No monthly. Why there is no monthly period for a long period

A woman who loves herself should monitor the systematic and regularity of her menstrual cycle- this is the main indicator of her health.

If the cycle has failed and menstruation is premature, or long delay- this is a clear signal indicating that you need to contact a gynecologist to find out why there is no menstruation.

A slight delay of two or three days should not cause concern. Even a week is not an indicator.

But if there is no menstruation for a month, you should seriously think about your health.

The absence of menstruation can be caused by a number of reasons, including troubles, for example, at work.

A slight delay of 3 days or even a week can be caused by:

• stress;
• climate change;
• weather;
• and even a change in the usual rhythm of life.

Also, the absence of menstruation can be directly provoked by taking pharmaceutical preparations, medicines that contain any hormones that are prescribed after miscarriages or abortions.

What to do in such cases? Nothing - in this case, treatment is not required.

Young girls who have not yet formed a menstrual cycle should not worry about why on time. Menstruation can be delayed for more than a week, sometimes even a month. Over time, the cycle will form and menstruation will begin strictly on a certain day of the cycle.

But if the girl had sexual intercourse at the same time, especially when, it is worth checking for pregnancy. This does not mean that the pregnancy has come. Most likely, you need to exclude this fact and make sure of the opposite.

When there is cause for concern

The maximum allowable delay in menstruation, which should not particularly disturb a woman “why there is no menstruation”, is approximately 10 days. But this is provided that the woman is not pregnant.

You can check for pregnancy with a test that will show pregnancy after. And if there is no menstruation, but not pregnant - this is already a cause for concern.

Sometimes there are situations when menstruation does not go for a couple of days. Their delay can be delayed for a month or even more. If menstruation has not started within a week or two, then you can try, but only on condition that everything must be agreed with the doctor.

Why the failure occurred - only an experienced specialist can answer this question.

If an absolutely healthy girl who had no delays before has no periods for more than 10 days and even a month, this is a good reason to visit women's consultation.

What to do if there is no menstruation?

If this is the first time a woman has such a situation and her health is normal, you can try to induce menstruation by increasing physical activity. It can be harder than usual, physical labor or diligent fitness.

In many cases, after such a shake-up for the body, menstruation begins.

There can be a lot of reasons and a woman should understand that the factors for the absence of menstruation can be:

• pathological;
• hereditary diseases;
• as well as natural physiological.

So what if? Before you panic and grab your head, you need to test for pregnancy at least three times in a row. If, then you need to see a doctor to determine the cause of the delay.

Important to remember: maximum delay monthly can be up to ten days. If there is no menstruation, this is a cause for concern.

What factors can cause delayed menstruation

A woman should have accessible and correct information about what are the reasons that can provoke a delay in menstruation.

• Abortion (). After an abortion, the menstrual cycle can be restored for 3-4 months and there may be a lack of menstruation. If a woman had a cycle of 28 days before the abortion, then after surgical intervention there may be long delays. In this case, a maximum delay of 7-10 days can be considered normal.
• Gynecological diseases. In the absence of pregnancy, the delay in menstruation can be maximum, up to 10 days. If there is no menstruation, these may be the first symptoms of amenorrhea. In this case, a woman should definitely visit a gynecologist.
• Taking contraceptives. Hormonal causes hyperinhibition of the ovaries, which can cause the absence of menstruation. In case of ovarian dysfunction, you should stop taking contraceptives and consult a doctor to prescribe other drugs.
• stressful situations. The maximum delay in menstruation can cause severe stress. Depending on the body, in stressful situations, menstruation may go ahead of schedule, or vice versa, there will be a long delay.
• Sports. Intensive fitness activities can cause a delay in menstruation. It should be noted that the maximum delay can be ten days. If there is no period, buy or consult a doctor immediately.
• Diets. Starvation diets, in which weight is sharply reduced, can lead not only to a delay for the most maximum allowable periods, but also to a complete absence of menstruation in the future. In gynecology, there is such a thing as critical menstrual weight. Usually, at this weight, girls begin their first menstruation. If diets lead to weight loss below the critical menstrual weight, menstruation may completely stop. This condition is called amenorrhea complete absence monthly long period).

The reasons for the delay in menstruation may be enough, but the doctor will make an accurate diagnosis. Do not try to diagnose yourself and self-medicate. The maximum allowable delay in menstruation depends on its causes. And this reason can be early pregnancy, which the test does not show.

The absence of menstruation and at the same time there is no pregnancy is a serious reason to visit a gynecologist, who, quite possibly, you have not been to for too long.

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 bloody issues did not come a week after the scheduled date, this is a reason to get a little alarmed and turn Special attention on your own women 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. Great physical activity. 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. There may also be hormonal disruptions from the ovaries and thyroid gland.
6. Functional disorders of the body. Menses long time they do not come if the patient has had an abortion, had 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. That is, a delay in spotting is 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 taking some OK, there can be not only delays, but also a complete absence of menstruation (for example, after starting to take 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 organism. 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 the 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.

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. In normal 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 endocrine system- in particular, the 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 have a negative effect 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. Dramatic weight loss 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. With a not very long delay (5-10 days), weight normalization is often sufficient 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 of the 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 to the 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:

• 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 with oral contraceptives that restore normal hormonal background.

Medication

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

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

Climax

IN 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 delayed menstrual bleeding does not pose a threat. The danger lies in the cause of constant delays in menstruation. Therefore, when they appear, it is necessary to undergo a comprehensive examination.

For example, if menstruation is regularly delayed due to a high level of 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.

Untreated 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.

Any woman knows her individual rate of delayed menstruation. The absence of delays in menstruation indicates a normal healthy condition reproductive system. Women and girls of different ages may have their own allowable period for delaying menstrual flow.

According to doctors, a delay in bloody vaginal discharge can be considered normal for 1-7 days if, against this background, the female body does not experience " adverse symptoms". If the representative of the weaker sex feels well, does not suffer from discomfort, then such delays are considered acceptable. But each age segment has its own limit of such expectation.

Note! In girls, menarche (the first regulation) is expected in the age category of 11-15 years. And during the first two years it will be difficult to expect the regularity of these allocations. At a young age, a 5-day delay in discharge should not cause concern.

If after two years the menstruation has not stabilized, then you should contact the gynecologist to determine normal operation uterus and ovaries. "Dry" period healthy woman and girls is 28-35 days. It is through this time that spotting appears monthly.

In older women, the extinction of sexual function occurs, which is a natural and inevitable process. With each new month, there will be a delay in menstruation, which will gradually increase until it stops altogether.

The average indicator of the arrival of menopause in women is the age of 44-50 years. But there are exceptions of menopausal ovarian dysfunction in one direction or the other.

Reasons for delayed menstruation

Delayed menstruation (main causes, except for pregnancy, why there is a delay in menstruation):

• Gynecological reasons;
• Not gynecological reasons.

The reasons for the long wait for menstruation are gynecological (with the exception of pregnancy) and non-gynecological in nature.

Gynecological reasons:

1. puberty;
2. diseases (polycystic ovaries, uterine fibroids, ectopic pregnancy, ovarian cyst);
3. menopause;
4. long-term use of contraceptives;
5. lactation.

Non-gynecological causes:

1. stress;
2. climate change;
3. diet;
4. anorexia;
5. bad ecology;
6. diseases (SARS, gastritis, thyroid and kidney diseases, diabetes mellitus);
7. intoxication;
8. excessive physical activity;
9. excess weight.

Important to remember! Certain medications that are used in the treatment of menstruation can delay menstruation. genitourinary system, stomach ulcers and depression.

Leading an unhealthy lifestyle drugs, high doses of alcohol and smoking - all this can change the monthly regular arrival of menstruation.

There are times when a negative test result results in a significant cycle delay. Such a failure, lasting more than 7-15 days, may be the result of taking hormonal drugs.

A test error is also possible if the delay in menstruation and the test is negative.

The reasons why the delay in menstruation, and the test is negative

As soon as the regulation delay occurs, women use express tests to determine pregnancy. All tests work on the same principle - they determine the level of hCG in female urine. If this indicator is normal, the result does not exceed 5 Mme / ml. Starting from the 7th day of pregnancy, this figure increases by 5 times.

Errors during testing can be primarily from non-compliance with the instructions, and a poor-quality product. There are many tests that give errors in kidney disease and hormonal imbalance. Violation of the integrity of the packaging and expired suitability also do not promise a reliable test result.

A woman can get a false negative test result with a slight delay, when 3 days have not passed after a missed period. Another source of misinformation could be late ovulation previous cycle. Insufficient concentration of the composition of urine gives unreliable result.

Therefore, testing should be carried out at the first daily urination. Pregnancy with pathology (frozen or ectopic) will not indicate an increase in the level of hCG in the blood.

False positives are less common than false negatives. Such a result can be in case of termination of pregnancy for a very early term, which showed the actual level of hCG at the time of pregnancy. Tumors formed against the background of hormonal failure contribute to the production of hCG, which can mislead a woman.

A positive test result may be in the case of a recent termination of pregnancy (miscarriage, abortion). The use of certain drugs in the treatment of infertility can also cause false results.

A pale and indistinct second test line gives rise to retesting after 3-5 days, and in the case of IVF, you will need to wait 10-15 days. Test error is undoubtedly possible, therefore, doctors recommend without fail recheck the result two more times.

How many days can a missed period last without pregnancy?

Not causing concern, the delay in regulation is 5-7 days in a woman of young and middle reproductive age. In the case of older women against the background of menopause, the maximum delay can be about six months. The acceptable period for delaying the arrival of menstruation after the first sexual intercourse is 2-4 days.

What and how affects the menstrual period in women

Women's health is influenced by many factors: external environment habitat, age, physiological state and others. The table below shows the factors, conditions and moments and how they affect the regularity and nature of menstruation in women.

No menstruation: wait or act?

The absence of the onset of critical days within 1 week against the background of symptoms of their appearance can be considered the norm. If the allowable delay period has expired, action should be taken. Pregnancy testing should be the first plan.

If the pregnancy is not confirmed, and the normal waiting period has passed, without delay, you need to go to the antenatal clinic. At the appointment, you will need to talk about how you feel, the appearance of new symptoms, be examined and take tests.

Doctors are paying attention! A significant delay in regulation cannot be attributed to external factors and normal physiological processes. This signals the beginning pathological processes which should be intervened as soon as possible.

If the chest hurts, but there is no menstruation - what does this mean?

Before the onset of critical days, a significant number of women notice swelling, pain and sensitivity mammary glands. If the chest hurts, and menstruation has not come, then this can be a signal for the beginning of the birth of a new life.

This happens 70% of the time. If pregnancy has not occurred, and the mammary glands continue to bother, then in 20% of the problems are associated with mastopathy.

The remaining 10% are attributed to: the presence of infection in the mammary glands:

• oncology of these organs;
• the process of ovulation;
• a consequence of active physical exercise (muscle strain);
• hormonal imbalance;
• shingles.

Why does my stomach hurt but I don't get my period?

It can also disturb pain in the abdomen in the absence of menstruation. Some women experience pain during ovulation when the follicle ruptures. This is a normal process which is individual characteristics organism.

Gynecological problems can also be accompanied by pain. Women begin to pay attention to inflammatory processes after the appearance severe pain. If such inflammations are ignored and not treated, they can give rise to serious diseases in the future.

Fluid accumulated in the fallopian tubes can cause abdominal pain., which will prevent the appearance of menstruation.

Acyclic pain in most cases cause urolithiasis. Adhesions, cystitis, colitis can cause trouble. If, in addition to the abdomen, a woman is worried about a bursting sensation in the mammary glands, fibroids can be suspected. With pain in the abdomen and the absence of regulation, it is worth undergoing an examination to exclude outside uterine pregnancy.

How much can you not worry?

Important to remember! Every woman has a menstrual cycle different period time. Most often, a steady cycle (21-35 days) accompanies a woman throughout her reproductive age from 18 to 45 years.

The countdown begins on the first day of discharges and lasts until the arrival of the next.
A healthy woman has no reason to worry within 1-3 days with regular menstruation.

Delayed menstruation 1-4 days: causes

The most common reasons for a delay (1-4 days) are the following:

1. a recent cold;
2. excessive physical activity;
3. climate change;
4. a sharp change in nutrition;
5. emotional, nervous breakdown.

If the delay of menstruation is 5 days (the test is negative): is there a problem or not?

With a 5-day wait for the arrival of menstruation, it is too early to talk about any pathology, because it is within the normal range. A woman has time before starting to take action.

The reason for the failure of the regularity of the cycle can be the consequences of workaholism, which lead to exhaustion of the body, lack of sleep and decrease vitality. In the absence of poor health and unpleasant symptoms, we can talk about the absence of a problem.

Delay of menstruation by 6-10 days. Reasons other than pregnancy

Physicians are paying attention! A delay in menstruation for 6-10 days is the first call for a woman. It can signal a borderline condition, pregnancy or illness.

With the exclusion of pregnancy, doctors called such a delay secondary amenorrhea. Very dangerous state women, which should be excluded in the first place - an ectopic pregnancy.

The symptoms of this pregnancy are:

• pain in the area lumbar and lower abdomen;
• feeling of weakness;
• nausea;
• dizziness;
• the appearance of vaginal discharge brown, brown.

If these symptoms are detected, you should immediately visit a antenatal clinic. Ignoring an ectopic pregnancy causes heavy bleeding and infertility.

Delayed menstruation 10 days or more: start looking for the cause with your doctor!

The good health of a woman and the presence of a partner obliges testing. When the fact of pregnancy is not confirmed, it is necessary to consult a doctor to undergo an examination and identify the causes.

Based on the survey results, a gynecologist will be able to detect or exclude diseases:

1. vaginitis;
2. Polycystic;
3. Candidiasis;
4. Thrush;
5. Adnexitis;
6. Myoma, tumors.

If the doctor did not find gynecological problems, you should go to his colleagues. The delay can be caused by:

1. pancreatitis;
2. Duodenitis;
3. Chronic gastritis;
4. Diabetes;
5. Pyelonephritis;
6. Diseases of the adrenal glands;
7. Anorexia.

Delay 2 weeks or more

Waiting for critical days for more than two weeks no longer leaves hope that everything is in order with the woman's body. Such a condition cannot be ignored, even if the woman is not worried about anything. A trip to the antenatal clinic should be organized as soon as possible.

What to do if there is no menstruation for 2 (two) months, but not pregnant

If the regulation did not come after 2 months, you need to be examined for ovarian dysfunction. This disease is not independent, as it is caused by factors such as viral or infection; diseases of the genital organs, kidneys, thyroid gland, stomach.

Once the woman discovered vaginal discharge that do not resemble menstruation should be sent to the clinic. After refusing to take contraceptives, critical days should come in 2-3 months, if this did not happen, and there is discomfort below - the trip to the antenatal clinic is not postponed.

No period for 3 months but not pregnant

Waiting for the arrival of menstruation for 3-6 months has received a medical name - amenorrhea. It is caused by a serious illness. gynecological sphere, which obliges to undergo an examination and examination by a specialist.

Why there is no period after an abortion

Important to remember! Each woman after an abortion, the menstrual cycle is restored in different ways.

In this situation, it is worth taking into account the term and method of abortion, physiological features female patients. Subject to a normal outcome of the operation, after 1 month. after the abortion, the rules should begin. The first day of the cycle should be considered the date of the operation.

Doctors are paying attention! If there is no period 31 days after the surgical termination of the pregnancy, it is recommended to visit a doctor to avoid health problems.

Delayed period while breastfeeding

The return of menstruation in recent women in labor will depend on the lactation process, in which high level prolactin hormone responsible for breast milk. If the natural process of lactation is not implemented (caesarean section, refusal to breastfeed, other reasons), then the cycle will be restored after 1 month.

In this case, the maximum period of delay after childbirth can last about 8 weeks. During lactation, the normalization of the menstrual cycle is a purely individual process. This may take 2-3 years.

Important to remember! To accurately predict the time of the beginning of the restoration of the menstrual cycle after childbirth, it is necessary to take into account:

• feeding cycle;
• type of feeding (mixed, on demand, regular).

If the mother feeds the child at the request of the child, then the monthly discharge will be restored one year after the birth. At mixed form feeding, you can expect the return of menstruation after 3-4 months. In 80% of women in childbirth, critical days come after weaning the baby.

Attention: Dangerous Delay Reasons

Dangerous reasons for delay:

• Andexite;
• polycystic ovaries;
• Endometriosis.

At risk are diseases of the gynecological and endocrine spheres. Diseases of the ovaries, adrenal glands and thyroid gland can cause polycystic ovary syndrome and lead to infertility.

Adnexitis - inflammatory process in the uterine appendages causes hormonal failure. Endometriosis or uterine fibroids is a benign tumor that can degenerate into a malignant neoplasm.

What threatens frequent delays in menstruation?

Ignoring periodic delays is not recommended. And in the event that they have become frequent, it is completely impossible to show a careless attitude towards a woman's health.

Gynecologists insist! Ignoring regular and frequent delays is fraught with the appearance of chronic diseases, infertility, oncology of the genital organs.

What to do if there is no menstruation?

The delay forces the woman to wait a week, and then go to medical institution. Any deviation of the menstrual cycle from the norm is a reason for contacting the antenatal clinic.

Together with the gynecologist, the cause of the failure of the menstrual cycle will be clarified. To do this, you will need to take tests, be tested for pregnancy, be examined by an endocrinologist and an ultrasound specialist.

In the case of an unstable menstrual cycle in a girl (less than 2 years), the onset of menopause in an older woman and an acceptable weekly delay, do not panic and try to induce menstruation.

It's important to know! In women who have not reached menopause and have passed the age of menerche permanent delays critical days are abnormal. Therefore, having established the reasons for the delay, measures should be taken to restore the cyclicity of the regulation.

Is it possible to induce menstruation with a delay

It is possible to provoke monthly bleeding during a delay both under medical supervision and at home. Almost all medications that are used to restore the menstrual cycle are hormonal.

You can get the desired effect from taking them if a woman has problems with the hormonal background and a deficiency of a certain substance in the body.

How to induce menstruation with a delay at home

Having established the hormonal picture of the patient, the gynecologist prescribes the intake of special drugs according to the scheme. Often, women use herbal infusions that provoke the onset of menstruation. At home, you can cause menstruation with medications, decoctions medicinal herbs, hot baths, a large dose of vitamin C and active exercise.

Herbal decoction:

1. Elecampane;
2. Oregano;
3. nettles;
4. Rosehip;
5. yarrow;
6. Knotweed.

Herbs taken in 2 tbsp. l., and filled with 1 liter. boiling water, consumed after 12 hours of exposure for one day. To induce menstruation, they also drink a decoction of onion peel, ginger.

Preparations for hormonal failure (Dufaston and others with a delay in menstruation)

In the event that no serious health problems have been identified, doctors prescribe special preparations that stimulate the arrival of critical days.

These drugs include:

• Duphaston;
• Utrozhestan;
• Pulsatilla;
• Postinor;
• Mifegin.

Duphaston is prescribed 1 tablet twice a day for a course of 5 days. If serious health problems are detected, the endocrinologist may prescribe a different treatment regimen. Most often, the long-awaited discharge appears on the 2-3rd day of taking the drug.

The expected effect of Duphaston is provided by the concentration of progesterone. In case of pregnancy, this drug will not bring harm to the fetus, and it will not be able to terminate the pregnancy. Dufaston will give a result only if a hormonal failure is detected.

If the delay is due to stress, then Pulsatilla will help to speed up the onset of menstruation., 6 granules of which thins the blood. Postinor can urgently cause menstruation.

The problem of delayed menstruation should not provoke women to look for ways to speed them up without determining the cause of this condition.

Important to remember! Any delay in the menstrual cycle is a failure, the cause of which should be investigated.

It is imperative to contact a specialist with frequent delays in menstruation in order to exclude serious illness, among which malignant formations, mental disorders, infertility and other diseases of a gynecological nature.

Video about the reasons for the delay in menstruation with a negative test

Delayed monthly test is negative. Why and what to do:

About the reasons for the delay in menstruation, if the test is negative in adolescents, in women:

At what time a pregnancy test will accurately show a 100% result:

A normal menstrual cycle lasts from 21 to 35 days. For each woman, its duration is individual, but for most of them, the intervals between menstruation are equal or differ from each other by no more than 5 days. The calendar should always mark the day of the onset of menstrual bleeding in order to notice the irregularity of the cycle in time.

Often, after stress, illness, intense physical activity, climate change, a woman has a slight delay in menstruation. In other cases, this sign indicates the onset of pregnancy or hormonal disorders. We will describe the main reasons for the delay in menstruation and the mechanism for their development, as well as talk about what to do in such a situation.

Why there is a delay

Delayed periods may be the result physiological changes in the body, as well as be a manifestation of functional failures or diseases of both genital and other organs (“extragenital pathology”).

Normally, menstruation does not occur during pregnancy. After childbirth, the mother’s cycle is also not restored immediately, it largely depends on whether the woman has lactation. In women without pregnancy, an increase in the duration of the cycle may be a manifestation of perimenopause (menopause). Also, the irregularity of the cycle in girls after the onset of menstruation is considered the norm, if it is not accompanied by other violations.

Functional disorders that can provoke a failure of the menstrual cycle are stress, intense exercise stress, fast weight loss, past infection or other acute illness, climate change.

Often an irregular cycle with a delay in menstruation in patients suffering from gynecological diseases, first of all . In addition, such a symptom may accompany inflammatory diseases reproductive organs, occur after an abortion or diagnostic curettage, after. Ovarian dysfunction may be due to the pathology of the pituitary gland and other organs that regulate the hormonal background of a woman.

From somatic diseases accompanied by possible violation menstrual cycle, it is worth noting obesity.

When is a missed period normal?

Puberty and the ovulatory cycle

The gradual puberty of girls leads to the appearance of their first menstruation - menarche, usually at the age of 12-13 years. However, in adolescence reproductive system not yet fully developed. Therefore, failures in the menstrual cycle are possible. A delay in menstruation in adolescents occurs during the first 2 years after menarche, after this period it can serve as a sign of disease. If menstruation did not appear before the age of 15, this is an occasion to visit a gynecologist. If the irregular cycle is accompanied by obesity, excessive growth of body hair, voice changes, as well as heavy menstruation, it is necessary to seek medical care earlier in order to start correcting violations in time.

Normally, the cycle is already regular by the age of 15. In the future, menstruation occurs under the influence of cyclic changes in the concentration of hormones in the body. In the first half of the cycle, under the influence of estrogens produced by the ovaries, an egg begins to mature in one of them. Then the vesicle (follicle), in which it developed, bursts, and the egg is in abdominal cavity- ovulation occurs. During ovulation, short mucous white discharge from the genital tract appears, it may hurt a little on the left or right lower abdomen.

The egg is taken up by the fallopian tubes and travels through them to the uterus. At this time, the bursting follicle is replaced by the so-called corpus luteum - a formation that synthesizes progesterone. Under the influence of this hormone, the layer lining the uterus from the inside - the endometrium - grows and prepares to receive the embryo when pregnancy occurs. If conception does not occur, progesterone production decreases, and the endometrium is rejected - menstruation begins.

During fertilization and development of the embryo corpus luteum in the ovary continues to actively produce progesterone, under the influence of which the implantation of the egg, the formation of the placenta and the development of pregnancy occur. The endometrium does not undergo degradation, therefore it is not rejected. In addition, progesterone inhibits the maturation of new eggs, so there is no ovulation and, accordingly, cyclic processes in the woman's body stop.

If there is a delay

With a delay of menstruation for 3 days (and often on the first day), a test can be done at home to determine pregnancy. If it is negative, but the woman is still worried about the delay, she should go ultrasound procedure uterus using a vaginal probe, as well as a blood test that determines the level of human chorionic gonadotropin (hCG).

If the second phase of the cycle is determined, then menstruation will come soon; if there are no signs of the second phase, you need to think about ovarian dysfunction (we will talk about it below); during pregnancy, a fetal egg is determined in the uterus, and when it is located, for example, in fallopian tube(). In doubtful cases, after 2 days, you can repeat the analysis for hCG. An increase in its concentration by two or more times indicates the course of uterine pregnancy.

Menstruation after childbirth

After childbirth, the menstrual cycle for many women is not restored immediately, especially if the mother feeds the child with her milk. Milk production occurs under the influence of the hormone prolactin, which simultaneously inhibits the synthesis of progesterone and ovulation. As a result, the egg does not mature, and the endometrium does not prepare for its acceptance, and then is not rejected.

Usually, menstruation is restored within 8-12 months after childbirth against the background of breastfeeding the baby and the gradual introduction of complementary foods. Delay of menstruation breastfeeding with a restored cycle in the first 2-3 months, it is usually the norm, and in the future it may indicate a new pregnancy.

Reproductive decline

Finally, over time, women's reproductive function gradually begins to fade. At the age of 45-50 years, menstruation delays, cycle irregularity, and changes in the duration of discharge are normal. However, even at this time, ovulation is quite likely in some cycles, therefore, if menstruation is delayed for more than 3-5 days, a woman needs to think about pregnancy. To exclude this probability, you should contact a gynecologist in time and choose contraceptives.

Intermittent cycle disturbances

Delay of menstruation negative test often associated with the effect on the body of adverse factors. The most common causes of a momentary cycle time failure are:

• emotional stress, such as a session or family troubles;
• strenuous exercise, including sport competitions;
• rapid weight loss while dieting;
• climate and time zone changes when traveling on vacation or on a business trip.

Under the influence of any of these factors, an imbalance in the processes of excitation, inhibition and mutual influence develops in the brain. nerve cells. As a result, there may be a temporary disruption of the cells of the hypothalamus and pituitary gland - the main regulatory centers in the body. Under the influence of substances secreted by the hypothalamus, the pituitary gland secretes cyclically follicle-stimulating and luteinizing hormones, under the action of which estrogen and progesterone are synthesized in the ovaries. Therefore, when the work of the nervous system changes, the duration of the menstrual cycle can also change.

Many women are interested in whether there can be a delay in menstruation after taking antibiotics? Usually on their own antibacterial drugs do not affect the duration of the cycle and can not delay menstruation. However, it can lead to that infectious disease, for which the patient was prescribed antimicrobials. The infection has a toxic (poisonous) effect on nervous system, and is also a stress factor contributing to the disruption of hormonal regulation. This is possible, for example, with cystitis.

Normally, the next menstruation after a delay in these cases occurs on time. More permanent cycle disorders may occur with the use of certain drugs:

• , especially low-dose;
• prolonged action gestagens, used in some cases for the treatment of other diseases;
• prednisolone and other glucocorticoids;
• releasing hormone agonists;
• chemotherapeutic agents and some others.

How to induce menstruation with a delay?

Such a possibility exists, but it is necessary to clearly answer the question - why should a woman menstrual bleeding as a fact. Most often, the fair sex answers this question - in order to restore a normal cycle. In this case, you need to understand that thoughtless self-treatment hormonal drugs can, of course, cause menstruation, but is even more likely to lead to dysfunction of the reproductive system, a violation of the ability to conceive.

Thus, a woman will get a much larger set of problems than just a delay in menstruation. Besides, she might be pregnant. Therefore, if menstruation is delayed by more than 5 days, it is recommended to do a home test to determine pregnancy, and then consult a gynecologist.

To normalize the cycle, the patient can only get rid of external factors that contribute to the delay (stress, starvation, overexertion) and follow the recommendations of your doctor.

Diseases that cause delayed menstruation

Regular delays in menstruation are most often a sign of diseases of the hypothalamic-pituitary system or ovaries, less often - the uterus or appendages. This symptom can also be observed in extragenital pathology, not directly related to diseases of the female reproductive system.

The defeat of the hypothalamus or pituitary gland can occur with a tumor of neighboring parts of the brain or these formations themselves, hemorrhage in this part (in particular, as a result of childbirth). Common Causes except for pregnancy, for which the regularity of the cycle is disturbed, - ovarian diseases:

Emergency hormonal contraception. If the irregularity persists during the cycle following the intrauterine manipulation, you need to contact a gynecologist.

Finally, a delay in menstruation occurs in some extragenital diseases:

• epilepsy;
• neurosis and other mental disorders;
• diseases of the biliary tract and liver;
• blood diseases;
• breast tumor;
• adrenal gland diseases and other conditions accompanied by hormonal imbalance.

The variety of reasons why menstruation may be delayed requires careful diagnosis and different approaches to treatment. It is clear that only a competent doctor can choose the right tactics after a general, gynecological and additional examination of the patient.