Why is there no menstruation? Why doesn't my period start? The stomach does not hurt, menstruation does not start, what should I do? Why don't menses come? The most obvious reasons for the delay

According to women, the most common reason for missed periods is pregnancy. To get a quick and unambiguous answer, special tests are done. With their help, it is possible to accurately determine the fact of conception. Despite this, there is often a delay in menstruation, but the test is negative. There may be several reasons for this phenomenon.

In situations where there are no periods and the test is negative, you should not immediately exclude a possible pregnancy. It is possible that conception did occur. To verify this or refute this fact, the test must be carried out again, but after a few days.

In addition to pregnancy, there are many reasons for delay. Some are due to the development of a serious pathology, others are caused by external factors.

The reason for the delay in menstruation with a negative test, not associated with the disease, may lie in the following:

• violation of the cycle after childbirth. Intensive production of prolactin leads to the fact that menstruation disappears for a long time;
• problems with weight, adherence to a strict diet, improperly organized diet;
• change in climatic conditions;
• exhausting physical activity and overwork;
• susceptibility to stress, recent illnesses;
• taking certain medications that provoke a failure of the hormonal background of the body.

The delay, which is noted once, does not always indicate the presence of pathology and threatens with serious complications. If the failure of the cycle repeats, then the doctor should find out the cause.

The reasons for the absence of menstruation may be as follows:

• thyroid disease;
• hormonal disorders;
• carried out abortion measures;
• ovarian dysfunction;
• inflammatory processes of the genitourinary system;
• ectopic pregnancy;
• tumors in the uterus, ovaries.

How to accurately confirm the absence of pregnancy

It often happens that menstruation does not begin, but the test is negative. It is extremely important to determine whether there was actually no conception. The simplest solution is to repeat the test in a week. If it shows a negative result, then most likely there is no pregnancy.

Testing must be done in the morning. When a barely noticeable second strip appears, the test is called doubtful. The result is considered conditionally positive - and a large delay can be caused by pregnancy. To clarify this information, you need to consult a doctor.

It is possible to identify the fact of conception in the early stages with the help of ultrasound. In addition, women need to donate blood for hCG (pregnancy hormone) and urine tests. Only with a full examination will it be possible to confirm the absence of pregnancy or its presence.

At home, it will be possible to determine successful fertilization by the following signs:

• the basal temperature mark becomes higher;
• the chest swells;
• the mood is constantly changing;
• the mucous membranes of the genitals and vagina acquire a bluish color;
• there are pain in the abdomen.

What delays require the attention of doctors

The problem when the test shows one strip, but there are no periods, does not always require an urgent solution. In some cases, this is considered normal. For example, if , then there is no reason to panic. A delay that repeats every month should cause concern. If a woman is worried about severe pain in the abdomen, it is possible that urgent hospitalization will be needed.

Frequent delays indicate disorders in the body that need to be identified and eliminated in a timely manner. Often, the cause of regular cycle failures are life-threatening conditions: neoplasms in the reproductive organs and ectopic pregnancy.

A long delay in menstruation (for example,) with a negative pregnancy test should not be ignored. Against the background of this violation, more serious problems can arise. It is possible that in the future you will need treatment for infertility, diseases of the cardiovascular system. In advanced form, such failures can lead to early menopause and the development of diabetes.

Medical advice is needed in such cases:

• severe pain in the lower abdomen;
• or very copious discharge;
• failure of the cycle for more than 35 days;
• the appearance of brown discharge with an unnatural odor;
• pain during intimacy;
• nausea and vomiting;
• diarrhea.

A single delay is not a concern. If violations are observed constantly, a consultation with a gynecologist is definitely needed.

What to do if there is a delay

When there is a slight delay in menstruation, the test is negative and nothing hurts, then there is no reason to visit the gynecologist. You just need to do a control test after a few days. A short failure is not dangerous and is considered a variant of the norm.

If the test is negative, but the menstruation still did not come on time and the delay is more than 10 days, a medical consultation is necessary.

It is strictly forbidden to induce menstruation on your own. These actions can lead to bleeding and aggravation of the general condition of the body. The cycle is controlled by sex hormones, which can only be influenced by medications. Their doctor selects them after a complete diagnosis. With timely therapy, the cycle can be restored in a short time.

In case of violations of the reproductive function, regardless of the cause of their occurrence, a thorough examination is carried out. If the test is negative, in order to exclude the possibility of pregnancy, a blood test for hCG is taken. An ultrasound examination of the pelvic organs helps to identify a possible cause. It is possible that a woman will need to keep a basal temperature calendar to get an accurate picture.

If you suspect a hormonal imbalance, you need to consult an endocrinologist. The cycle will be restored immediately after the treatment of the underlying pathology. Having identified provoking factors, they are immediately eliminated.

In some cases, it is sufficient to adjust the diet and observe the daily routine. It is extremely important to stop smoking and drinking alcoholic beverages in order to quickly restore the cycle.

The absence of menstruation on time is not always a sign of pregnancy. First of all, you need to do a test and exclude the possibility of conception. If you receive a negative result, you need to seek help from a gynecologist. Only an experienced doctor, after carrying out all the necessary diagnostic measures, will be able to identify the cause of the failure of the menstrual cycle and quickly restore reproductive function.

No menstruation and no pregnancy, what could it be, what is the reason? Menstruation is considered one of the indicators of a woman's health. From childhood, our mothers explain to us how important it is for menstruation to be regular.

Irregular menstruation not only causes inconvenience to the woman herself (all the time you need to carry personal hygiene products with you, wear dark clothes), but can also be the first symptom of infertility. So, what to do if there are no signs of pregnancy and no menstruation - what examination should be done?

Let's start with the fact that an interesting position in a woman can be almost asymptomatic. Toxicosis, fatigue and similar symptoms do not occur in every expectant mother, especially in early pregnancy. Therefore, the first thing you need to do the test at home. If no monthly test is negative, and you are not planning a child, you need to do an ultrasound of the uterus and take a blood test for hCG. This will give an accurate answer to the question regarding your position. But it is proved that if there is no menstruation and there is no pregnancy, what the doctor will tell you to do. Usually, with a delay of 1-2 weeks, the doctor simply sends the woman home to wait for menstruation. And if it does not occur for another couple of weeks, then it can prescribe drugs containing progesterone, since it is precisely its lack, in most cases, that causes the absence of menstruation. The diagnosis of "amenorrhea" (absence of menstruation) is made by the doctor if the woman's bleeding disappears for several months.

The reasons for the delay in menstruation may be gynecological diseases, endocrinological and neurological. The doctor conducts a gynecological examination, after which he gives directions for blood tests for hormones (FSH, E2, Prl, LH, TSH, T4, T3), a biochemical blood test. The course of further examination depends on the results obtained. For example, in the event that prolactin is significantly elevated (and this may be the reason for the absence of menstruation), an MRI may be prescribed, since a pituitary adenoma often becomes the cause of hyperprolactinemia. And the woman will be forced to take certain drugs for a long time, which will not only reduce the size of this formation and lead to the appearance of menstruation, but also make pregnancy possible.

Often in modern women, menstruation disappears due to a sharp weight loss. Now it is very fashionable to be thin. But few people know that weight loss to 45 kg or less leads to amenorrhea due to a decrease in the fat layer in which the female hormone estrogen is formed. Anorexia is a very dangerous condition that leads to exhaustion of the body, cardiovascular and mental illness, and in severe cases, it ends in death.

That is, women should not be afraid of the absence of menstruation, as an independent phenomenon, but of the reasons that led to this.

If a woman does not find any deviations in health, but menstruation comes late, and pregnancy is not planned, the doctor may prescribe oral contraceptives. They will not only protect against unwanted pregnancy, but also make the menstrual cycle regular. Menstruation will begin literally hour on the hour every month.

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Perhaps nothing catches women by surprise like a delay in menstruation. After all, if “these days” are delayed, it means that for some reason there was a failure in the menstrual cycle. Every woman of reproductive age has faced such a problem at least once in her life. And the first thing that comes to mind for a woman living a normal sexual life is pregnancy. Of course, but pregnancy is far from the only reason. There are at least 9 more common and common causes, which we will consider below in the article.

Pregnancy.

Very often, women who are sexually active associate a delay in menstruation with pregnancy. Of course, the easiest way to check whether you are pregnant or not is to simply buy a pregnancy test. If the test shows two strips, then everything is clear, but if the pregnancy test is negative and there are no periods, then you should seriously think about what is the reason for the delay. And the only right decision will still be an examination by a gynecologist and further treatment of the cause of menstrual failure.

Stress.

It is not for nothing that they say that all diseases are from nerves. Any, including even a woman's menstrual cycle. The fact is that during stress, the body reduces the quantitative production of luteinizing hormone (LH), which in turn affects ovulation. The lack of LH provokes a delay in the onset of menstruation or amenorrhea. In general, stress can be safely called the No. 1 reason during the delay in the arrival of the “red days of the calendar”, so dear girls, girls, women, always be happy and cheerful. Try to always find only good things in life!

Disease.

Illness, such as a bad cold, just like stress can cause a delay in menstruation. After all, illness is the same stress for the body, only physical, therefore, if you are sick by the time you are supposed to start the process of ovulation, then most likely your menstrual cycle will go wrong this month. As a rule, such a failure is temporary, and if the disease is completely cured, then there should not be any problems in the future. To not face it and just kill two birds with one stone.

Failure of the biological clock.

Changes in climate, daily routine and everything that significantly changes your habitual lifestyle, makes your biological clock "reset" the previous regime and start working in a new rhythm. Such a failure is more common in business women who work in offices. Consider, for example, such a case when a lot of things have accumulated at work, and the deadline is very tight, then you have to stay late at work, sometimes work at night, eat poorly, not get enough sleep, get nervous. All this leads to the fact that the body is under severe stress, the biological clock is lost. After all this shake-up of the body, any woman, of course, will lose her menstrual cycle.

Medicines.

You may be surprised, but medications can also cause a delay in menstruation. Most often, this is to blame, which young girls swallow without hesitation and in large quantities, for example, in order to. Of course, besides emergency contraception, there are other drugs that can cause, usually a slight delay of 5 to 10 days.

Therefore, always ask about the side effects of the medications that your doctor prescribes for you, so that later you do not panic and do not think about the reasons for the failure of the menstrual cycle.

Overweight or underweight.

Of great importance on the menstrual cycle is also the body weight of a woman. Excess weight can change the hormonal background of a woman, which as a result will affect menstruation later.

The fact is that in the subcutaneous fat in a small amount there is a production of female hormones - estrogens, which regulate a large number of processes in the body, including the menstrual cycle. Accordingly, the larger this layer, the more hormones are produced.

The reason for the delay in menstruation may also be the lack of weight of a woman. Some women who are underweight suffer from such a problem as they cannot conceive a child for a long time.

In medicine, there is such a term as "menstrual mass", which is at least 45-47 kg.

If the weight of the girl does not reach this minimum, then various problems with menstruation begin to appear. That is why it is not recommended for a woman to go on strict diets and perform excessive physical activity (very common among professional athletes). In this case, normal nutrition and taking vitamins will help normalize the monthly cycle.

Perimenopause.

Perimenopause is a period that occurs in a woman a few years before menopause. During this period, a smooth restructuring of the body is already underway, and therefore various changes in the reproductive system can be observed. In the pre-menopausal period, the ovaries of a woman begin to produce less hormone - estrogen, as a result of which the woman experiences various deviations in the menstrual cycle, including a delay in menstruation.

Gynecological, endocrine and infectious diseases.

If a woman has a delay of “these” days, and even for 5 or 10 days, and the pregnancy test is negative, then gynecologists immediately diagnose ovarian dysfunction. In fact, if you look in more detail, then ovarian dysfunction is a medical synonym for the phrase delayed menstruation. This term describes any atypical dysfunctional uterine bleeding that can be caused by many different diseases and external factors.

For example, with polycystic ovaries, a periodic absence of menstrual bleeding on time is characteristic. The disease is associated with hormonal disorders, which. Polycystic ovaries is associated primarily with the fact that there are violations of the functions of the hypothalamus, pituitary gland, thyroid gland and adrenal glands. In addition to the delay in polycystic ovaries, it is observed due to the production of a large amount of male hormones - androgens.

Delayed menstruation in adolescent girls.

A delay in menstruation in a teenager - a girl during the first - second year from the onset of the first menstruation (menarche) is considered the norm. It is very rare when you can observe a regular cycle in young girls. At this age, the girl becomes a woman, various serious changes take place in her body. The fact is that in the first two years of a growing girl, the hormonal background is unstable, there is a rise and fall in the level of hormones in the blood. As soon as the hormones stop raging, the cycle returns to normal.

Tell friends.

Prolonged absence of menstruation can be caused by natural physiological processes. Then the situation is considered normal, there is no reason to worry. If there is no menstruation for 2-4 months for no apparent reason, you need to visit a gynecologist.

Changes in hormonal levels are the main reason for the delay in menstruation. All causes are conditionally divided into several groups.

Whatever the reason for the delay in menstruation, you should be careful about your body. If you experience anxiety symptoms, you should seek help from qualified professionals.

Delayed menstruation in teenagers

The first menstruation comes at the age of 12-13 years. It is promoted by sex hormones. The physical development of the girl testifies to the formation of the hormonal background. Secondary sexual characteristics appear - breast enlargement, hair growth in the groin, armpits, waist formation. In this case, the weight of the girl plays an important role. If the body weight is less than 45 kg, menstruation will not be able to start. For this reason, critical days for overweight teenagers begin earlier. In thin girls, menarche occurs at 14–16 years of age.

The onset of menstruation does not indicate a stable monthly cycle. The hormonal background is far from constant. There will be a delay in menstruation, their character will change. Moreover, a break of two months is considered normal. In general, the girl's menstrual cycle should be the same as her mother's. If the mother had everything differently, you can take the teenager for a consultation with a gynecologist. Perhaps there are pathological abnormalities.

Test negative for missed period

In order to get a true result, it is necessary to choose high-quality products with high sensitivity, to carry out the analysis correctly. Pregnancy is considered to have occurred from the moment of fixation of the egg in the uterine cavity. Then the level of the pregnancy hormone - hCG increases every day. In the urine, the level of the hormone rises much more slowly than in the blood. In the early stages of pregnancy with a delay of up to 1 week, it is recommended to conduct an analysis with a morning portion of urine. Then the hormone level is the highest.

The principle of operation of all tests is based on the reaction of the reagent. If his sensitivity is from 25 units, he will not be able to show pregnancy in the early stages. In addition, even a test with 10 units of sensitivity can also misfire. When ovulation does not occur in the middle of the cycle, towards the end, the body does not have time to quickly rebuild by the time menstruation begins. Then, with a delay of up to 1 week, the result may be false. The second stripe of gray color does not at all indicate the presence of pregnancy. This means that no reaction has taken place. Most likely, the test was kept in the urine for more than 30 seconds.

If we are talking about a delay in menstruation for 2-4 months, a negative test is a clear confirmation of the absence of pregnancy. Violation of the cycle occurs due to menopause, if age allows such conclusions, gynecological diseases, nervous pathologies, diseases of the endocrine system.

Delayed menstruation, but not pregnant - what to do

First of all, it is necessary to analyze the events of the past months. If there were no obvious factors influencing the menstrual cycle, it is recommended to undergo an examination. Delayed menstruation is caused by gynecological diseases:

• uterine fibroids;
• chronic endometritis;
• inflammation of the uterus, appendages.

Dysfunction of the thyroid gland is directly related to the production of hormones. You will also need to visit an endocrinologist. A delay in menstruation can happen after taking antibiotics and some other medications. This should be written in the instructions, the attending physician is obliged to warn.

It is very difficult to establish on your own the cause of the delay in menstruation, when they are absent for several months. The most harmless cause may be a disorder of the nervous system. Then, after restoring rest, the menstrual cycle also normalizes. In other cases, long-term treatment, taking hormonal drugs will be required.

How to call them

The absence of menstruation in women of reproductive age entails a violation of the work of other systems, internal organs. There is a question about their forced call. In the absence of serious gynecological diseases, the situation is regulated quickly enough. The reason for this phenomenon is an insufficient amount of progesterone - the hormone of the second phase. It is replenished with synthetic analogues. The most common means for calling menstruation with a long delay is Norkolut. With a delay in menstruation for several months, they begin to drink pills any day.

The dose of the drug is set by a specialist. Usually 1 tablet per day for 10 days. Or 2 tablets at a time for 5 days. Menstruation should go in the process of treatment. If the progesterone level was not so low. Or 1-3 days after the completion of the course. proceeds as usual.

The people have several recipes for inducing menstruation. For example, a decoction of parsley, which causes increased contraction of the muscles of the uterus. But in such a long absence of menstruation, folk recipes will be ineffective. It is necessary to call critical days with the help of special preparations prescribed by a doctor. Incorrect dosage may not give the desired result or cause severe bleeding.

Lack of menstruation after 40 years

At this age, the reproductive functions of the body decline. An unstable hormonal background leads to the absence of menstruation for several months. Then the amount of estrogen gradually accumulates, ovulation occurs again, and spotting appears after a few weeks. The climax lasts about 4 years. It ends with the complete absence of menstruation. However, if the situation causes concern, it is necessary to visit a gynecologist. During menopause, the risk of gynecological diseases associated with hormones increases.