Do Other Mammals Menstruate Like Humans Do?

Understanding Reproductive Cycles in Mammals

Menstruation in humans involves the periodic shedding of the uterine lining, known as the endometrium, if pregnancy does not occur. This process results in visible blood flow and tissue discharge. While all placental mammals share fundamental reproductive systems, the outward manifestation of their cycles varies significantly.

Understanding the Estrous Cycle

Most female placental mammals undergo an estrous cycle, a reproductive pattern distinct from menstruation. In this cycle, the uterine lining, or endometrium, is typically reabsorbed by the body if pregnancy does not occur. This reabsorption contrasts with the shedding seen in menstruation and is considered an efficient way for the animal to conserve energy and resources. The estrous cycle includes several phases: proestrus, estrus (often called “heat”), metestrus or diestrus, and anestrus, a period of sexual inactivity.

Animals like dogs, cats, cows, sheep, deer, and horses exhibit an estrous cycle. During estrus, females are receptive to mating, often displaying behavioral or physical cues signaling their fertility. While some estrous animals, such as dogs, may have bloody vaginal discharge, this bleeding originates from vaginal capillaries and does not represent the shedding of the uterine lining as in true menstruation. The reabsorption of the endometrium is a key difference that categorizes the estrous cycle as distinct from a menstrual cycle.

Mammals That Do Menstruate

True menstruation, characterized by the shedding of the uterine lining with external bleeding, is a rare occurrence across the broader mammalian class. While humans are well-known menstruating mammals, this phenomenon is primarily observed in a specific group of primates.

Beyond humans, many other primates, including great apes like chimpanzees, gorillas, orangutans, and bonobos, also menstruate. Old World monkeys such as baboons and macaques also exhibit menstrual cycles. The duration of these cycles varies among species, though the amount of bleeding in non-human primates is often minimal compared to humans.

Outside of primates, menstruation is found in a few other mammalian groups. This includes certain species of bats, such as Seba’s short-tailed bat, and all species of elephant shrews, small African mammals. The Cairo spiny mouse (Acomys cahirinus) stands out as the only known rodent species to exhibit true menstruation.

Theories Behind Menstruation

The evolutionary reasons for menstruation in a select few mammalian species remain an area of scientific discussion. One prominent idea is the “energy conservation hypothesis,” which suggests that shedding the uterine lining is less energetically demanding than continuously maintaining it in a receptive state for potential implantation. If pregnancy does not occur, dismantling and rebuilding the endometrium may be more efficient than continuous upkeep.

Another hypothesis, known as the “pathogen defense hypothesis,” proposes that menstruation serves to protect the uterus from infections. This theory suggests the shedding of the uterine lining helps to remove pathogens, potentially introduced by sperm, from the reproductive tract. A related concept is spontaneous decidualization, where the uterus prepares for implantation regardless of an embryo’s presence, potentially allowing the mother more control in selecting viable embryos and contributing to the need for shedding if implantation fails.