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Menstrual cycles that are unusually long more than 40 days or are irregular have been linked to infertility and cardiometabolic diseases such as coronary heart disease and type 2 diabetes 2—6. People with different racial and ethnic backgrounds — as well as those with different ages and weights — could have different patterns for cycle length and regularity. Understanding differences in menstrual patterns among groups may help patients and their clinicians personalize their healthcare.
The length of a cycle — defined as the number of days between periods, counting from the first day of one period to the day before the next period starts — is 28 days on average across the entire adult population 7 , but some variability is natural even in cycles that are considered regular. Menstrual cycles started out relatively long, around 30 days for younger people under 19 years old.
They tended to shorten among people in older age groups, to an average of 28 days for those in their late 40s; but then became longer again after age Similarly, menstrual cycles were less regular in the first few years after the first period and tended to become more regular among people in older age groups. However, after age 45, menstrual cycles started to become increasingly irregular with advancing age.
People with higher body mass index BMI tended to have longer and more variable cycles. Our main finding was compared to participants who were White; participants who were Asian and who were Hispanic had longer and more variable menstrual cycles.
