Delayed menstruation and pain in the ovaries


For some girls and women, menstruation is quite painful, causing a lot of inconvenience. Meanwhile, with such features they have ovulation. Therefore, this state is not a pathology, but refers to the physiological characteristics of the organism.

If small delays occur from time to time, you should not be afraid. Anxiety should cause a delay in menstruation, accompanied by pain and arisen for the first time. In this case, the woman needs to consult a doctor in order to determine the cause of the ailment.

In what cases the ovaries hurt, but there are no menses? Such a deviation from the norm can occur if the blood contains a large number of prostaglandins. In a similar scenario, menstruation may occur in the presence of ovarian cysts. Problems with the ovaries can manifest themselves when lesions of the mucous membrane of the appendages of pathological microorganisms.

Pain can respond to the ovaries to the onset of pregnancy. Endometrial diseases, ovarian dysfunction, all of these are abnormalities that can cause pain in the ovaries. The same problems can be with delayed ovulation.

A woman, besides the fact that she has sore ovaries, cannot independently determine anything else. In order to establish the source of the problem, it is necessary to conduct a physical examination and conduct several studies.

All the above pathologies have similar symptoms, therefore, it is not as easy to determine the cause of the problems as it may seem. The reasons for which there is a delay of menstruation and pain in the ovary must be carefully analyzed.

For example, consider the situation when problems with the ovaries are associated with elevated levels of prostaglandins. This substance is the body entrusted with a mass of useful functions. One of them boils down to the fact that an impulse is given to the beginning of menstruation, which begin with vascular spasm in the pelvic organs.

In addition, they are called conductors of pain. The higher their concentration in the blood, the stronger the pain will be. Situations where the right ovary hurts and there is a delay in menstruation are more common than pain in the left ovary.

If a woman has an excess of prostaglandins in the blood every month, and the pain threshold is insignificant, each period will be painful. A high level of prostaglandins, according to doctors, may be associated with an excess of harmful substances in the body.

Most women approach the solution of the problem quite simply, taking painkillers every time, although it would be more correct to find the cause of the unpleasant sensations.

Ovarian cyst. With such changes as an ovarian cyst, the periodicity of the menstrual cycle is disturbed. In due time, menstruation does not begin, and pain in the ovaries increases significantly. And in the initial stages of cyst formation, pain is completely absent.

It appears only when the cyst reaches a considerable size. The same symptoms will be observed if instead of one cyst several develop at once. According to statistics, a cyst in the left ovary grows much more often than in the right. Before the onset of menstruation and when it is delayed, the pain becomes more intense as the cyst at this time increases even more, it puts pressure on the ovary.

Infection of the uterus. Immediately several diseases such as salpingitis, oophoritis or adnexitis pass with inflammation of the appendages. In this case, the pain in the ovaries is constantly present, before critical days, it is greatly enhanced.

And at the same time both ovaries hurt. Painful sensations are transmitted to the sacrum area. Inflammation of the appendages always proceeds against the background of weakening of the body's defenses.

Late onset of ovulation. In this case, pain occurs only in one of the ovaries. After the follicle ruptures, the formation of the corpus luteum begins. But sometimes it is the process of formation of the corpus luteum for some reason is delayed. And accompanied by pain. The late process of active progesterone synthesis is caused by what happens.

Fertilization of the egg. Pain in the ovary can be observed after fertilization of the egg. At this time, the body requires a large amount of progesterone and therefore it is undergoing enhanced synthesis. At this time, the process of slowly enlarging the uterus begins. All these are natural processes, they are accompanied by pain, but do not require treatment. In place of a bursting follicle, cyst growth may be observed during pregnancy. Because of this, pain in the ovary can be observed due to its stretching.

Ovarian dysfunction implies a breakdown of hormonal balance due to improper synthesis of ovarian hormones. A characteristic feature of these pathologies is a long delay of menstruation. Menstruation in this case lasts more than ten days and is accompanied by pain in the area of ​​the ovaries.

Ovary apoplexy. Severe pain in the ovary may occur when it is broken. This condition is called ovarian apoplexy. In case of violation of the integrity of the ovary, hemorrhage into the abdominal cavity occurs. The patient has a fever, can significantly decrease the pressure. The skin becomes pale.

Possible loss of consciousness. This pathology is dangerous to the life of a woman and requires immediate hospitalization. It is sometimes very difficult to diagnose apoplexy, because in addition to pain in the ovaries, symptoms appear that strongly resemble appendicitis or ectopic pregnancy. Treatment is possible only through surgery.

Psychogenic disorders. Psychogenic disorders can cause a delay, accompanied by monthly pain in the ovaries. This diagnosis is made in the event that no serious reasons have been identified for the onset of the painful delay of menstruation, which is actually observed.

The patient is undergoing a comprehensive examination, which reveals a psychogenic disorder in her that influences the menstrual cycle. The cure in this case comes after the removal of traumatic factors. In addition to the gynecologist, a psychologist and a neurologist are involved in the treatment.

Situations where the ovaries hurt and there is a delay in menstruation, most often can be attributed to physiological abnormalities. most of them are easily removable. If there are more serious pathologies, treatment is required in each specific case, taking into account the individual characteristics of the organism. If the pain in the ovaries is pronounced, it is necessary to call an ambulance to eliminate the conditions that threaten the life of the woman.

Why can there be pain in the ovaries when menstruation is delayed?

If women have a delay and sore ovaries, they can immediately blame everything on the onset of pregnancy. Do not forget that the menstrual cycle depends on a variety of causes hidden inside the body, including irregular changes in the hormonal background, nervous shocks, depression, illness, as well as external or environmental factors. If during one cycle you did not have blood discharge, do not worry. But prolonged amenorrhea should alert you, because it indicates any disease.

If the delay and pulling the ovaries, the girls begin to worry that conception has occurred, but after all, these symptoms may indicate serious health problems. Pregnancy can be attributed to understandable reasons for the cessation of menstruation, as well as the causes of secondary amenorrhea. The remaining reasons may be different and related to the functioning of the ovaries, uterus, hypothalamus and pituitary.

As for the right or left ovaries, they may begin to hurt a few days before menstrual bleeding. The pain is regular, because women can stop paying attention to it. Pain in the ovaries does not stop even during the heightened phase of bleeding. Menstruation is accompanied by scanty discharge, which may be smearing. During the clinical examination, the patient will not identify pathologies that should directly affect pain in the ovaries.

What factors provoke the occurrence of discomfort

Statistics and evidence from medical practitioners state that the ovaries hurt sixty percent of women. Some of them even adapted to determine the moment of the onset of menstruation by pain in the ovary. Of course, such pain can be mistaken for fertilization syndrome, but sometimes it can be indicative of serious illnesses.

The egg matures in the ovary during all stages. After ovulation occurs, the egg travels through the fallopian tubes. Where the follicle has collapsed, a yellow body is formed. Progesterone hormone is intensively produced in this department. Some forces from the outside affect the ovary to negate progesterone synthesis. The endometrium flakes hard, as a result of which an unpleasant sensation appears. As you can see, the corpus luteum cannot fulfill the task assigned to it, and the flow of menstruation is undergoing reforms. This women learn about pain in the ovaries.

Let's get acquainted with the concept of "fertile window"?

The term "fertile window" is directly related to ovulation. During this phase, a particular ovary releases the egg into the fallopian tube, where it waits for the spermatozoon to proceed with the connection process. After the egg is released, she has twenty-four hours to fertilize. If this does not happen, it will fall apart. Take into account that the viability of the egg is twenty-four hours, because a new life can arise in the uterus within four days after the act of intimacy. These same five days after ovulation are called the “fertile window”, as a result of which conception occurs. The probability of pregnancy increases with each day that was not far from the date of ovulation.

Ovulation is carried out two weeks after the start of the cycle. The approximate moment of ovulation may vary in each cycle. The “fertile window” is added for several days after the end of the process. Its duration depends on the regularity and length of each woman's cycle, as well as conditions such as depression or diet. The “window” closes the day after ovulation, which takes up to two weeks for women with a 28-day menstrual cycle. Accordingly, in order to find out when ovulation begins, it is necessary to pay attention to the signs and signals of the “fertile window”.

Previously, women could rely on a variety of different methods and track indicators to predict fertility.

A few words about hormonal disorders

In that case, if the hormonal background of a woman is unstable, the ovaries can hurt. First, you should donate blood for analysis to determine the level of certain hormones. These studies are conducted on a specific day of the cycle. Some hormones must be submitted immediately after the end of menstruation, while others are examined in the second half of the menstrual cycle.

As soon as you know the result of the study, get an appointment with the doctor. The doctor may prescribe the use of certain oral contraceptives, as well as hormonal drugs for six months.

Pain occurs for many reasons. These can be diseases of the genital organs, the urinary system, a pelvic tumor, or intestinal disease. Problems with the musculoskeletal system also affect the appearance of pain.

How is the treatment?

In order to cure the ovaries, a whole range of methods are used:

  • Treatment with hormones to eliminate endocrine disorders.
  • Treatment of infectious diseases.
  • Lifestyle change.
  • Treatment with vitamins and biological supplements.
  • Acupuncture and reflexology.
  • Manual techniques.
  • Gynecological massage.
  • Physiotherapy.

Pain in the ovaries can be caused by cyclical changes that occur during the menstrual cycle. Pain arises due to the fact that the follicle bursts. When this occurs, the selection of blood, and irritates the peritoneum. Because of this, the ovary begins to hurt after ovulation.

If during the menstrual hemorrhage the ovary is tormented by pain, then the level of estrogen decreases. The corpus luteum is not fully developed and cannot produce progesterone. Therefore, pain and rare discharge occur, which last up to two days. During ovulatory syndrome, the ovary may hurt either to the left or to the right. Do not worry, because it indicates the normal functioning of the ovaries.

The delay of menstruation sometimes takes up to thirty days in the event that a woman voluntarily terminates the pregnancy. During this process, that part of the cervix that comes out during menstruation is scraped.

Causes of lower abdominal pain during menstruation

The factors that trigger the onset of acute discomfort during menstruation are of a physiological or pathological nature. Often the presence of severe pain these days is a sign of dangerous diseases.

Causes of discomfort:

  1. Adnexitis. If during menstruation the left ovary hurts, this is due to the presence of an inflammatory process. Inflammation of the ovaries is a dangerous ailment, which is accompanied by symptoms such as fatigue, unreasonable irritability, fever, etc. Inflammatory diseases of the female genital organs should be treated immediately.
  2. Oncology. In order to save a woman from severe pain in the lower abdomen, treatment is directed to the removal of the tumor. It is carried out mainly by chemotherapy. It is also possible to remove a malignant tumor during surgery.
  3. Interrupted tubal pregnancy. This phenomenon is a common cause of the pathological flow of menstruation, accompanied by severe pain in the lower abdomen, which gives the lower back, side or back.
  4. Hormonal adjustment. The delayed production of female sex hormones during menstruation (progesterone and estrogen) often leads to aching discomfort in the ovaries.
  5. Abnormal development of the female reproductive system.
  6. Disrupted uterine appendages.
  7. Prolonged psycho-emotional stress.
  8. Bacterial infection of the genital tract (oophoritis). The trigger of this disease is inflammation of the accessory tissue. Depending on the zone of localization of inflammation, oophoritis is divided into one-sided and two-sided.
  9. Lack of endorphins (hormones of happiness).
  10. Difficult separation of the endometrium.
  11. The presence of cysts in the ovaries. In this case, at the time of the menstrual flow, the woman will experience severe pain.

Mechanism of pain

The appearance during the menstruation period of pains of a pulling and aching nature is not always a pathology. According to gynecologists, the most common factor that provokes the occurrence of unpleasant sensations in the ovaries during menstruation is algomenorrhea. It occurs with an excess of prostaglandins in the female body, specific substances whose action is aimed at increasing the sensitivity of nerve endings to the discomfort of various etymologies.

Do not hurt the ovaries during menstruation in the event that the synthesis of prostaglandins is not disturbed. Despite the fact that these substances contribute to the appearance of pain, their main function is to signal all malfunctions of the internal organs, including the ovaries.

If the prostaglandin synthesis is disturbed, the uterine muscular layer is reduced, so during the menses the lower abdomen hurts. Discomfort is cutting cutting character.

It appears mainly a few hours before the onset of menstrual flow. Therefore, to predict the occurrence of algomenorrhea, it is necessary to focus on the beginning of the cycle.

Algomenorrhea usually does not last more than 1–2 days, but in severe illness it may not leave the woman before the completion of the monthly discharge.

Sometimes this specific feminine ailment is complicated by symptoms such as fever, body aches and nausea.

In some cases, pain remains in the ovaries after menstruation, therefore we recommend reading more detailed information on this topic.

Can the ovary hurt

Pain in the ovaries during menstruation is associated with the features of female physiology. During menstrual discomfort, discomfort in the lower abdomen is explained by algomenorrhea. And if the ovary hurts in the middle of the cycle, it is connected with ovulation.

Pain in the ovary before menstruation also does not always indicate the presence of pathology. However, it is worth reading additional information on this topic.

The appearance in the lower abdomen of unpleasant sensations during ovulation is due to a rupture of the ovary at the time of release of the egg from it. During this process, a large amount of blood from the damaged organ enters the abdominal cavity, which provokes the occurrence of a strong pain effect.

Обычно брюшной дискомфорт, спровоцированный разрывом яичника, длится не более 2 часов. Он носит тянущий характер. У многих женщин период овуляции сопровождается обильными выделениями, имеющими слизистую консистенцию.

In the event of acute pain in the middle of the cycle, which is accompanied by fever, you need to call an ambulance. In this case, there is an urgent need for surgical measures.

What to pass examinations

With regular occurrence of pain in the ovarian area during menstruation, you should immediately consult a doctor. If this symptom occurs due to the progression of the disease, there is a risk of serious complications, which can be prevented by timely diagnosis.

Before the gynecologist will prescribe the necessary treatment to the woman, he must understand what caused her illness. To do this, she must pass tests and be examined. In this case, the main diagnostic method is ultrasound. Using ultrasound, the doctor will be able to determine the exact cause of pain in the ovaries.

Also, a woman must pass a general blood test, which is necessary to determine specific tumor markers, urine and feces.

Other diagnostic measures:

  1. Analysis for FSH.
  2. Analysis for PH.
  3. Vaginal smear to study the microflora.
  4. Coagulogram.
  5. Analysis of scraping of the urethra.
  6. Ultrasound of the pelvic organs.
  7. Testosterone Test

If the ultrasound examination does not reveal pathology, the doctor will not prescribe other diagnostic methods to the woman, since her pain in the ovaries during the menstruation probably has a physiological origin.

When menstruation begins

The period, as a rule, begins in 11 years – 15 years. For any girl puberty comes at a certain age. It depends on heredity. That is, the girl's menstruation will begin at the same age as her grandmother, mother, or aunt. Given the acceleration, menstruation may begin earlier, which does not indicate the presence of any deviations. In the event that menstruation does not occur until the age of 17–18, this is a clear sign of fairly serious impairment of physical development.

The duration of the menstrual cycle

Some women worry about the irregularity of the menstruation cycle. The period from the first day of menstruation, to the beginning of the next, is the menstrual cycle. Only 30% of women become menstruation very quickly. Others need about a year, and maybe even more. But this does not mean that after this year, menstruation will occur at exactly 28-day intervals.

The ideal is the 28-day cycle, it is also called the lunar. But stresses, psychological overloads, various diseases, not very good ecology, do not pass without a trace for human health.

All of the above factors may well be the causes of failure of the menstruation cycle.

What happens during menstruation

At the end of menstruation, the endometrium is awaited by a fertilized egg. In the event that conception did not happen, then the amount of hormones in the blood decreases sharply, which leads to a narrowing of the vessels of the endometrium, and as a result, to a decrease in its blood supply. The result is a gradual separation of the mucous membrane, followed by its rejection from the uterus. The remains of the mucous membrane emerge simultaneously with the blood that accumulates due to the rupture of small blood vessels. At the same time throughout the mucosa, this process does not pass.

Some parts of it begin to decay earlier, and some later. That is why menstruation continues, 3-5 days. Together with the natural removal of the remnants of the upper endometrial layer, the growth of the layer of the new mucosa occurs. That is, menstrual bleeding is a transitional stage from one cycle to another.

The duration of menstruation is influenced by the use of contraceptive drugs - oral contraceptives, as a rule, reduce the duration of menstruation, and the established spiral, on the contrary, increases their number. A healthy woman can lose about 50 g - 150 g of blood in one menstruation. Menstrual fluid consists not only of blood, it contains a special secret secreted by the glands of the uterus, parts of the mucous membrane and vaginal epithelium cells.

Stages of menstruation

In the first few days of menstruation, the level of estrogen becomes very low. This is a real signal for the hypothalamus, which begins to release releasing hormones. Under their action, the pituitary gland secretes luteinizing (LH) and follicle-stimulating (FSH) hormones. These hormones, entering the bloodstream, reach the ovaries, and stimulate the secretion of the hormone estrogen in them. These hormones have a positive direct relationship. That is, the greater the amount of one hormone released, the more they stimulate the release of other hormones.

Under the influence of estrogen (estriol, estrone, estrodiol) follicles grow and develop with eggs. One of the follicles - dominant - matures fully for ovulation. This stage of menstruation is called follicular, because it is here that the follicles mature.

The duration of the first stage in women is significantly different. It is the number of days during which the follicle matures, which determines the duration of the whole cycle of menstruation, since the other stages take about an equal period of time. For example, with a classic menstrual cycle equal to 28 days, it takes about 14 days for the follicle to mature. With a cycle of 25 days, it takes 11 days, and at 32 days, it takes 18 days.

During the follicular stage, the egg begins to grow, and by the end of it in size increases almost 5-6 times. The follicle, in turn, also increases greatly in size, so when it matures it seems to bulge above the surface of the entire ovary, as a result of which the thinning of the wall of the ovary occurs in this place. Then the ripe follicle is torn, and an egg cell leaves the abdominal cavity, that is, ovulation takes place.

The second stage of menstruation - the period of the yellow body. Immediately after ovulation, in the place where the ruptured follicle was located, a corpus luteum begins to form, releasing the hormones estradiol and progesterone. These hormones are stimulated by the uterus to prepare for a possible pregnancy. The duration of this stage is always the same for almost every woman, and is equal to two weeks.

When fertilization occurs, the corpus luteum continues to grow and release hormones until the placenta is formed. If the fertilization of the egg has not occurred, the corpus luteum gradually decreases and simply reborn into scar tissue. Accordingly, it produces less and less hormones, and then their release stops. After this, the “zero” or agormonal phase occurs, and menstruation occurs.

Why during menstruation ovaries hurt

There may be a variety of reasons that cause a woman's abdominal pain before and during menstruation. In particular, young girls often wonder why menstrual ovaries hurt? The reason for this may well be the overcooling of the body, which provokes inflammation, and the ovaries hurt. In fact, what specifically causes pain can only be determined by a gynecologist during the examination or examination, such as an ultrasound scan. Therefore, initially, when the ovaries hurt before menstruation and during a period of time, the woman must apply to the attending physician, who will determine the cause of the ailments on the basis of:

  • what is the nature of the pain before menstruation in the ovary,
  • how often the ovaries hurt,
  • how long the ovaries hurt.

Complaints that before the menstrual period of the ovaries hurt, now among women are very common. This symptom may be a sign of a variety of diseases of the reproductive system. Often, pain in the ovaries of a woman can be perceived as pain in the pubic area, pain in the side, lower abdomen, and also in the lower back. The reasons that the ovaries hurt before menstruation are very diverse. The main of them include:

  • inflammatory diseases
  • hormonal disorders,
  • tumors,
  • abnormalities associated with the development of a woman's genital organs,
  • violation of the position of the appendages and uterus,
  • menstrual cycle pathology.

Any pain in the ovary that occurs before or during menstruation is usually called ovulatory syndrome. It is present in most women, and for health most often it is not dangerous. In order to ascertain the absence of the existing pathology, it is better to go for a visit to a gynecologist.

What to do when inflammation in the ovary

Inflammation of the ovaries develops due to the spread of various infections from the tubes, uterus, or metastasis during inflammatory processes. In a strong stage, it is usually characterized by the fact that the ovaries hurt a lot and high temperature rises. And so are the ovaries themselves. After some time, purulent leucorrhoea and pain in the groin area appear. Acute inflammation can be from colds, and from corny soaked feet during menstruation. Inflammation may also arise from gonorrhea.

Signs are pains of a pulling nature in the groin and lower abdomen, pain in the thighs and the sacrum, sometimes accompanied by a rather high temperature. In case of not taking any measures, untimely and painful periods, and even a purulent damage to the ovaries begin.

It is not so difficult to get rid of acute inflammatory process, it just needs to be properly treated. But chronic inflammation can only heal, because in the first case, say during a cold, it may reappear.

Why does the left ovary hurt and what to do

The ovaries are paired organs, which are the female genital glands. They are the place where egg maturation occurs. The left ovary hurts, usually due to:

  • inflammation of the epididymis in the ovary (oophoritis) - this disease usually leads to the fact that the left ovary hurts, and often the pain gives to the abdomen and articulation of the lumbosacral. The nature of the sensations when the left ovary hurts during menstruation is paroxysmal. It appears due to mental and physical surges, as well as hypothermia. At the same time, strong weakness, fatigue is felt and irritability appears,
  • cysts - it proceeds very often without any symptoms, as long as the formation is small and no negative changes are felt. When the left ovary hurts during menstruation, you need to immediately think about the presence of a cyst, since with its large size and several cysts present at the same time, pain can occur in the ovary.
  • the ovaries are inflamed (adnexitis), and at the same time salpingo-oophoritis often develops, that is, inflammation simultaneously affects both the appendages and the ovary. The causative agents of this disease are usually mycoplasma, candida, ureaplasma, chlamydia,
  • ovulatory pain. Some people have pain in the left ovary during menstruation due to irritation of the peritoneum in the follicle with fluid,
  • increased stimulation of the ovaries, resulting from the treatment of hormones with infertility, can also be manifested by the fact that the left ovary hurts. The reason for this is that the corpus luteum, which is in the left ovary, becomes cyst-like and large, as well as stromal edema, as a result of which the ovaries hurt, increasing significantly in size.

What to do when the left ovary hurts and pulls

Since each of the above diseases requires timely diagnosis and subsequent treatment, then immediately, when the ovaries hurt, it is better to consult a gynecologist for advice. Most likely, it will be necessary to make an ultrasound scan, donate blood for hormones and other indicators.

It hurts in the area of ​​the right ovary during menstruation

The pain that manifests itself in the right ovary can lead to quite serious consequences if the situation is not corrected in time - even infertility. In addition, when an ovary hurts, it is necessary to take into account the lifestyle and age of a woman. The ovary during menstruation or before menstruation can even hurt a girl who has not yet reached puberty. It is often caused by inflammation due to hypothermia.

Causes of pain in the right ovary before menstruation

  1. Oophoritis is an inflammation in the epididymis of the right ovary. The inflammatory process itself can occur for a variety of reasons: the common cold, infection, exercise, reduced immunity, stress.
  2. Andexitis of the right ovary - the causative agent of this disease can be: ureaplasmosis, chlamydia, mycoplasmosis, candidiasis. In this situation, the pain can cover not only the lower right abdomen, but even reach the waist. You do not need to joke with these symptoms, because it may well lead to infertility. Exceptional tests and well-conducted treatment can cope with this problem.
  3. Polycystic - with computer diagnostics the ovary looks like a ball filled with small balls (8 mm-10 mm) - cysts. There may be more than 10 of them. This disease is not very common, but at the same time certain difficulties can also be - for example, infertility.
  4. A tumor - with its small size, the disease can develop asymptomatically. In the case of its already large size, pain in the right ovary during menstruation is stable, with pinching of the internal organs and nerve endings.

What to do if before the menstruation and during, the right ovary pulls and hurts? The diagnosis is made by the gynecologist after the examination: tests, examination, ultrasound. But cases of neurological and urological diagnosis are also not excluded.

How to treat if the right ovary hurts and pulls

It is quite possible to get rid of pain in the right ovary by taking painkillers, but it will get rid of it forever in this way if the cause is a disease of any kind. Eliminate can be only on time. Guaranteed to get rid of pain forever will allow only treatment.

To prevent pain, in the right ovary during and before menstruation, you can simply take care of yourself and take the following precautions:

  • warm clothing in winter,
  • do not swim in cold water
  • condom use with frequent change of sexual partner
  • control over various personal care products - a clean towel and other personal items,
  • eliminate the lifting of very heavy things.

Cause of pain

First of all, it should be noted that if pains appear before each menstruation, then, most likely, ovulation proceeds so easily. Therefore, a slight delay and pain may be due to physiological phenomena. However, if there was no problem before, and now the ovaries are sick and the menstruation is delayed, you should see a doctor for examination.

Similar manifestations may occur due to:

  • The body produces an excessive amount of prostaglandins, which can cause a plethora of pelvic organs,
  • Education ovarian cysts,
  • Inflammatory processes in the uterus,
  • Pregnancy onset,
  • Endometrial pathology,
  • Ovarian dysfunction,
  • Nervous system disorders,
  • Late onset of ovulation.

At home, it is impossible to establish the exact cause of a condition in which there is no menstruation and the ovaries hurt, because the symptoms of the problems described above are often identical, and additional examination methods are needed.

Excess Prostaglandin Production

It should be noted that prostaglandins perform a large number of functions in our body. One of them is the induction of the onset of menstruation, when a spasm in the vessels of the pelvic organs is provoked. They are also called pain mediators. The more they are in the bloodstream, the more pain occurs at the beginning of menstruation.

If the production of these substances is increased, or the woman has a low pain threshold, then the ovaries and lower abdomen can get sick during critical days every month. Doctors attribute the increase in the concentration of prostaglandins to the presence of various toxins in the body. This means that, ideally, to deal with painful sensations, it is the search for the root cause, and not the intake of various pain relievers.

Ovarian cyst

Very often, if there is no menstruation in time, pain appeared on the left, an ovarian cyst can be suspected. This formation does not always manifest itself immediately, since painful sensations appear when the cyst reaches a large size or several cysts develop at once. Most often it affects the left ovary.

The pain appears during the delay before the start of menstruation due to the fact that it is at this moment that the cyst enlarges and presses on the organ, which reacts with painful sensations.

Inflammatory processes in the uterus

The phenomena of inflammation that accompany such pathologies as salpingitis, oophoritis, or adnexitis usually show their activity before critical days. Usually, the ovaries hurt on both sides, but the pain occurs periodically. In some cases, it bothers for a long time. A characteristic symptom is pain in the lower abdomen with irradiation to the sacrum. Quite often, these diseases may be accompanied by such symptoms:

  • Sleep disturbances
  • Weakness, lethargy, weakness,
  • Irritability and excessive nervousness.

Провоцирующим фактором для воспалений придатков матки обычно служат инфекционные процессы, снижение иммунитета на фоне переохлаждения, сбои в работе иммунитета.

Позднее наступление овуляции

Delay of menstruation with associated pain in one ovary can be caused by late onset of ovulation. After the egg leaves the ovary, the follicle ruptures and forms a yellow body. It is responsible for the production of progesterone, which also acts as a regulator of the activity of the menstrual cycle.

If in the female body developed disorders, due to which ovulation was delayed, then the yellow body will be formed later, and the synthesis of the hormone is also delayed. Ultimately, this will lead to a delay in menstruation and the development of pain.

Determination of ovulation can be carried out using these methods:

  • A special test for ovulation, however, its results are often unreliable,
  • Ultrasound of the pelvic organs, gives the answer with high accuracy,
  • Blood test for hormones.

It should also be noted that violations in the work of the corpus luteum can be triggered by the presence of hormonal disturbances, excessive stress or infectious processes.


Pain in one of the ovaries can occur as the sperm fertilizes the egg. They indicate the production of progesterone, which suggests that the pregnancy is normal.

Sometimes a similar symptom may indicate the beginning of the softening of the muscles of the pelvis and the growth of the uterus. For pregnancy, such processes are physiological and they do not require any treatment.

In some cases, a cyst can form at the follicle site, and at conception it begins to grow. Due to the increase in size can occur pain, which is due to stretching of the ovary. It should be noted that this process is not dangerous for pregnancy and fetal health. However, it is better to visit the doctor anyway, since there is a danger of developing an ectopic pregnancy in the ovary itself.

Ovarian dysfunction

The concept of ovarian dysfunction includes all sorts of hormonal pathologies that can be caused by a disorder in the functioning of these organs. They are recognized due to the long delay of menstruation and the presence of uterine bleeding after menstruation, which can last more than seven days. Also, pathology can be diagnosed due to the irregularity of the onset of menstruation with a decrease in the time interval between them when it is less than three weeks. They are called dysfunctional uterine bleeding.

Severe premenstrual syndrome may indicate the presence of such a pathology, amenorrhea - the absence of menstruation for a long time in the absence of pregnancy and female infertility.

Ovary apoplexy

Ovarian apoplexy is a condition in which an ovarian rupture occurs, followed by hemorrhage into the abdominal cavity. The situation is accompanied by pain in the lower abdomen radiating to the lower back and the perianal region. Typically, the clinical picture includes:

  • Severe general weakness until fainting,
  • Dyspeptic phenomena
  • Hypotension and tachycardia,
  • Hyperthermia,
  • Pallor of skin
  • Dizziness.

Apoplexy occurs due to various traumatic injuries of the abdomen, as well as abnormalities in the vessels of the ovary, inflammatory processes, excessive physical exertion, including overstrain during sexual intercourse.

Ignore this situation can not be, because it can be fatal. The diagnostic complexity of apoplexy lies in the difficulty of differential diagnosis with appendicitis or ectopic pregnancy. This means that when the above symptoms occur, urgent medical attention should be called. Treatment of this condition is carried out solely by surgery.

Causes of a psychogenic nature

Nervous tension can occur in diseases such as depression, hypochondria, emotional burnout, hysteria, and others. It can easily affect the metabolic processes in the body, as well as cause any pathological process, which can be attributed to the development of pain in the lower abdomen with the delay of menstruation.

This diagnosis is made in the case when a comprehensive examination was carried out, in which no possible cause of pain or delayed menstruation was identified.

However, such problems should not be considered safe for the female body, as they can provoke other pathological situations. In order to eliminate psychosomatic pathologies that lead to changes in a person’s physical status, one should pay attention to one’s lifestyle. First of all, it is necessary to eliminate the factors causing negative. Sometimes counseling and treatment is necessary for psychologists and neuropathologists who may prescribe special courses of treatment for psychological and psychosomatic problems.


Regular pain in the lower abdomen with delayed menstruation is often physiological, especially when it comes to delaying ovulation. However, if the menstruation does not start yet, and continues to disturb the lower abdomen, you should consult a specialist. Pulling off "for later" will not only add to the work of doctors, but also have a negative impact on your health. If, in addition to pain and delayed menstruation, symptoms such as severe weakness, pain increased significantly, the skin turned pale, you should immediately call an ambulance, take a horizontal position and do not refuse the proposed hospitalization.

Why does the ovaries hurt when the monthly delay?

If every time before the menstruation a woman begins to suffer from an ovary, it is possible that this is how she ovulates. Therefore, if monthly periods were delayed for 1-2 days and were accompanied by all the usual sensations, this may be due to the natural processes of restructuring that occur in the body of each woman.

But if, during the critical days, the ovaries did not bother, and in the current cycle and menstruation is delayed, and there are painful sensations in the lower abdomen, it is better to consult a doctor.

Physicians associate such symptoms with such causes:

  • the body produces too many prostaglandins, which cause a strong filling of the pelvic blood vessels,
  • a cyst has formed in the ovary,
  • inflammatory processes have begun to occur in the uterus,
  • pregnancy,
  • endometrial diseases (uterine mucosa),
  • nervous system failures
  • ovarian dysfunction,
  • late ovulation
  • ovary apoplexy.

It is impossible to determine which of these pathologies (or pregnancy) has led to alarming symptoms on its own, because they can be almost identical in different cases.

Production of a large number of prostaglandins

Prostaglandins are substances that have many functions. Including they provoke the onset of menstruation, causing a spasm of the vessels of the small pelvis. They are also called “pain mediators”. The higher the concentration of prostaglandins, the more unpleasant the woman feels when the menstrual cycle begins.

If the body produces a large amount of these hormone-like substances, or the girl is hypersensitive, most likely, she will regularly experience pain in the ovaries and lower abdomen during menstruation.

Doctors attribute the increased amount of prostaglandins to the pollution of the body with toxins. Based on this, it is better not just to reduce discomfort with the help of painkillers, but to try to eliminate the root cause.

The presence of ovarian cysts

Most often, if there is a delay in menstruation, and the left ovary hurts, this may indicate the presence of a cyst in it.

Such a formation is peculiar to a long time in the body and does not manifest itself. As long as the cyst is small, it will not hurt, and there will be no discomfort. But as soon as it is formed and becomes large, or several similar formations appear at the same time in the ovary, pain in the ovary (most often in the left) will tell about their presence.

There are discomfort during the period of delay before menstruation due to the fact that at this time cysts tend to increase and exert pressure on the ovary, causing discomfort.

Inflammations of the uterus

Inflammatory processes associated with diseases such as adnexitis, salpingitis, oophoritis, are also activated while waiting for the onset of menstruation.

These pathologies are associated with inflammation of the ovarian appendages. At the same time the right ovary and the left one hurt. In most cases, painful sensations occur periodically, but sometimes they can be disturbed all the time. When inflammation of the appendages usually hurts lower abdomen, but gives and in the lumbosacral part of the spine.

Related symptoms in this pathology:

  • insomnia,
  • weakness,
  • irritability,
  • nerve strain.

Inflammatory processes in the appendages are provoked by infections, hypothermia, and impairments in the immune system.

Late ovulation

The reason why menstruation did not come on time, and at the same time hurts the ovary, could be delayed ovulation.

After the egg leaves the place where it was formed, the follicle breaks and the formation of the corpus luteum begins. It is responsible for the production of progesterone, necessary for the timely start of critical days.

If there are irregularities in the body, the corpus luteum will not be able to synthesize the hormone in time, as a result of which the ovulation process is disrupted, painful sensations occur in the ovaries and a cycle failure.

To determine the presence of late ovulation can be such ways:

  • using the test (low reliability of the results),
  • on ultrasound (reliable result),
  • with hormone tests.

Disruption of the corpus luteum can cause stress, hormonal imbalance, and infectious diseases.

Ovarian dysfunction

Under the diagnosis of ovarian dysfunction, various disorders of the hormonal functions of these organs are combined. Recognize the presence of dysfunction is usually due to delays lasting longer than 5 days, after which there are bleeding lasting more than a week. In addition, irregular frequent menstrual periods speak about this pathology, the interval between which is less than 21 days. This bleeding has been given the name of dysfunctional uterine bleeding (DMC).

The presence of dysfunction is also indicated by severely tolerated PMS, infertility, amenorrhea - a condition where there is no menstruation for more than one month, but there is no pregnancy.

Psychogenic causes

Psychological overload, depression, hypochondria, hysteria - all these diseases are associated with nervous tension and can easily cause almost all pathological processes in the body. Delayed menstruation and pain in the ovaries are no exception.

Such a diagnosis is usually given to a woman if all the necessary examinations have been carried out and the physiological causes of pain are excluded.

But to consider psychological causes less dangerous than physiological ones is not worth it. In the future, they can lead to the development of most of the above diseases. To get rid of psychosomatic problems that led to a violation of physical health, a woman sometimes has to completely rethink her lifestyle, try to eliminate negative factors. You may have to consult a psychologist and a neurologist who will prescribe an appropriate course of treatment.


Regular pain in the lower abdomen during the delay of menstruation can be part of the natural process of ovulation. But if menstruation does not begin, and at the same time, painful sensations have arisen in the ovaries, it is better not to delay the visit to the doctor. Delay in this case will only complicate the work of physicians and bring additional problems. If these symptoms are accompanied by others (loss of consciousness, bleeding), you need to call an ambulance.

When not to worry

If the menstrual cycle is regular, then a delay of 1 or 2 days is normal.

Perhaps it is during this period that the body is restructured or the woman is undergoing acclimatization after the trip.

Late ovulation is not excluded.

One-time cases of this condition are allowed.

If your period does not occur on a regular basis, then you should not delay with going to the doctor.

A large number of prostaglandins

Prostaglandins are substances with various functions. They are provocateurs for menstruation, because they cause a certain spasm in the vessels of the pelvis. Doctors often call these elements "pain mediators." The higher their concentration, the woman is more discomfort.

Reference! Substances belong to the category of hormone-like. In this regard, the pain during menstruation will be localized in the lower abdomen and in the ovaries.

The production of a large number of elements is due to the fact that the patient's body is contaminated with toxins. In this regard, you do not need to constantly take drugs, and you should contact a specialist to eliminate the root causes.

Inflammation of the appendages

While waiting for the next menstruation, inflammatory processes can be activated.

They often indicate such ailments:

The above pathology has a direct relationship with the inflammation of the appendages. At the same time, discomfort is observed in both the left and right ovary. Sometimes the discomfort is fixed periodically, but there are also cases when they are present on an ongoing basis.

Important! The main symptom here is the return of pain to the lumbosacral part of the spine.

Related factors for this disease include:

  1. irritability,
  2. weakness,
  3. lack of proper sleep,
  4. constant nerve strain.

Pathology affects the work of the immune system, there are observed supercooling.

Cyst and other neoplasms

The pain in the left ovary and the delay of the planned blood discharge is due to the fact that a cyst or other neoplasm was formed there. It can be in the body for a long time and does not manifest itself. Until the cyst has reached a large size, and the woman has not undergone a special ultrasound, it is almost impossible to diagnose the pathology. However, later the girl will feel discomfort.

The cyst tends to grow, which results in pressure on the ovary. That is why discomfort appears.

Psychological reasons

There are situations where the delay in menstruation is accompanied by such factors:

  1. hysteria,
  2. excessive psychological stress
  3. prolonged depression.

These reasons cannot be considered less dangerous than physiological ones. These problems lead to the development of serious diseases.

To return to normal life, you need to revise the existing rhythm and try to get rid of negative factors. It is possible that the consultation of a psychologist will be required.

Hormonal disbalance

An imbalance of hormones also affects the menstrual cycle.

If progesterone is not produced in sufficient quantities, then the discharge may be delayed.

Hormones also affect ovulation.

Untimely release of the egg provokes a delay.

Sometimes, even immature eggs can form in the follicles. As a result, ovulation in the middle of the cycle does not occur. Because of this, the corpus luteum is not formed, responsible for the production of progesterone.

What to do?

If a woman notices certain symptoms in herself, then she should not engage in treatment. It is necessary to seek help from a doctor.

The course of action is as follows:

  1. doctor collects anamnesis
  2. then the doctor examines the patient on the gynecological chair, palpating the abdomen and ovaries,
  3. The next step in the diagnosis is testing. In particular, urine is studied, blood from a vein taken on an empty stomach.

Informative method in the diagnosis is ultrasound. The procedure allows to determine the condition of the ovaries, whether follicles are formed, and whether fluid is present in the backspace.

With the test results, the patient should return to the gynecologist's office again. Based on the information received, he makes the final diagnosis and is determined with the treatment regimen.

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