What can happen if there is no menstruation. What to do if there is no period for a long time

- violation of menstrual function, manifested by the absence of cyclic bleeding for more than 35 days. May be due physiological reasons(pregnancy, premenopause, etc.), as well as various organic or functional disorders. The delay in menstruation occurs at various periods of a woman's life: during the formation of menstrual function, in reproductive period and in premenopause. A delay in menstruation for more than five days is a reason to see a doctor. Diagnosis of delayed menstruation is aimed at finding the underlying cause given symptom on which further treatment tactics depend.

General information

Delayed menstruation It is considered a failure in the menstrual cycle, in which menstrual bleeding does not occur at the expected time. A delay in menstruation, not exceeding 5-7 days, is not regarded as a pathology. Options for delaying menstruation are such violations menstrual cycle, as oligomenorrhea, opsomenorrhea and amenorrhea, manifested by a decrease in menstrual bleeding. The delay in menstruation can be observed in different age periods of a woman's life: during puberty, in the reproductive phase, in premenopause and are caused by physiological or pathological causes.

Natural, physiological reasons for the delay in menstruation are explained in the puberty during the formation of the menstrual cycle, when menstruation can be irregular for 1-1.5 years. In women of reproductive age, a delay in menstruation is natural during pregnancy and lactation. In the premenopausal period, the menstrual function gradually fades away, changes in the rhythm, duration of menstruation occur, and delays in menstruation are replaced by their complete cessation.

All other options for delaying menstruation, exceeding 5-7 days, are not explained by natural phenomena, in such cases an urgent consultation with a gynecologist is required. The menstrual cycle of a woman is a subtle mechanism that maintains the reproductive function and reflects any deviations in the state general health. Therefore, for a better understanding of the causes and mechanisms of delayed menstruation, it is necessary to clearly understand what is the norm and deviation in the characteristics of the menstrual cycle.

Characteristics of the menstrual cycle

The functioning of the woman's body childbearing age has a cyclic pattern. Menstrual bleeding is the final stage of the menstrual cycle. Menstrual flow indicates that the fertilization of the egg and the onset of pregnancy did not occur. In addition, the regularity of menstruation indicates that the woman's body is functioning smoothly. The delay in menstruation, on the contrary, indicates some failures that have occurred.

The onset of the first menstruation usually occurs between 11-15 years of age. At first, menstrual bleeding may come irregularly, a delay in menstruation during this period is normal, but after 12-18 months, the menstrual cycle should finally form. The onset of menstruation before the age of 11 and the absence after 17 years is a pathology. The delay in the onset of menstruation up to 18-20 years indicates obvious pathological processes: general lag in physical development, dysfunction of the pituitary gland, underdevelopment of the ovaries, uterine hypoplasia, etc.

Normally, menstruation comes and goes at regular intervals. In 60% of women, the cycle duration is 28 days, that is, 4 weeks, which corresponds to the lunar month. Approximately 30% of women have a cycle of 21 days, and about 10% of women have a menstrual cycle of 30-35 days. On average, menstrual bleeding lasts 3-7 days, and the allowable blood loss per menstruation is 50-150 ml. The complete cessation of menstruation occurs after 45-50 years and marks the onset of menopause.

Irregularity and fluctuations in the duration of the menstrual cycle, systematic delays in menstruation for more than 5-10 days, alternation of scanty and heavy menstrual bleeding, indicate serious deviations in a woman's health. In order to control the onset or delay of menstruation, every woman should keep a menstrual calendar, marking the day the next menstruation begins. In this case, the delay in menstruation will be immediately visible.

Delayed menstruation and pregnancy

Pregnancy is the most common cause delayed menstruation in women of childbearing age. The probable onset of pregnancy, in addition to the delay in menstruation, is evidenced by changes in taste and smell sensations, appetite, the appearance of nausea and vomiting in the morning, drowsiness, pain in the mammary glands. It is impossible to reject the possibility of pregnancy even in cases where there was interrupted sexual intercourse, sexual contact during menstruation, on “safe” days or using a condom, in the presence of an intrauterine device, taking oral contraceptives, etc., since neither one method of contraception does not give a 100% contraceptive effect.

If there was a delay in menstruation, and in the previous month a woman had sexual intercourse, then it is possible to determine pregnancy using special tests. The principle of operation of all pregnancy tests (test strips, tablet or inkjet) is the same: they determine the presence of human chorionic gonadotropic hormone (hCG or hCG) in the urine, the production of which begins in the body 7 days after the fertilization of the egg. The concentration of hCG in the urine rises gradually, and modern, even the most sensitive tests, are able to determine it only after a delay in menstruation and not earlier than 12-14 days after the conception has occurred. It is necessary to “read” the test result in the first 5-10 minutes. The appearance of even a barely noticeable second strip during this period of time indicates a positive result and presence of pregnancy. If the second strip appeared later, then this result is not reliable. In case of a delay in menstruation, in order to obtain a reliable result, it is recommended to repeat the pregnancy test twice with an interval of 2-3 days.

It should be remembered that while living a sexual life, a woman can always become pregnant, so you need to carefully monitor the menstrual cycle and pay attention to delays in menstruation. However, a delay in menstruation can be caused not only by pregnancy, but also by a number of very different, sometimes very serious and dangerous to health reasons.

Other reasons for missed periods

All the reasons that cause a delay in menstruation, gynecology conditionally divides into two large groups: physiological and pathological causes of delayed menstruation. In some cases, the delay in menstruation is caused by special transitional, adaptive conditions for the body, and usually does not exceed 5-7 days. However, some of these conditions are borderline, and when they worsen, organic disorders may occur, leading to a delay in menstruation as a manifestation of a particular pathology. Due to physiological reasons can be considered:

• delay in menstruation caused by strong emotional or physical stress: stress, increased sports, educational loads or work loads;
• delay in menstruation due to unusual changes in lifestyle: a change in the nature of work, a sharp change in climate;
• delay in menstruation due to malnutrition and adherence to strict diets;
• delay in menstruation during periods of hormonal changes: puberty or menopause;
• delay in menstruation as a condition after the abolition of hormonal contraceptives, caused by temporary hyperinhibition of the ovaries after prolonged use of hormones from the outside. If the delay in menstruation is observed for 2-3 cycles, it is necessary to visit a gynecologist.
• delay in menstruation after using emergency contraceptives containing a high dose of hormones;
• delay in menstruation in the postpartum period, associated with the production of the pituitary hormone prolactin, which is responsible for the secretion of milk and suppresses the cyclic function of the ovaries. If a woman is not breastfeeding, then menstruation should be restored approximately 2 months after childbirth. When implementing breastfeeding menstruation is restored after weaning the baby from the breast. However, if the delay in menstruation is more than a year after childbirth, it is necessary to consult a gynecologist.
• delay in menstruation caused by colds(SARS, influenza), chronic diseases: gastritis, thyroid dysfunction, diabetes mellitus, kidney disease, and more. etc., as well as taking some medicines.

In all cases (except for those when the delay in menstruation is caused by age-related hormonal changes or lactation), the delay should not exceed 5-7 days, otherwise it is necessary to visit a gynecologist to prevent the development of serious diseases.

To pathological reasons delays in menstruation are, first of all, diseases of the genital area. This group of reasons includes:

• delay in menstruation caused by inflammatory (adnexitis, oophoritis) and tumor (uterine fibroids) diseases of the genital organs. Inflammatory processes in the genital organs, in addition to delaying menstruation, can manifest themselves pathological secretions and pain in the lower abdomen. These conditions require emergency treatment as they can lead to serious complications and infertility;
• delayed menstruation due to polycystic ovaries and related hormonal disorders. Also, with polycystic ovaries, in addition to the delay in menstruation, there is an increase in body weight, the appearance
• a delay in menstruation caused by critical weight gain or loss. For women suffering from anorexia, a delay in menstruation can result in their complete cessation.

Thus, regardless of the reasons, the delay in menstruation is the basis for an urgent visit to the gynecologist.

Examination for delayed menstruation

To establish the reasons for the delay in menstruation, examinations may be required to supplement the gynecological examination:

• measurement and graphic display of changes basal body temperature, which allows you to verify the presence or absence of ovulation;
• determination in the blood of the level of hCG, hormones of the ovaries, pituitary gland and other glands;
• ultrasound diagnostics of the pelvic organs to determine pregnancy (uterine, ectopic), tumor lesions of the uterus, ovaries and other causes that caused a delay in menstruation;
• CT and MRI of the brain to exclude pituitary and ovarian tumors.

When diseases associated with a delay in menstruation are detected, consultations of other specialist doctors are prescribed: endocrinologist, nutritionist, psychotherapist, etc.

Summing up the above, it should be noted that the delay in menstruation, no matter what circumstances it was caused, should not be left without the attention of a woman. A delay in menstruation can be caused by a banal change in the weather, or the joyful expectation of motherhood, or serious illnesses. If there is a delay in menstruation, a timely consultation with a doctor will free you from unnecessary worries and worries that can significantly aggravate this condition. In families where girls grow up, it is necessary to conduct their competent sexual education, explaining, among other things, that the delay in menstruation is a problem that must be solved together with the mother and the doctor.

The monthly cycle is very complex mechanism. For one reason or another, it may fail. And not always the problem is associated with the onset of pregnancy. No period for a month, what to do? adult modern woman knows that if the delay is 2 weeks, you need to do a test and go to the gynecologist. What should a young girl do if menstruation may be absent for various reasons?

Reasons for the absence of menstruation

The monthly cycle after the onset of menarche is normalized within 2 years. If the delay coincided with this process, you can do absolutely nothing. Especially if the girl does not lead sexual life. In other cases, the absence of menstruation can be caused by a number of reasons:

In addition, such a long absence of menstruation can be caused by birth control pills. Even those that are accepted as emergency help once. A strong hormonal “boom” occurs in the body, which cannot but affect the monthly cycle as a whole. An abortion last month can affect the next menstruation. Rescheduled operation, removal,.

What to do with a long delay

Initially, the girl must analyze all the events of the past month. Perhaps there are significant changes in lifestyle, nutrition. Or the month was busy. After that, you should go to the pharmacy, buy a pregnancy test. If 30 days do not go monthly, you can do the test at any time of the day. The pregnancy hormone in the urine will be in sufficient quantities.

Currently, the most common test is the strip. Dip for 15 seconds in urine, spread on a dry surface. Check the result within a minute. The presence of two stripes means pregnancy. What to do next is an individual question. In any case, you should visit a gynecologist.

There is no pregnancy, and menstruation does not go, what to do

With absence discomfort, unusual vaginal discharge disease of the reproductive system is unlikely. Most likely, the delay in menstruation is caused by a violation hormonal background. How to correct it?

In ancient times, in order to start menstruation, you had to do the following:

• Drink infusion bay leaf. It is necessary to pour a bag of 1 liter of water. Boil over low heat for about 20 minutes to make 1 cup of concentrated product. It must be drunk during the day. Menstruation began the next day or during the week.
• Prepare an infusion of parsley. Fresh leaves in large quantities were poured into 500 ml of water. Boiled for 5 minutes. They insisted for half an hour. It is necessary to drink the infusion all day long. If menstruation does not start, repeat the procedure the next day.

At the present time, such feats are not necessary. The gynecologist will prescribe a course of treatment to normalize the hormonal background, menstruation will begin in a certain number of days. The most commonly used drug is

Gynecologists are treated quite often, while only a part of the patients are pregnant. In this case, it is recommended to do a test before visiting the clinic, which will be the first step towards correct diagnosis. If during the examination the doctor considers it necessary, he will additionally send for an ultrasound scan. If, in addition to breaking the cycle, you are worried about pain, itching or burning in the vagina, then this must also be said. In fact, the question of why menstruation was delayed is quite capacious and complex, but today we will try to figure it out.

A little about physiology

Before talking about why menstruation was delayed, it’s good to once again understand for yourself what this cyclic process is that accompanies a woman throughout her conscious life. Today, all information is open and free, but there are still many blank spots in matters related to our health. The first menstruation occurs in girls aged 11-14 years. It is at this age that the formation of the cycle occurs. Initially, it may be unstable, but gradually levels off.

The normal menstrual cycle is the interval from one menstruation to another lasting from 21 to 35 days. The average duration is 28 days. If the duration of the cycle increases (we are talking about the interval between menstruation, and not about its duration), then you need to see a doctor and find out why the period was delayed.

Game of hormones

AT different phases the menstrual cycle, their level can vary significantly. In the first half, there is an increase in estrogen levels, which leads to the growth of the endometrium in the uterine cavity. This is necessary to secure the egg inside its cavity. Around the middle of the cycle, this process is considered complete, ovulation occurs, a mature egg begins its journey. At the site of its exit, a corpus luteum is formed, which produces special hormone, progesterone. It is essential for maintaining a pregnancy. It is he who regulates the second phase of the cycle. If fertilization occurs, then menstruation cannot go. If there is no pregnancy, then the level of both hormones drops, in which case you need to figure out why the period was delayed.

Most often, the reasons must be sought precisely in the imbalance of these two hormones. However, there may be more than enough reasons for this. However, before going further, I would like to note that cycle fluctuations within five days are considered completely normal. Therefore, you should not run to the doctor and look for an answer why the period was delayed for 2 days. If there are no others anxiety symptoms, pain, then wait a few more days, most likely, everything will normalize on its own.

Gynecological diseases

This is the first thing that can be suspected when a patient with a similar disease is treated. In this case, a routine examination on the chair will already confirm that there is inflammatory disease. This is evidenced by symptoms such as swelling, redness, bad smell, changes in the size of the uterus and appendages. In this case, it is not surprising why menstruation is delayed.

In this vein, we can talk about any inflammatory processes of the pelvic organs, whether it be endometriosis or salpingitis. We must not forget that fibroids and cervical cancer can also cause the onset of monthly bleeding, which can be confused with normal menstruation, while in fact it is completely suppressed.

Ovarian dysfunction

This is the most common reason for delayed periods. In fact, dysfunction can be age-related or caused by certain diseases, in some cases - oncology. This is common name a whole cycle of problems that women turn to for a consultation with a gynecologist. Can cause ovarian dysfunction endocrine system. But here, too, everything is not so simple. You will have to take dozens of tests and find out what the causes of the problem are. This may be a lesion of the thyroid gland or the ovaries themselves, the brain. Moreover, the lesion can be mechanical (injuries), viral or oncological (tumors). As you can see, it is not so easy to unequivocally answer why menstruation is delayed, you will have to take the issue of diagnosis very seriously.

Polycystic ovaries

By itself, this term means little. This disease is multi-causal, and there is no exact data on the nature of its occurrence. However, numerous studies have shown that without proper treatment, polycystic disease quickly leads to disruption of the pancreas. Excess production of insulin develops. In parallel, the functions of the hypothalamus and ovaries change, which leads to excessive production of testosterone and the development of complete or reversible infertility.

Abortion

Medical abortion is performed by scraping the uterine cavity. As a result, there is a serious hormonal imbalance. For 6 weeks, the body diligently prepared the conditions for the development of the fetus, and suddenly everything changed dramatically. To this is added excessive curettage of the uterine mucosa. Until the functional layer is restored and hormones return to normal, it is impossible to talk about the next menstruation. However, there are limits here as well. If menstruation has not occurred after 40 days, then you need to consult a doctor for advice. It may be worth resorting to hormone replacement therapy.

Change in body weight

Today it is fashionable to go on diets, to be slim and attractive. Some women are so good at this that they bring themselves to literally exhaustion. In this case, doctors are not surprised why menstruation was delayed if there is no pregnancy. Your body is simply unable to perform childbearing function, therefore, instinctively cuts off the likelihood of conception. Doctors are well aware that there is such a thing as a critical menstrual mass. It means that there is a certain line at which menstrual function is possible. The reason is simple - lack of nutrients.

Young women forget that 15% of estrogen is found in the subcutaneous fat layer. If it becomes insufficient, then menstruation is delayed. Nobody talks about what's good to have excess weight, but exhaustion did not bring health to anyone. Especially if we are talking about procreation.

stress

This is a real scourge of modernity. If you are interested in why menstruation was delayed for 3 days, then it is enough to recall the events that took place in the near future. Any stress affects the work of the central structures of the brain. Moreover, not only the cortex, but also the hypothalamus is under attack. Women who went through the war often recall that they have long time there were no periods at all.

There are more than enough reasons for stress in our lives. Problems, loans, lack of regular income, relationships with a spouse and children, illness and many thousands of little things that gradually lead to the fact that stress accumulates and intensifies. Distress has a destructive effect on our body, so it temporarily disables the reproductive function.

Excessively high physical activity

If you recently signed up for a gym, and besides that, you also started running in the morning and evening, then don't be surprised why your period was delayed for a week. This is normal reaction female body on impact loads. As soon as you adapt to the new regimen, all body functions will be restored. This reaction is associated primarily with changing conditions.

It should be remembered that the load for each should be selected by the coach, taking into account individual characteristics. If a stellar career as a bodybuilder is not what you are striving for, then you should stop at more adequate programs and increase the load gradually.

Taking medications

Any disease and prescribed course of treatment can affect your menstrual cycle. Therefore, it is very important not to self-medicate. Especially often, menstrual disorders are observed after taking weight loss drugs. It also affects chemical composition means, and the effect itself, which is expressed in the loss of subcutaneous fat.

This group includes antidepressants and antiulcer drugs, hormonal and antihistamines. An experienced doctor can choose the safest treatment regimen, as well as advise on issues possible consequences and their reversibility.

What to do

You should not dig into the scientific literature and look for an answer to why menstruation was delayed for two weeks. As you can see, there can be many reasons. It is better to consult a doctor, go through an ultrasound and hand over necessary tests. Absence of menstruation negative test for pregnancy is a signal that not everything is in order in the body, so you should not postpone treatment.

Delayed periods happen to every woman. For small deviations(up to 5 days) it is considered the norm. But regular fluctuations in the schedule and a longer period should alert.

You can talk about the norm when there are no periods due to pregnancy. In all other cases, it is necessary to find out the cause and, if necessary, start treatment.

What is the menstrual cycle?

Menarche, or the first menstruation, appear mainly at 12-15 years old. Then for about 2 years regulation of hormone levels and cycle setting. At this time, deviations are possible in the form of an earlier onset or delay in bleeding. They may also be absent for a certain period of time.

The monthly cycle is counted from the beginning of one menstruation to the beginning of another. At normal condition health duration these time periods should be the same. Their average duration is 28 days, but a gap of 21-35 days is also considered normal.

At the beginning of the cycle estrogen levels rise. The thickness of the mucous membrane of the uterus increases significantly (up to 10 times). It becomes soft and juicy as new lymphatic and blood vessels form in it. In fact, the preparation of the ideal bed for the attachment of the embryo is underway.

In the ovary at this time occurs the process of egg maturation. Approximately in the middle of the cycle, it enters the cavity of the fallopian tubes. Coming ovulation phase, at which conception becomes possible. If it does not happen, then the preparation of the bed is in vain, and rejection of the thickened juicy uterine mucosa occurs. This cycle is repeated monthly.

What factors can lead to a delay?

It should be recalled that a monthly delay of 4-5 days is considered the norm. The reasons for delayed menstruation can be different, we will consider the main ones. Diagnosis of a particular case is carried out at the reception by a gynecologist.

Ovarian dysfunction

In fact, the delay of menstruation is a dysfunction. This is the concept of a general plan, which means violation of the production of hormones by the ovaries. Its cause may be problems with the organs of the endocrine system - in particular, thyroid gland. Therefore, first of all, it is recommended to study the hormonal background.

stress

This factor can provoke not only a delay, but also the cessation of menstruation. A constant state of nervous excitement provokes hormonal imbalance. stressful situation there may be a lack of time, problems at work, at home, exams, conflicts, prolonged mental stress, etc.

Physical exercise

heavy physical labor often crashes monthly cycle. In principle, overwork is also a stress for the body, provoking malfunction of all systems, including endocrine. The way out in this case is a change of work, lifestyle, normalization of the working day.

climate change

This situation, when the menstrual cycle is disrupted when moving, is familiar to many women. Its occurrence is due not only to a change in the climatic zone, but also to the fact that at the same time, the lifestyle and diet also change. Holidays at sea often provide negative impact on the female body due to excess ultraviolet irradiation and iodine.

Weight problems

Delayed menstruation may be due to deviations in body weight from the norm. A sharp decline weight provokes hormonal disruptions, which result in significant fluctuations in the monthly schedule.

To determine the normal mass, the so-called BMI (body mass index), dividing the weight by the squared growth rate. Above 25, we can talk about obesity. If the indicator is less than 18, then there is a lack of body weight. When not very long delay(5-10 days) normalization of weight is often enough to regulate the cycle.

intoxication

The cause of violations is long-term intoxication of the body as a result of:

• smoking;
• frequent use of alcohol;
• drug addiction;
• work in hazardous production;
• living in ecologically unfavorable areas.

Exit to similar cases is to eliminate the risk factor.

Heredity

Often, the tendency to delay is inherited, which is due to hormonal features. Therefore, it should be clarified whether the mother or grandmother of the patient had any such problems. Perhaps their reason lies in a genetic disease.

Gynecological factors affecting the delay in menstruation

Diseases

Menstruation is often delayed due to the presence of female pathologies:

1. inflammation in the organs reproductive system;
2. uterine fibroids;
3. endometriosis;
4. adenomyosis;
5. a malignant tumor in the cervix or body of the uterus.

In these cases the only solution problem is treatment of the underlying disease.

Miscarriages and abortions

Artificial termination of pregnancy is a real hormonal shock for the body, which is preparing for the bearing of the fetus: it has to cancel urgently all started processes and rebuild again.

In addition, when scraping significantly damage to the lining of the uterus which very often provokes complications leading to the failure of the monthly cycle. It generally returns to normal after a few months. For more prolonged disturbances and the presence of discharge, a medical consultation is necessary.

Hormonal contraception

Contraceptives taken by a woman contain a large number of hormones that regulate the cycle and adjust it to the medication regimen. Refusal of pills can cause enough big delay menstruation, as violations may persist for several months before final normalization of hormonal levels.

Emergency contraception is especially dangerous. The intake of a huge dose of hormones can lead to a fundamental disruption of the reproductive system. Such methods of protection can be used in exceptional cases.

polycystic ovary syndrome

The disease is diagnosed on the basis of characteristic changes in appearance, which are the result of increasing testosterone levels. They are identified during examination of the patient. This is:

• excessive male pattern hair;
• increased oiliness of the skin and hair;
• excess weight.

However, these signs do not always indicate for polycystic ovary syndrome (PCOS): they may be due to genetic or national characteristics. For example, in Asian women, small antennae are not uncommon: their appearance is not accompanied by a violation of the cycle and is not due to a pathological process.

An advanced form of PCOS can become cause of infertility. Treatment is carried out with the help of oral contraceptives, which restore normal hormonal levels.

Medication

The active phase of the menstrual cycle is often delayed due to long-term use medicines. The most dangerous in this sense are considered:

• corticosteroids;
• anabolics;
• antidepressants;
• antiulcer drugs;
• hormonal agents;
• diuretic medicines.

Climax

AT certain age(from 45 years old) the cause of the failure of the monthly cycle is often the beginning of the climax. Women themselves can feel the changes taking place in the body:

• Irregularity of menstruation and decrease in their intensity;
• increased sweating;
• dry skin;
• hot flashes;
• the appearance of excess weight;
• nervous tension.

All these signs indicate a decrease in the level female hormones and the gradual decline of reproductive function.

Are delayed periods dangerous?

The very fact of delay menstrual bleeding poses no threat. The danger lies in the cause permanent delays monthly. Therefore, when they appear, it is necessary to undergo a comprehensive examination.

For example, if menstruation is regularly delayed due to high level prolactin in the blood, the cause may be the formation of a microadenoma in the brain. Lack of treatment in this case leads to irreversible consequences.

Uncured inflammatory processes in the organs of the reproductive system, diseases of the uterus and ovaries increase the likelihood of infertility.

If the cause is endocrine disorders, then, in addition to the failure of the monthly cycle, they also provoke the failure of almost all organs and systems.

Even visible reasons no worries and delays are only related with a change in the regime of the day or a holiday spent at sea, with their periodic appearance and duration, it is necessary to undergo an examination.

Every lady should carefully monitor her menstrual cycle. After all, its changes may indicate problems in the body. This article will be useful to girls who say: "I have not had my period for 2 months, but I am not pregnant." Why is there a delay?

A few words about the cycle

First of all, I want to figure out what is how many days it lasts and when we can talk about deviations. So, the female (or menstrual) cycle is the periodic changes that occur in the body of the fair sex of reproductive age. Ideally, it is 28 days. However, a range is considered normal, the number of days in which will be from 21 to 45. It is also important to remember that teenage girls, as well as women who are on the verge of menopause, can have an irregular cycle. It is necessary to understand the same concept as "delay". So, if menstruation is late for a couple of days (or came a few days earlier), this is not scary and does not indicate a violation in the body. However, if spotting did not occur a week after the scheduled date, this is a reason to be a little alarmed and turn Special attention to your women's health.

Main reasons

If a woman does not have a period at a certain time, the reasons for this may be as follows:

1. Colds and infectious diseases. They weaken the body and can affect the menstrual cycle.
2. Mental disorders. Amenorrhea is a frequent companion of ladies who have various mental disorders. It can also be caused by stress, depression, nervous turmoil, problems at home or at work.
3. Diet. If a girl has not had a period for 2 months, but she is not pregnant, a new diet or a disease such as anorexia may be the reason for the delay. The thing is that the production of such a hormone as estrogen begins after the girl's body weight exceeds 45 kg. In addition, it takes part in its development fat mass. If a girl abruptly loses about 15 kg of weight, her periods may stop for a while.
4. Large physical exercise. If a lady is heavily involved in sports or leads a very active lifestyle, menstruation may not come for several months.
5. Hormonal disorders. If a woman does not have menstruation for 3 months or more, the cause of this development of events may be various that occur at the level of the pituitary gland and hypothalamus. Hormonal disruptions from the ovaries and thyroid gland are also possible.
6. Functional disorders of the body. Menses long time do not come if the patient had an abortion, were gynecological diseases or the woman is breastfeeding the baby.
7. Genetic abnormalities can also cause delayed and even complete

first sex

If a young girl does not have a period, the reasons for this may lie in the first intimate contact with a man. i.e. delay spotting possible for a certain time after a young lady loses her virginity. There may be several reasons for this:

1. Stress, intense anxiety. As you know, nervous shocks directly affect the menstrual cycle. Therefore, after the first intimate contacts with a man, a girl may have a delay even for several months.
2. unsteady cycle. If the girl's first sex occurred shortly after the start of the first menstruation, the delay is possible due to the menstrual cycle not yet established.

Postpartum and breastfeeding

It is also worth mentioning that the menstrual cycle in women during pregnancy and in postpartum period changes significantly. After the birth of the baby, the first 60 days will definitely not have characteristic spotting (the exception is lochia, which will leave the body for several weeks immediately after childbirth, these are the so-called postpartum periods). Further, if the mother exclusively breastfeeds the baby, the mother will also not have menstruation until about 6 months of age. This is completely normal and does not indicate any problems with the body. If the baby's mother does not breastfeed, she will have menstruation for about 3-4 months of the child's life.

Contraception and delay

If a woman has not had a period for 2 months (but is not pregnant), you need to ask her if she is taking oral contraceptives. The thing is that after the start of the adoption of some OKs, there may be not only delays, but also complete absence menstruation (for example, after the start of taking drugs such as Jess or Yarina). This can also be seen in women who are taking mini-pills or have just had a coil.

They can also cause similar phenomena. In the first months after their use, a woman's menstrual cycle may completely go astray, spotting may not occur for several months.

Teenage years

If a teenage girl does not have menstruation for 3 months, and the first menstruation has only recently begun, there is nothing wrong with that. Delays in this case may be due to functional feature not yet fully mature organism. It is worth saying that in girls, on average, they appear at 12-13 years old. However, this can happen even earlier, at the age of 9, and later - for the first time, spotting can start at 15 years. Delays at this time can range from 3 to 7 months.

40-45 years old

If a woman is over 40 years old, she has not had her period for 2 months, but she is not pregnant, this may be due to age-related changes in the body. And if it is too early to talk about menopause, then the work of the ovaries at this age slows down significantly. And this, of course, affects the menstrual cycle. At this time, it is necessary to closely monitor the changes taking place with women's health. You also need to remember that you need to visit a gynecologist at least once a year (and be sure to tell him about your observations).

What to do?

If the girl does not have menstruation (delay), in this case it is best to seek the advice of a gynecologist. Self-medication is simply unacceptable, because you can do much harm to your body. What can be the treatment? Everything will depend on the reasons that caused the delay. Most often, the body returns to normal after a certain time and does not require intervention (for example, in case of stress or severe overwork). Sometimes you just need to change your lifestyle (for example, if the reason for the delay is anorexia), or it can be prescribed drug treatment if the cause is gynecological diseases or hormonal disruptions.

Additional Research

If the menstrual cycle is disturbed, the treatment will depend entirely on the reasons that caused such a phenomenon. What to do in case of delay?

In this case, nothing should be done. You just need to wait a few more days.

One to three weeks. If the pregnancy test is negative, you can donate blood for hCG. You also have to wait a little longer.

Delay 1-2 months. In this case, you also need to do a second pregnancy test or donate blood for hCG. At the same time, it is necessary to try to determine the causes of this phenomenon (and, of course, eliminate them).

Delay 3-6 months. This medical condition is called amenorrhea. The cause of its occurrence is most often hormonal disruptions or gynecological diseases. In this case, you need to seek medical help.

Folk methods

If a lady does not want to resort to the use of various pills and other pharmaceuticals, you can try to cope with the problem by using folk methods.

1. Parsley is an excellent menstrual stimulant. In order for menstruation to start on time, you can either eat a lot of raw parsley a few days before the onset of spotting, or make and drink a decoction of this plant.
2. An excellent tool in the fight against menstrual irregularities is burdock juice. It should be taken one tablespoon three times a day before the main meals. The duration of treatment with this medicine is two months. It is worth saying that this remedy normalizes hormonal balance, and also helps to cope with a disease such as mastopathy.
3. With disorders of the menstrual cycle, dandelion root is also excellent. From this ingredient you need to make a decoction. To do this, take 1 tsp. roots of this plant, pour them with a glass of boiling water and keep on low heat for about 5 minutes. Then the medicine is infused for two hours and taken twice a day for half a cup.