Menstrual cycle higher level of substance abuse is due to decreased self-control as a result of the higher metabolic demands during the luteal phase. Infrequent or irregular ovulation is called "oligoovulation". The absence of ovulation is called "anovulation". Normal menstrual flow can occur without ovulation preceding it: an anovulatory cycle. In some cycles, follicular development may start but not be completed; nevertheless, estrogens will be formed and stimulate the uterine lining. Anovulatory flow resulting from a very thick endometrium caused by prolonged, continued high estrogen levels is called "estrogen breakthrough bleeding". Anovulatory bleeding triggered by a sudden drop in estrogen levels is
Menstrual cup investigated whether silicone menstrual cups are a viable alternative to tampons and found that approximately 91% of women in the menstrual cup group said they would continue to use the cup and recommend it to others. In a 1991 clinical study involving 51 women, 23 of the participants (45%) found rubber menstrual cups to be an acceptable way of managing menstrual flow. In a randomized controlled feasibility study in rural western Kenya, adolescent primary school girls were provided with menstrual cups or sanitary pads instead of traditional menstrual care items of cloth or tissue. Girls provided with menstrual cups had