Why Is My Menstrual Flow Only on One Side? Your Cycle - Obstetrics and Gynecology

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Menstruation only occurs on the left side?


Hello doctor, I am 18 years old and started my menstruation around the age of 15.
I've noticed that my menstrual flow has always been lighter than average, and my periods usually last only 4 to 5 days.
Recently, I started using tampons, and every time I remove it before it is fully saturated, I find that only the left side has menstrual blood, while the right side is completely dry.
I thought it might be due to improper placement, but there has not been a single exception; every time, only the left side absorbs the menstrual flow.
Why is this happening? Does it mean that my menstruation only comes from one side?

Somi, 10~19 year old female. Ask Date: 2016/07/06

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, menstruation typically does not occur on just one side; just observe and don't worry.
Wishing you good health.

Reply Date: 2016/07/06

More Info


It’s understandable to have concerns about your menstrual flow, especially when you notice something unusual like the blood only appearing on one side of your tampon. Let’s break down what could be happening and provide some insights into menstrual cycles.

Firstly, it’s important to clarify that menstrual flow does not literally come from one side of the body. The uterus, where menstrual blood is produced, is centrally located, and the flow is expelled through the cervix into the vagina. Therefore, if you are consistently noticing that only one side of your tampon is absorbing blood, it might not be that your menstrual flow is only coming from one side, but rather how the tampon is positioned or how your body is expelling the blood.

Here are a few potential explanations for your observation:
1. Tampon Placement: If the tampon is not inserted deep enough or at the right angle, it may not be positioned correctly to absorb blood evenly. Ensure that you are inserting the tampon straight and deep enough into the vaginal canal. It may take some practice to find the most comfortable and effective position.

2. Anatomical Variations: Every individual’s anatomy is slightly different. Some women may have a more pronounced left or right vaginal wall, which could potentially affect how menstrual blood flows and is absorbed by a tampon. However, this is generally not a common cause for significant differences in flow.

3. Menstrual Flow Characteristics: It’s also worth noting that menstrual flow can vary in volume and consistency throughout the period. Some days may be heavier than others, and it’s possible that the blood is pooling in a way that makes it seem like it’s only coming from one side.
4. Hormonal Factors: Hormonal imbalances can affect menstrual flow. If you’ve noticed other symptoms such as irregular periods, severe cramps, or changes in your cycle, it might be worth discussing with a healthcare provider.
5. Health Conditions: While it’s less common, certain health conditions can affect menstrual flow. Conditions such as fibroids, polyps, or endometriosis can lead to changes in how menstrual blood is expelled. If you have concerns about your menstrual health, it’s advisable to consult with a healthcare professional.

Given that you mentioned your menstrual flow is generally lighter than average and lasts only 4-5 days, it might be beneficial to keep track of your cycles, noting any changes in flow, duration, and associated symptoms. This information can be helpful for a healthcare provider if you decide to seek further evaluation.

In conclusion, while it may seem concerning that your menstrual blood is only appearing on one side of your tampon, it is likely related to tampon placement or anatomical factors rather than an issue with your menstrual cycle itself. If you continue to have concerns or if your menstrual patterns change significantly, I recommend scheduling an appointment with a gynecologist. They can provide a thorough evaluation and address any underlying issues that may be affecting your menstrual health. Remember, it’s always best to consult with a healthcare professional for personalized advice and reassurance.

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