sections are not a universal scientific classification. The 2021 working guide describes several classification schemes and proposes four research hormone profiles; McNulty’s 2020 review uses six categories. The 2026 follow-up retains numbered profiles and distinguishes hormonal sampling from symptom-based windows. These methodological sources explain terminology; they do not establish a fixed food, workout or work-performance schedule. Timing and symptoms: NHS guidance describes regular cycles of 21–35 days, bleeding usually lasting 2–7 days, and ovulation often 10–16 days before the next period. These ranges do not confirm an individual’s ovulation day. Symptoms vary, and PMS can start before the late luteal window. Practical exercise and food examples are flexible choices; the team’s personal experiences are not predictions for every reader.

Evidence label. Evidence is indirect

Applicability. Evidence is indirect — These sources explain typical physiology and research terminology. They do not identify an individual’s hormonal phase or predict their symptoms, fertility or response to exercise.

Why no grade. This is a physiological explanation supported by endocrinology guidance and research-method papers, not a graded treatment-effect claim.

Rationale. The explanation uses the same broad follicular/luteal division and selected hormonal windows as the Cycle Syncing article. Ovulation marks the transition; early luteal leads into mid-luteal.

Limitations. Cycle timing and symptoms vary. These sources do not validate a fixed calendar or phase-specific food, workout or work-performance schedule. The update was a targeted terminology and physiology check, not a new comprehensive appraisal of every hormone claim in the article.

Safety context. The table and graphic cannot identify an individual’s phase, diagnose a hormone problem or predict fertility. Symptoms that affect daily life, irregular bleeding or a changed pattern warrant clinical advice.

Method. Elara Evidence method, version 0.1.

Research and context

Back to this part of the article
Search details

Search. Targeted editorial checks of the supplied citations on October 29 and November 1, 2026, followed by reconciliation with the accepted article. This was not a systematic review or a formal GRADE assessment. Access limitations from that review are retained. Searched through .

Hormone roles in an ovulatory cycle

Understanding the physiological sequence without fixed day ranges or individual symptom predictions
Evidence is indirectEvidence is indirect

Question. Hormone roles in an ovulatory cycle and Understanding the physiological sequence without fixed day ranges or individual symptom predictions in Readers learning about natural ovulatory cycles.

Finding. Hormone summary and shared schematic: Society for Endocrinology guidance explains follicle growth, the LH surge, the corpus luteum and the uterine lining. These sources support the physiological sequence, not a fixed calendar or predictions about symptoms, performance or fertility. The table condenses the hormone roles explained above; it is not a diagnostic guide.

Evidence label. Evidence is indirect

Applicability. Evidence is indirect — These sources explain typical physiology and research terminology. They do not identify an individual’s hormonal phase or predict their symptoms, fertility or response to exercise.

Why no grade. This is a physiological explanation supported by endocrinology guidance and research-method papers, not a graded treatment-effect claim.

Rationale. The explanation uses the same broad follicular/luteal division and selected hormonal windows as the Cycle Syncing article. Ovulation marks the transition; early luteal leads into mid-luteal.

Limitations. Cycle timing and symptoms vary. These sources do not validate a fixed calendar or phase-specific food, workout or work-performance schedule. The update was a targeted terminology and physiology check, not a new comprehensive appraisal of every hormone claim in the article.

Safety context. The table and graphic cannot identify an individual’s phase, diagnose a hormone problem or predict fertility. Symptoms that affect daily life, irregular bleeding or a changed pattern warrant clinical advice.

Method. Elara Evidence method, version 0.1.

Research and context

Back to this part of the article
Search details

Search. Targeted editorial checks of the supplied citations on October 29 and November 1, 2026, followed by reconciliation with the accepted article. This was not a systematic review or a formal GRADE assessment. Access limitations from that review are retained. Searched through .

The icon guide

Amber: research strength. Plum: relevance. Blue-grey: what was measured and for how long. Colours group information; they are not confidence grades.

  • Research amount

    How many relevant studies support this assessment. This is not the number of links in the reference list.

  • People studied

    Who took part, and whether those participants match the people the recommendation is for.

  • What was tested

    Whether the study tested the recommended food or a different preparation, such as a supplement or whole diet.

  • Consistency

    How much findings or study conditions differ. The full explanation identifies what varies.

  • Study length

    How long participants were studied. Short-term findings may not answer questions about everyday habits.

  • Outcome measured

    What the researchers actually measured. Cortisol changes and anxiety symptoms are different outcomes.

  • Study limitations

    Features of study design or analysis that affect what we can conclude.

What the confidence labels mean

Elara Evidence method, version 0.1

Confidence describes how certain we are about a research finding. It does not measure how healthy a food is, or promise that it will work for you.

High
Research gives us strong confidence in the finding.
Moderate
The finding is reasonably supported, with uncertainty that could affect the conclusion.
Limited
Research gives some support, but important gaps limit what we can conclude.
Very limited
There is substantial uncertainty about the finding.

Research sources

  1. 1. Kirsty J Elliott-Sale, Clare L Minahan, Xanne A K Janse de Jonge, Kathryn E Ackerman, Sarianna Sipilä, Naama W Constantini, Constance M Lebrun, Anthony C Hackney (2021). Methodological Considerations for Studies in Sport and Exercise Science with Women as Participants: A Working Guide for Standards of Practice for Research on Women (opens in a new tab). Sports medicine (Auckland, N.Z.). Access: [Abstract]
  2. 2. Kelly Lee McNulty, Kirsty Jayne Elliott-Sale, Eimear Dolan, Paul Alan Swinton, Paul Ansdell, Stuart Goodall, Kevin Thomas, Kirsty Marie Hicks (2020). The Effects of Menstrual Cycle Phase on Exercise Performance in Eumenorrheic Women: A Systematic Review and Meta-Analysis (opens in a new tab). Sports medicine (Auckland, N.Z.). Access: [Abstract]
  3. 3. Kirsty J Elliott-Sale, Richard J Burden, Kathryn E Ackerman, Louise M Burke, Naama Constantini, Anthony C Hackney, Rachel Harris, Franco M Impellizzeri, Xanne A K Janse de Jonge, Constance M Lebrun, Clare Minahan, Sophia Nimphius, Stuart M Phillips, Sarianna Sipilä, Juliette A Strauss, Paul Swinton, Craig Sale. Methodological Considerations for Studies in Sport and Exercise Science with Women as Participants Part II: Guidance for Applied Studies in Elite Female Athletes (opens in a new tab). Access: [Full text]
  4. 4. Periods and fertility in the menstrual cycle (opens in a new tab). NHS. Access: [Full text]
  5. 5. Irregular periods (opens in a new tab). NHS. Access: [Full text]
  6. 6. PMS (premenstrual syndrome) (opens in a new tab). NHS. Access: [Full text]
  7. 7. Period pain (opens in a new tab). NHS. Access: [Full text]
  8. 8. Menstrual cycle (opens in a new tab). Society for Endocrinology. Access: [Full text]
  9. 9. Follicle-stimulating hormone (opens in a new tab). Society for Endocrinology. Access: [Full text]
  10. 10. Oestradiol (opens in a new tab). Society for Endocrinology. Access: [Full text]
  11. 11. Luteinising hormone (opens in a new tab). Society for Endocrinology. Access: [Full text]
  12. 12. Progesterone (opens in a new tab). Society for Endocrinology. Access: [Full text]
Jasveer Matharu
ABOUT THE AUTHOR

Jasveer Matharu

Founder & Women's Health Practitioner

Founder of Elara Care and O.A. Dip. Certified Women's Health Practitioner, Jas is working to create better solutions for women since 2018, sharing her struggles and experiences with female health

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