Hygiene

Monthly monthly delay

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Normally, the menstrual cycle lasts from 21 to 35 days. Each woman has its individual duration, but for most of them the intervals between menstruations 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 time to notice the irregularity of the cycle.

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

Why is there a delay?

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

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

Functional abnormalities that can trigger the failure of the menstrual cycle are stress, intense physical exertion, rapid weight loss, an infection or other acute illness, or climate change.

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

Of somatic diseases, accompanied by a possible violation of the menstrual cycle, it is worth noting obesity.

When menstruation delay is normal

Puberty and Ovulatory Cycle

The gradual puberty of girls leads to their first menstruation - menarche, usually between the ages of 12 and 13. However, in adolescence, the reproductive system was not yet fully formed. Therefore, failures in the menstrual cycle are possible. The delay in menstruation in adolescents occurs during the first 2 years after menarche, after this period it may be a sign of illness. If the monthly did not appear before the age of 15, this is a reason to visit the gynecologist. If the irregular cycle is accompanied by obesity, excessive hair growth on the body, a change in voice, as well as abundant menstruation, it is necessary to seek medical help earlier in order to start correcting the violations in time.

Normally, the cycle by 15 years is already regular. 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 action of estrogens produced by the ovaries, an egg cell begins to mature in one of them. Then the bubble (follicle), in which it developed, bursts, and the egg cell is in the abdominal cavity - ovulation occurs. When ovulation appears short mucous white discharge from the genital tract, may be a little sore on the left or right lower abdomen.

The ovum is captured by the fallopian tubes and passes through them into 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 is preparing to receive the embryo when pregnancy occurs. If conception did not occur, progesterone production decreases, and the endometrium is rejected - menstruation begins.

During fertilization and development of the embryo, the corpus luteum in the ovary continues to actively produce progesterone, under the influence of which implantation of the egg cell occurs, the formation of the placenta and the development of pregnancy. Endometrium is not subject to degradation, therefore it is not rejected. In addition, progesterone inhibits the maturation of new eggs, so there is no ovulation and, accordingly, the cyclical processes in the woman's body cease.

If there is a delay

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

If the second phase of the cycle is determined by ultrasound, then the menstruation will soon come, if there are no signs of the second phase - you need to think about ovarian dysfunction (we will talk about it later), during pregnancy, the fertilized egg is determined in the uterus, and in ectopic pregnancy fallopian tube (tubal pregnancy). In doubtful cases, after 2 days, you can repeat the analysis for hCG. Increasing its concentration two or more times indicates the course of uterine pregnancy.

Menstruation after childbirth

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

Typically, menstruation is restored within 8-12 months after birth, against the backdrop of breastfeeding the baby and the gradual introduction of complementary foods. The delay of menstruation during breastfeeding with a restored cycle in the first 2-3 months is usually the norm, and may further indicate a new pregnancy.

Reproductive function extinction

Finally, over time, reproductive function gradually begins to fade in women. At the age of 45-50 years of age, menstruation delay, irregularity of the cycle, change in the duration of discharge are possible. However, at this time, it is likely that ovulation will occur in some cycles; therefore, if a patient has a delay of more than 3–5 days, a woman needs to think about pregnancy. To exclude this possibility, you should consult a gynecologist in time and select contraception.

Intermittent cycle violations

Delay of menstruation with a negative test is often associated with the effect on the body of adverse factors. The most common causes of short-term failure of the cycle duration:

  • emotional stress, such as a session or family trouble,
  • intense physical activity, including sports competitions,
  • rapid weight loss with diet,
  • climate change and time zone when traveling on vacation or on a business trip.

Under the influence of any of these factors, an imbalance of excitation, inhibition and mutual influence of nerve cells develops in the brain. As a result, a temporary malfunction of the cells of the hypothalamus and pituitary gland, the main regulatory centers in the body, may occur. Under the influence of substances secreted by the hypothalamus, the pituitary gland cyclically secretes follicle-stimulating and luteinizing hormones, under the action of which the synthesis of estrogen and progesterone occurs 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, can there be a delay in menstruation after taking antibiotics? As a rule, antibacterial drugs themselves do not affect the duration of a cycle and cannot cause a delay in menstruation. However, it can lead to the infectious disease, about which the patient was prescribed antimicrobial drugs. Infection has a toxic (poisonous) effect on the nervous system, and is also a stress factor contributing to the violation 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 violations of the cycle may occur when using certain drugs:

  • oral contraceptives, especially low-dose,
  • progestogens of prolonged action, used in some cases for the treatment of endometriosis and other diseases,
  • prednisone and other glucocorticoids,
  • releasing hormone agonists,
  • chemotherapeutic agents and some others.

How to cause menstruation during a delay?

This possibility exists, but you need to clearly answer the question - why does a woman need menstruation as a fact. Most often, the fair sex answer this question - to restore a normal cycle. In this case, you need to understand that thoughtless self-medication with hormonal drugs can, of course, cause menstruation, but even more likely to lead to dysfunction of the reproductive system, impaired ability to conceive.

Thus, a woman will get a much larger set of problems than just a monthly delay. In addition, she may be pregnant. Therefore, when menstruation is delayed for 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, fasting, overload) and follow the recommendations of your doctor.

Diseases causing delayed menses

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

The defeat of the hypothalamus or pituitary gland can occur when a tumor of the neighboring brain regions or these structures themselves, hemorrhage in this section (in particular, as a result of childbirth). Frequent causes other than pregnancy, for which the regularity of the cycle is disturbed, are ovarian diseases:

In these conditions, a woman often does not hurt anything, and she does not go to a doctor for a long time, not paying attention to the irregularity of the cycle. This leads to serious consequences for her health.

Delay of menstruation can occur in some other gynecological diseases, in particular, against the background of endometriosis, chronic endometritis, uterine abnormalities. In these conditions, the lower abdomen is often pulled out, and there are spotting secretions before and after menstruation. In addition, a violation of the cycle often accompanies diagnostic curettage, hysteroscopy, medical and other types of abortion, the use of emergency hormonal contraception. If the irregularity persists for the next cycle after the intrauterine manipulation, you need to contact a gynecologist.

Finally, the delay of menstruation occurs in certain extragenital diseases:

  • epilepsy,
  • neurosis and other mental disorders
  • diseases of the biliary tract and liver,
  • blood diseases
  • breast tumor,
  • adrenal and other diseases accompanied by hormonal imbalances.

The variety of reasons for which delayed menstruation may appear 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.

Causes of hormonal failure

Why is menstruation delayed? The answer is simple - as a result of hormonal failure. There is such a failure, mainly as a result of the peculiarities of the work of hormonal glands and menopause. But there are other reasons for that, failure happens if the body does not produce the necessary amount of hormones necessary for the body to work properly. This hormonal failure often occurs in women over 40 years old, but today is younger. Why do girls have a monthly delay? This is due to the fact that many young people are busy with their work and do not pay enough attention to the body. Even when the signs of the disease are obvious, they are extremely frivolous about them, not thinking about the possible consequences, until the criticality of the situation reaches a peak. Women simply do not realize that the longer the failure, the more difficult it is to normalize.

Symptoms of hormonal failure

Delayed menstruation in women due to hormones is not uncommon. To eliminate the failure, first of all, you need to know the reason. In general, a failure in the hormonal system can manifest itself in women as follows:

  • frequent mood swings and irritability,
  • irregular menstruation,
  • vaginal dryness
  • weight gain
  • headaches.

Those who have suffered a hormonal failure may have signs such as chronic fatigue, insomnia, decreased sexual desire, the appearance of wrinkles, hair loss or facial hair growth. To determine the failure it is necessary to pass special tests for hormones, as well as complete blood count. If, according to such tests, hormonal failure was confirmed, his treatment should be prescribed for its cause. Typically, this treatment consists of hormone therapy, aimed at adjusting the level of hormones. These drugs usually contain artificial or natural hormones. Also, nutritional supplements, adherence to a healthy lifestyle and a certain diet can be prescribed for treatment, which leads to the normalization of the hormonal background of the woman and timely menstruation.

What is considered a delay

A normal menstrual cycle lasts 21-35 days, often with errors in different directions up to a week, with a bleeding duration of 3-7 days. The delay of menstruation for 5 days is not considered critical: you need to do a test to exclude pregnancy and more closely monitor the nature of the bleeding.

The cycle duration is calculated from the first number of menstruation to the day the regular regulatives start. It is convenient to mark the beginning of the cycle in a special application every month - by analyzing the information, you can notice the violation in time and set off the alarm.

Permanent delays of menstruation are caused by both a small failure, and a violation of the state of the hormonal background or other pathologies.

Reasons for Constant Delays

Fluctuations cycles - a common phenomenon that happens many times in the life of every woman.

Why there are constant delays of menstruation:

  • Natural causes - puberty, pregnancy, breastfeeding, pre-climax, a cycle without ovulation.
  • Pathological causes - gynecological problems, hormone levels, abortion, miscarriage, taking certain medications, canceling hormones, sudden weight fluctuations, low or too high body mass index, excessive physical exertion, stressful situations, climate change, the effect of toxic substances or toxins, chronic diseases and SARS.

Physiological causes

The constant delay of menstruation is standard for reasons related to age-related and functional changes in the reproductive system.

  • Puberty. After the onset of menarche in adolescents, the cycle is set to two years, so it may be irregular — either shrink or linger. This is normal, do not worry.
  • Pregnancy. Before the invention of ultrasound and analysis of hCG, the delay in menstruation was considered a relatively reliable sign of pregnancy. Nowadays, if there is such a probability, the home test will clarify this issue on the first day of the delay with an accuracy of 80-90%.
  • Monthly after childbirth and lactation. When breastfeeding, menstruation does not occur 7-18 months. Prolactin, which stimulates milk production, inhibits ovulation.
  • Premenopause and menopause. The function of the reproductive system gradually weakens. WHO declares the end of the fertile age at 49 years. After 40, the nature and duration of the cycle changes.
  • Anovulatory cycle. Researchers do not know why almost every woman has cycles without ovulation in some months. During these periods there is a delay.

Pathological causes

Most often monthly constantly delayed for the following reasons:

  1. Due to stress, the delay of menstruation is the most common. Nervous shocks, chronic sleep deprivation, constant point negative effects, confusions in the family and at work, exams, financial difficulties and uncertainty about the future - the whole body perceives as a signal to postpone conception: the work of the hypothalamus-pituitary system is upset, which leads to a decrease in production luteinizing and follicle-stimulating hormones.
  2. Rapid loss or weight gain. Adipose tissue takes part in the metabolism of sex hormones and acts as a depot. With sharp fluctuations in weight, hormone production does not keep pace with the buildup or loss of adipose tissue. При увлечении диетами неизбежно возникает дефицит одного или нескольких необходимых элементов, что приводит к нарушениям цикла. Очень тяжелая ситуация – анорексия. В этом случае менструации полностью прекращаются в связи с угрозой жизни.
  3. Excessive physical exertion. For professional athletes and women doing hard work, menstruation delay is a typical problem.
  4. Climate change and time zone. Holidays in a hot country in January or frequent business trips contribute to irregularities in the menstrual cycle. Like a long stay in the sun.
  5. Abortion, miscarriage, hysteroscopy. During surgery, the endometrium layer is removed, it takes time to recover.

Less common and are more serious reasons for the change in time of menstruation:

  1. Medication. With long-term use of antidepressants, corticosteroids, diuretic, psychotropic and some other drugs, side effects are frequent, delayed menstruation is one of them.
  2. Canceling or taking hormonal drugs. If a woman has taken oral contraceptives for several years, her sex hormones have not been developed. After the abolition of hormonal drugs takes 2-3 months to return to your rhythm. When taking emergency contraceptive drugs (Postinor, etc.), even one-time, there is a real blow to the delicate system to produce its own hormones, so there may be a delay.
  3. Ectopic pregnancy. Dangerous condition requiring immediate hospitalization.
  4. Chronic diseases. Chronic gastritis, diabetes, diseases of the urinary system, breast cancer affect all organs and systems of the body.
  5. SARS. With the seeming unseriousness of this disease, its consequences are grave.
  6. The presence of gynecological diagnoses, such as: salpingo-oophoritis, cervicitis, endometrial hyperplasia or hypoplasia, uterine polyp, endometriosis, endometritis, follicle maturation disorder, neoplasm (myoma of the uterus, cysts, cervical cancer), ovarian disease (polycystic, yellow body cyst, yellow body cyst, cervical cyst, fibroids, cysts, cervical cancer) ovaries or their premature depletion) causes disturbances in the normal cycle.
  7. Hormonal disorders: hyperprolactinemia, hypothyroidism, pituitary adenoma or adrenal glands, ovarian dysfunction - always affect the duration of the cycle.

Other reasons

Poisoning or disturbed circadian rhythms are other causes of delay. With constant exposure to harmful factors, malfunctions in the body's work occur - as a result, monthly delays can occur every month.

Intoxication may have an asocial form - alcohol, nicotine, drugs, or forced - contact with poisons and chemicals. Night work knocks natural temporal rhythms, the cycle is broken.

What are dangerous delays every month

By itself, the delay in menstruation is not dangerous. Its cause should be alarming, therefore monthly delays in the cycle are a reason to visit a gynecologist. If the patient complains of pain, emergency hospitalization is possible.

Frequent delays of menstruation indicate problems in the body, which are better time to identify, establish the severity of the problem and cure. Sometimes the cause of regular delays are life-threatening conditions: tumors in the reproductive organs, brain and endocrine glands, polycystic ovary, ectopic pregnancy.

Pathology, manifested by the delay of menstruation, provokes infertility, early menopause, breast tumors, problems with the cardiovascular system, diabetes mellitus.

A timely visit to the doctor with constant menstruation delays can help to detect cancer at an early stage.

Ignoring problems and self-treatment worsens the condition. Only a doctor can make a survey plan and choose the right treatment tactics.

Opinion of doctors

In 90% of cases with failures in the menstrual cycle and delays, a simple observation over several days is enough.

An urgent consultation with a doctor is required if at least one of the following symptoms is present with the delay:

  • acute pain in the abdomen,
  • brown vaginal discharge with an uncharacteristic odor,
  • delay of more than 15 days
  • pain during sexual intercourse, urination or bowel movements,
  • temperature above 37 °, sweating, weakness,
  • nausea, vomiting, diarrhea, dizziness, dark "flies" before the eyes.

The menstrual cycle is a delicate and sensitive mechanism that immediately reports changes in the work of organs and systems. Regular visits to the gynecologist, taking care of yourself, timely access to a doctor in case of complaints will allow you to keep your health and life, calm and relieve from unnecessary anxiety.

If a daughter grows in a family, it is necessary to include in sexual education information about the importance of attentive attitude to reproductive health and situations related to the delay of menstruation.

Yakimenko Elena

Psychologist, child psychologist, gestalt therapist. Specialist from the website b17.ru

Do you take birth control pills?

I occasionally it happens, I'm not worried. And the doctor told me that everything is fine if the cycle is large. Now, if you had monthly periods on February 27, and then came on March 7, then this is bad.

and what really helps aspirin? I also have a delay

Ascorbic acid is written in the subject line, not aspirin

Ascorbic acid is written in the subject line, not aspirin

5, you cho? You can not drink. She has awesome side effects from overdose.

Related topics

vitamin C tend to spoil the liver. but in general the author read about zinc, in Yandex type and read, there are such explanations as for the regularity of the cycle it should be taken, though it is necessary to connect vitamin A in parallel. Yesterday I just found out about it.

5, you cho? You can not drink. She has awesome side effects from overdose.

Vitamin A and E are even worse than side-lines))

Ascorbic I was prescribed by a gynecologist. neither an allergy, nor a diathesis - nothing got out. )) And contraceptives do not accept!

I was so in March too. The doctor said that after winter it happens - the body lacks vitamins, it "turns off" some functions. She prescribed vitamins - 10 days of folic acid, then a week off and 7 days off. I drink the second month, the cycle returned to normal.
How old are you? The doctor told me that the older, the faster the vitamins are washed out of the body and you need to support yourself.

And what, the doctor did not even send blood for hormones to donate?
In fact, the failure of the menstrual cycle is treated purposefully and not at random.

I was afraid that I was pregnant, I was 22 years old, and I broke up with a boyfriend and wouldn’t want relations to resume because of pregnancy, but I also don’t want an abortion, I never did and I don’t want to, against.

and the doctor said that she didn’t see the pregnancy and prescribed ascorbic to me, and said that if I drink and don’t go to Verochka to go to the ultrasound, all of a sudden the pregnancy

In short, my friends already poured me so much. I am waiting for Monday to go to the doctor.

Online definition of pregnancy
http://fresh-lady.ru/?rid=14631&skin=9mesyac
You can find out your position

I have a delay every month. a cycle of 35 days in general. a delay of a maximum of 5 days, that is, 40 days .. when this was the first time it freaked out, went to the doctor. saw folic acid, ascorbic acid. monthly periods are gone, but delays are all the time

I have a delay of almost every month for 4-5 days, my chest starts to hurt every month on the same day, but there are no red days, and I don’t take it ..
What could it be??

For the past few months, I have been constantly delaying 10 days in the past month for 8 days and no more. Tell me, what could it be?


The last menstruation in the normal form, which is usual for me, was on February 27th. March 27, the monthly did not go, although from month to month it was like a clock, the 27th day of each month is strictly in the morning. but in March this did not happen, which naturally frightened me. Numerous pregnancy tests showed nothing. And the monthly did not go, and only 10 days later, I, having gathered courage, went with shaking knees to the gynecologist. The doctor did not see anything and said that perhaps this is a hormonal failure and you need to crush the package of ascorbic acid, dilute with water and drink during the day - this will allegedly cause menstruation. I did so. The next day, the monthly went. But now, on May 14 and after this “challenge”, there is no natural menstruation. what could it be. tell me

Tell me, what could it be?
That month there was a delay of 10 days, then it came, everything is fine. This is again a delay, 10 days have already gone. chest swelled, slightly sore, sensitive, pimples got out, hCG denied what is it?
I have a knot in the thyroid gland, but it is benign and does not affect the hormonal background. Help!

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Delay of menstruation: causes other than pregnancy

So, did you have a delayed menstruation, but was the test negative? Hence, pregnancy is excluded. What could be a factor for the development of this state? As already described above: pathological and natural causes.

Among the physiological, or natural, causes of delay are:

  1. Puberty. The reasons for the delay in menstruation in adolescents, as such, are not. Just in puberty, the delay is an absolutely normal condition and does not require a visit to the doctor. It is observed about 2 years after the first menstruation.
  2. Pre-climax. This condition occurs after 45 years and is evidence of the approaching menopause.

Among the pathological causes of delayed menstruation include the following:

  1. Diseases from the field of gynecology, as well as the pathology of the endocrine system. For example, PCOS, adnexitis, myoma, endometritis, cervical cancer, impaired thyroid function, diabetes mellitus, renal dysfunction, poorly established IUD, sunburn, defects in the ovary, etc.
  2. Abortions. Artificial termination of pregnancy is a factor due to which hormonal failure occurs. If a large amount of uterine tissue was removed during curettage, it needs to recover. Therefore, in this case there may be a delay of about three weeks.
  3. Cancel hormonal drugs. After it, hyperostimulation of the ovaries is usually observed, as a result of which there is no menstruation for 2-4 months.
  4. Reception of medicines. In particular, antidepressants, diuretic and cytotoxic drugs, antibiotics.
  5. Obesity, or, conversely, excessive thinness. Both that, and other condition can lead to a long delay.
  6. Significant physical activity. They deplete the body of the girl, so he begins to produce hormones that delay menstruation.
  7. Stressful situations, acclimatization, changing the situation. Any stressful situation can negatively affect the body. It disrupts the production of hormones that are responsible for reproductive function, and because of this, menstruation stops.
  8. Chronic alcoholism or drug addiction, diseases that destroy the immune system and lead to hormonal imbalance.

Delayed monthly causes after delivery

After the birth of a child, menstruation delay is quite reasonable. Usually immediately after birth, the mother begins to breastfeed the baby, and during this period, the production of prolactin, a hormone, due to which ovulation stops. After the end of the feeding period, the periods of 1-2 months are completely restored.

Constant delays of monthly causes

Why can a girl have a constant delay of menstruation? Usually it occurs due to hormonal drugs that increase the duration of the cycle. The drugs block ovulation and prevent fertilization from happening. After taking the last pill, literally the next day, menstruation should begin. If it does not start within two days, the drug needs to be changed.

Also, a regular delay may occur due to polycystic ovary syndrome, which interferes with the normal production of hormones.

That is, the question of why a girl has a month delay every month can be answered unequivocally: due to pathological processes in the body. Should consult a doctor.

Reasons for delaying the monthly for a week

A slight delay in menstruation, about 5-7 days, is the norm. Therefore, it is not always necessary to look for causes of a monthly delay for a week, especially if it happened once. Such a delay may occur due to stress, excessive exercise, diet or acclimatization. Of course, if you have a big delay of menstruation, or it occurs regularly, you need to find the causes of this condition. Only for this, be sure to consult a doctor. He will schedule an examination and help identify the pathology, if available. Due to the timely treatment of a doctor, the cause of the delay can be cured effectively and quickly.

What can be considered a delay of menstruation, what is the delay of menstruation

What can be considered a delay in critical days? In a healthy woman, the duration of the menstrual cycle is from three weeks to thirty-five days. For some representatives of the beautiful half of humanity, menstruation occurs five days earlier or later than the indicated period - such a deviation may have a physiological basis or may be a result of pathological processes occurring in the body. A gynecologist will help to understand why menstruation comes too early or late. How many days should menstruation go, how many days should vaginal discharges be normal during menstruation? The duration of bleeding during menstruation, normally, should be within 3, 4, 5 and up to 6, 7 days. And how many days can there be no menstruation and such a delay in menstruation will be considered the norm, not a pathology? If there are no monthly periods of 2, 3, 4 days, then such reasons are not dangerous. Starting from the 5th day, if the monthly has not begun, you can suspect that menstruation is not normal. That is, if there is a delay of critical days of 5, 6, 7, 8, 9, 10 days, if the monthly did not begin after 1 or 2 weeks, then such reasons are considered a sign of a serious deviation.

At the reception, the specialist will definitely ask when the menstrual cycle is broken and how long it lasts. If a woman does not keep a monthly diary, does not record on paper or in a special application, when menstruation begins, how long she lasts and what symptoms are followed, it will be difficult for her to answer this question. Not everyone can boast of a good memory, so those who are used to recording the necessary information benefit from it - the doctor has something to rely on when making a preliminary diagnosis, and this greatly facilitates the diagnostic and therapeutic process.

The natural reasons for the regular delay of menstruation, why constantly monthly late, not on time

Physiological causes of delayed monthly 4, 5, 6, 7, 8, 9 or 10 days, what could be the reasons, if the diagnosis did not show pathology with frequent delays of menstruation? How dangerous can a monthly delay be? A regular delay in menstruation may be due to natural causes. What are the reasons most often delayed monthly?

1 Why do girls have monthly periods? By entering into puberty (in the first two years, the months for girls come at different times - the interval between them can be from one to four or more weeks: if a teenager regularly visits a gynecologist and the doctor does not find anything suspicious, there is no reason for concern However, the results of examinations and analyzes are worrying; a more thorough examination may be required),

2 if the period is delayed, and the pregnancy test is negative, it may well be a woman’s pregnancy. Pregnancy (during pregnancy, a woman may occasionally have a bloody smear, which can be mistaken for scanty periods - in such a situation it is recommended to start a pregnancy test and then consult with a gynecologist). What else can be the reasons for delaying menstruation other than pregnancy ?,

3 if the monthly delay is 1, 2, 3, 4 weeks, this may be due to lactation (nursing mothers have large amounts of the hormone prolactin, which inhibits ovulation — because of it, menstruation either does not come at all, or starts with a delay)

4 if the monthly periods are delayed and the pregnancy test is negative, which can affect the fact that the monthly periods did not start on time? Gradual extinction of the childbearing function (after forty years, the ovaries begin to produce less hormones - the result is a delayed menstruation that occurs on a regular basis),

5 if there are monthly menstrual delays, this may be due to an anovulatory menstrual cycle (sometimes even healthy women have cycles without ovulation, which are longer than standard cycles, let alone those who suffer from various diseases of the female reproductive sphere: for their lack of ovulation and the associated delay in menstruation are commonplace).

Why do women have monthly periods? The delay of menstruation, which has a physiological basis, rarely lasts longer than ten days. If menstruation is absent for two or more weeks, it is necessary to consult with the gynecologist in order to exclude the presence of hidden pathologies or diseases of the reproductive organs.

When it is necessary to seek help from a doctor?

Often, girls or women ask: “I have a monthly delay, what does it mean?”. One can guess for a long time what the reason for the delay is, but it is better and more advisable not to waste time on empty thoughts, but to consult with a person who is well versed in this matter. It is important to learn one thing: it is impossible to cope with the arisen failure on your own, because you can achieve what you want in only one way - by understanding why the monthly periods began to come with a delay, and this is only a specialist can.

If the root of the problem lies in the physiological characteristics of the body, the doctor will tell you what to do to adjust the cycle. If it turns out that the woman is ill, the gynecologist will prescribe appropriate treatment for the case, which will avoid the development of such complications as:

2 early menopause,

3 breast cancer or cervical cancer,

4 problems with the heart and blood vessels

5 diabetes.

The fact that a woman feels good, does not complain about anything, does not mean anything - many diseases and pathologies do not make themselves felt for some time, so it is better to be safe. And if the following symptoms are present, you need to urgently visit the gynecologist - the score can go on for seconds:

1 acute or arching pain in the lower abdomen, aggravated by sexual intercourse, during urination or defecation,

2 brown vaginal discharge with an unusual, sharp or fetid odor,

3 low-grade or high body temperature

4 excessive sweating,

6 nausea, sometimes turning into vomiting,

7 diarrhea stool disorder,

9 flickering "flies" before your eyes.

In this situation, you should immediately go to the hospital or call a doctor at home.

Can linger periods. Why every month delay monthly

The duration and characteristics of the flow of the menstrual cycle are different for each girl, but, as a rule, it lasts twenty-eight days - from the first day of the previous menstruation to the first day of the next. If a month has already passed, and the figure continues to grow - 35, 40 days and more, you should look for a reason that will make it clear why the monthly ones are delayed. These can be hormonal disorders or manifestations of diseases.

Possible reasons for the delay in adult girls and women

A serious delay cannot be said if a week or so has passed after the expected date of the onset of menstruation. The cause of this phenomenon can be stress, insomnia

, active mental activity, excessive exercise, fatigue or past illness. It should also be remembered whether contraceptives were used during intercourse - perhaps the reason for the delay in menstruation lies in pregnancy. At the same time, in the very near future, other characteristic symptoms should appear. Then you should buy a pregnancy test at the pharmacy (and preferably several from different manufacturers - for reliability), and if the result is positive, pass an ultrasound scan and pass the necessary tests from your gynecologist.

If the cycle always took place “like a clock” and menstruation began the day to day, then even a two-three-day delay will alert. Then you should think about how the previous few days have passed - perhaps there were strong experiences, excitements, long journeys with climate change. In addition, disruptions in menstruation could occur due to diets - the body is experiencing severe stress.

In the case where the past month was calm, without overloading and major changes in lifestyle, you should consult a gynecologist, - the absence of periods longer than ten days after the planned date may be due to the disease, and the sooner it is discovered, the faster and easier cure.

As a rule, the reasons for the delay of monthly are as follows:

  • excitement and stress for the body
  • pregnancy and childbirth,
  • abortion and miscarriage
  • taking oral contraceptives and their cancellation,
  • emergency contraception
  • sudden weight loss (emergency weight loss),
  • vitamin deficiency
  • hormone therapy
  • inflammation of the reproductive organs,
  • cyst and polycystic ovaries,
  • gynecological diseases.

Ovarian cyst and polycystic is accompanied by other symptoms that should alert: severe rashes up to purulent acne and acne, body hair growth, a sharp jump in weight and pulling "menstrual" pain in the lower abdomen.

Sometimes acute colds and infectious diseases, as well as stomach problems (gastritis, ulcers), kidneys, the thyroid gland and diabetes can lead to a delay. In any case, without the help of a specialist, nothing should be done. The consequences as a result of the lack of treatment are serious complications of the gynecological part and infertility.

The body of some women is very dependent on climate and is subject, like nature, to weather changes. This can manifest itself when changing the climate zone - for example, when traveling to distant lands for rest or work, and in the off-season in the home country. Most often, a similar reaction is observed in the first spring and autumn months. Rarely, but still fails when switching hours from summer time to winter time and vice versa. Biological time is also lost from the rhythm, the body is lost for some time, and it takes several days to recover. In this case, menstruation will be delayed for no longer than a week, and the cycle will recover on its own, without going to a doctor and using medications.

Reflects on the menstrual cycle and diet - even the most benign. As usual, menstruation begins in girls with a weight of more than 45-47 kg (the value varies depending on the individual characteristics) - only after that the normal functioning of the body begins. If there is a rapid and significant weight loss, especially when the named threshold is lowered, the hormonal background and all internal processes are disturbed, the periods can be delayed indefinitely or cease altogether. For recovery, you will need comprehensive specialized assistance with the involvement of a gynecologist, an endocrinologist, a nutritionist and - necessarily - a psychologist.

Why do menstrual failures occur in adolescents

The normal age for the beginning of menstruation, depending on the development of the girl, is from eleven to thirteen years inclusive. Recently, cases of much earlier menarche (first menstruation) have become frequent - at eight to nine years old, and this is not the norm, since the organism has not yet been formed and has not left the childhood period. The doctor will help find out the causes of this phenomenon and regulate the hormones.

The same is with late monthly periods - if they do not begin after fifteen years, it is necessary to consult a gynecologist. Such a delay may indicate damage to the genital organs, serious developmental anomalies, and genetic disruptions.

It also happens that the first menstruations have passed, possibly the second, and then the menstruation stopped. This is not always due to the presence of the disease, sometimes the pathology is caused by restructuring of the body, and it will pass by itself. Due to the too active work of hormones, critical days can be delayed for a whole month - that is, the whole cycle is being skipped. If this is not accompanied by other signs that bring discomfort (pain, discomfort, lethargy, fatigue, feeling sick in general), the delay is unlikely to lead to complications. But you should still worry, if failures do not stop for several years - when a teenage girl becomes a girl, and the problems with the cycle remain.

This can happen to every woman, and it is important to know why menstruation is delayed. This will help prevent many negative consequences in the future.

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What is considered a monthly delay?

It is considered normal if the woman's monthly period comes in 21-35 days. A delay of more than 10 days is a pathology if it is not associated with physiological restructuring of the body. 1-2 times a year, a slight delay in menstruation occurs in every woman. If this is repeated constantly, then it is necessary to consult a doctor for examination.

Menstruation can occur at intervals of more than 40 days (oligomenorrhea, opsymenorrhea), as well as absent for several menstrual cycles (amenorrhea).

There are natural reasons for the delay in menstruation. In addition to pregnancy, for example, it may be lactation, menopause. If the delay is not associated with normal physiological processes, the nature of the pathology should be immediately established to avoid complications.

Hormonal disorders

A common cause of menstrual disorders are diseases of the thyroid gland, pituitary, adrenal glands, ovaries, causing the appearance of hormonal imbalance.

Hypothyroidism - insufficient production of thyroid hormones thyroxine and triiodothyronine. Without these substances, the production of sex hormones in the ovaries is impossible: estrogens, progesterone, FSH (follicle-stimulating hormone), which ensure egg maturation, ovulation, and other processes of the menstrual cycle. Monthly lag is one of the first signs of thyroid disease in women.

Hyperprolactinemia - disease of the pituitary gland associated with excessive production of prolactin. This hormone suppresses the production of estrogen, responsible for the timely maturation of eggs. The work of the ovaries is disrupted by congenital hypoplasia underdevelopment, brain tumors.

Adenoma (benign tumor) of the pituitary or adrenal glands. It leads to obesity, excessive hair growth on the body, violations of the menstrual cycle.

Ovarian dysfunction - violation of the production of sex hormones in the ovaries. Such a condition may be the result of inflammatory diseases, hormonal disorders, the installation of the intrauterine device, the use of hormonal drugs.

Diseases of the reproductive organs

Inflammatory diseases of the uterus and ovaries lead to disruption of the production of hormones, which are responsible for the maturation of the eggs, follicles, endometrium. As a result, they are often the cause of the delay. This changes the volume and nature of the discharge, pain in the lower abdomen, lower back, as well as other symptoms. Often, inflammatory processes cause infertility, the occurrence of tumors of the reproductive organs, mammary glands. Inflammatory diseases arise due to the penetration of infection with improper hygienic care of the genital organs, unprotected intercourse, traumatic damage to the uterus during childbirth, abortion, curettage.

Salpingoophoritis - inflammation of the uterus and appendages (tubes and ovaries). The process can cause ovarian dysfunction.

Endometritis - inflammation of the mucous membrane of the uterus, which leads to the appearance of hypomenstrual syndrome (menstruation may come in 5-8 weeks and even no more than 4 times a year).

Cervicitis - inflammation of the cervix. The process easily moves to the uterus and appendages.

Endometrial hyperplasia. There is a pathological thickening of the mucous layer lining the uterus. It is the cause of a long delay of menstruation, after which heavy bleeding occurs. Pathology occurs due to hormonal disorders caused by diseases of the endocrine glands.

Uterine myoma - A benign tumor in the uterus, single or in the form of several nodes, located both outside and inside the uterus. Irregular menstruation is characteristic of this disease. Long delays can alternate with a short cycle.

Polycystic ovary - the formation of multiple cysts outside or inside the ovaries. The disease can occur without symptoms. Often found when examining a woman for a long (more than 1 month) lack of menstruation.

Uterus polyps - the formation of pathological nodes in the endometrium, can spread to the neck. Characterized by delayed menstruation, prolonged heavy bleeding. Often there is a malignant tissue degeneration.

Endometriosis - the growth of the endometrium in the tubes, ovaries, in neighboring organs. This violates the patency of the fallopian tubes, which can cause a delay in menstruation. In addition to normal pregnancy, menstruation with endometriosis does not come on time due to ectopic pregnancy, if the embryo is attached in the tube, and not in the uterus. As a result, a pipe rupture may occur, dangerous to the woman’s life. Instead of the expected menstruation appear spotting with blood. A woman should pay attention to the appearance of signs such as nausea, vomiting, pulling pain in the lower abdomen (from the side where the egg was attached).

Ectopic pregnancy also occurs after diseases that lead to the adhesion of the tubes and ovaries (salpingo-oophoritis).

Endometrial hypoplasia - hypoplasia of the uterine mucosa, in which the endometrial layer remains too thin, cannot hold the fertilized egg. This leads to the abortion at the very beginning, when the woman does not yet know about its occurrence. Another menstruation comes with a delay, before it may appear brown spotting. Hypoplasia is the result of inflammatory processes in the pelvic organs, operations on the uterus and ovaries, hormonal disorders in the body.

Addition: One of the common causes of delay is anorexia, a mental illness associated with eating disorders. It is observed usually in young women. The desire to lose weight becomes an obsession. In this case, the food ceases to be absorbed, complete exhaustion occurs. Menstruation comes with a greater delay, and then disappear. If you manage to regain weight, then the monthly appear again.

Why constant menstruation delays are dangerous.

Permanent delays of menstruation indicate hormonal disorders, lack of ovulation, abnormal changes in the structure of the endometrium. Pathology can occur due to serious, even dangerous diseases: tumors of the uterus, endocrine glands, polycystic ovaries. The reason for the delay of menstruation is an ectopic pregnancy.

It is necessary to establish the diagnosis as soon as possible, find out the degree of danger of the processes, since they lead, at a minimum, to infertility, early climax. Diseases associated with delayed menstruation, cause tumors of the mammary glands, cardiovascular problems, diabetes, weakened immunity, premature aging, changes in appearance. For example, if the delay arises due to polycystic ovary, then the woman dramatically increases weight, up to obesity, hair on the face and chest (as in men), acne, seborrhea.

Timely treatment of diseases that caused the lengthening of the cycle, often avoids infertility, ectopic pregnancy, miscarriage, and prevent the appearance of cancer.

Survey Methods, Determination of Causes

To establish the cause of the delay of menstruation, an examination is carried out.

It is checked whether a woman is ovulating. To do this, during the entire cycle, the measurement of basal body temperature (in the rectum) is carried out, a graph is drawn up. The presence of ovulation is indicated by a sharp increase in temperature above 37 ° in the middle of the cycle.

A blood test for hormones is being conducted to detect abnormalities and possible consequences.

With the help of ultrasound examines the state of the pelvic organs, detected the presence of tumors and other pathologies in the uterus and appendages.

The methods of computer and magnetic resonance imaging (CT and MRI) are used to examine the brain, the state of the pituitary gland.

Normal for cyclical monthly

The usual menstrual cycle begins at 10–15 years for a young woman, after which it is believed that the body has entered a phase when it can perform a full conception. This system works every month up to 46-52 years, but this is an average figure. (Есть случаи и более позднего прекращения месячных.)

Затем наступает снижение продолжительности по времени месячных, и количества выделяющейся при этом крови. В конечном итоге менструации полностью прекращаются.

Причины задержки менструации кроме беременности

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

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

Functional abnormalities that can trigger the failure of the menstrual cycle are stress, intense physical exertion, rapid weight loss, an infection or other acute illness, or climate change.

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

Of somatic diseases, accompanied by a possible violation of the menstrual cycle, it is worth noting obesity.

The list of reasons for which there may be a delay in menstruation

The delay of the “red days of the calendar” for 2–5 days should not be a cause for concern, since this is considered to be a very real phenomenon for every woman. If pregnancy is excluded in this case, then such disorders of the female body can be caused by many factors. Careful analysis allows them to determine the cause of the gynecological or non-gynecological nature.

So, we list the top 15 reasons for the delay of menstruation:

  1. Polycystic ovary,
  2. Uterine fibroids,
  3. Endometriosis,
  4. Inflammatory diseases,
  5. Hormonal contraceptives,
  6. Diagnosis of the uterus, abortion or miscarriage,
  7. Postpartum period
  8. Puberty,
  9. Climacteric disorders
  10. Exercise
  11. Stress states
  12. Climatic environmental conditions,
  13. Abnormalities of body weight,
  14. Intoxication of the body,
  15. Taking certain drugs
  16. Hereditary predisposition

As follows from the above, the causes of regularly repeated delays on critical days are diverse. Biologically, clocks can be lost even in nonpartine women, who often confuse the symptoms of a cycle disorder with pregnancy. A non-permanent menstrual cycle should not be considered a particularly dangerous, serious illness, but it is worth paying close attention to the frequency of its critical days.

Stress and Exercise

The most common causes of delayed menstruation, besides pregnancy, are a variety of nervous tension, stress, and the like. Difficult work environment, exams, problems in the family - all this can cause a delay. A woman's body perceives stress as a difficult life situation in which a woman should not give birth yet. It is necessary to take care of changing the situation: contact a family psychologist, change jobs or learn how to relate to the situation and the like. Keep in mind that overwork and lack of sleep is also a strong stress for the body.

Excessive physical activity also does not contribute to the regularity of the menstrual cycle. It is known that professional athletes often experience problems with the delay of menstruation and even with childbirth. The same problems pursue women who have threatened physically difficult work. It is better to leave it to men.

But do not think that moderate fitness or morning jogging can affect the situation. An active lifestyle has not disturbed anyone yet. We are talking about excessive loads under which the body works for wear.

Weight problems

Scientists have long found that adipose tissue is directly involved in all hormonal processes. In this regard, it is easy to understand that the reasons for the delay of menstruation, besides pregnancy, may also lie in problems with weight. Moreover, both excess and lack of weight can provoke a delay.

The fat layer, in the case of excess weight, will accumulate estrogen, which negatively affects the regularity of the cycle. Being underweight is much more complicated. Prolonged fasting, as well as weight loss below 45 kg, is perceived by the body as an extreme situation. Survival mode is activated, and in this state pregnancy is extremely undesirable. In this case, it is possible not only delayed menstruation, but also its complete absence - amenorrhea. Naturally, problems with menstruation disappear with the normalization of weight.

That is, fat women need to lose weight, skinny - to gain weight. The main thing is to do this very carefully. A woman's diet must be balanced: there must be protein in the food, and proteins, and fats, and carbohydrates, as well as vitamins and trace elements. Any diet should be moderate, not exhausting. It is better to combine them with moderate exercise.

Questions and answers on: why every month the delay of the month

Hello, I have a problem and I really hope for your help. I have a fourth month delay. In that cycle, on the contrary, they came three days earlier. Usually monthly come in time (+ - 2 days). Tests are negative. She was at the gynecologist, she said that they should come now. Sex was always with a condom. They dressed from the very beginning of sexual intercourse, he did not rush and did not crawl. At the end checked. My chest is swollen and sore when touched, my temperature is also high, but this is how I have it before every month, but I don’t understand why they don’t come all the same. The gynecologist said that there are no cysts or any other inflammations. And once in that month they came earlier, and now they are late, it is possible that just some kind of failure. No drugs are not prescribed. I would be very grateful for your help!

Medical site portal consultant responds:

Hello, Anastasia! For possible reasons for the delay in menstruation and the actions that need to be taken in a similar situation, read the materials of the popular science article on our medical portal. Take care of your health!

Hello
Please tell me what to do.
I have a month delay, there was no sexual intercourse after the last menstrual periods. Previously, everything went well every month, but now for some reason a delay. I'm afraid to go to the doctor
Can you please tell me what to do?

Hello! I turned 18 in March, at the end of November, on the 28th, having sex with a guy. They were always protected by condoms .. The first sex was chosen a week before menstruation, in order to find out more quickly that everything is good and not pregnant. Sex was protected, the condom was checked, it was a whole. The delay was 5 days, and there was a white discharge - thrush, I think, at first there was itching in the vagina, it was very scary, but then menstruation occurred, as usual, lasted a week, and thrush - white discharge - after menstruation did not become. More recently, in January (beginning), after the monthly period ended, they started having sex with condoms - a sufficient number of times. Always check the integrity of protection. But there was a case that there was not enough lubrication in me, and the condom that he had just worn broke and broke, we immediately took it out. I broke not in the head, but from the side, and the hole was small. He did not finish at that moment. And what about some simple discharge from a member? Just from the 8th to the 9th there should have been monthly, but they are not, and already 10, stop the delay .. It makes me worry, will there really be a cycle shift after sex every month? After the last time itching began in the evening, white discharge, why? Again the same problem .. The 10th itch has passed, but there is a discharge, all internal organs in white secretions - I really do not like it .. Tell me what to do if after sex these secretions are tortured? And if I could get pregnant when all the times were protected and tested, and in the case when the condom broke (but he did not finish, he just stuck and made several movements, and not in the head itself it broke, but on the side), we Immediately stop everything? Although the delay is again + thrush = scares me like that.

Eliz Martinovna Karapetyan answers:

Hello! Your commitment to protection can be a good example to follow. The probability of pregnancy is very small, but you can conduct a pregnancy test (shows the result after 2 weeks of the field of the alleged conception). With the onset of sexual activity, the cycle could change, but there could be a lot of reasons for menstrual disorders. You have several reasons to visit a gynecologist - to choose a treatment for thrush and deal with the cause of delayed menstruation. All the best!

Christ is risen! Violation of hormonal background From the very beginning of menstruation (16 years), I did not have a regular cycle, then a month delay, then two, then three. When I started to live with a guy more or less improved, but still there were differences. The doctors were constantly examined by the endocrinologist and the gynecologist. The adrenal glands and thyroid are in perfect order, by ultrasound (both internal and external) with the organs, too, everything is fine, if polycystic small, there are inflammations (thrush sometimes appears and immediately passes, erosion has passed, probably like everyone else). It was ridiculous, the doctors said that I probably had problems with my head, they prescribed some kind of suspension, I don’t remember the names now. A year and a half ago, I was prescribed an OK hormone with an anti-androgenic effect. I drank them half a year, recovered very much. Then she just stopped drinking them. Of course, my doctor swore, and said that without taking hormones, I would not be fine. and now, after 4 months after the refusal of the drugs, I began to establish a cycle, by myself, without taking any medication at all, although at first he walked clearly in a month, and later he got better and started going every month. The doctor was very surprised by this fact. In total, half a year, monthly went well. But this summer I had a strong mental shock, after which my periods disappeared altogether. half a year already. I am now 24. Tell me, please, why does the doctor tell me about a hormone deficiency, but then it happens that menstruation appears, it means that all the same hormone is produced by my body? Can a CAUSE be treated and not a result? I understand that it is not enough, but something influences this, because it happens that it exists. then what is the reason for its lack? A month is enough, two months is not enough. somehow very confused. Do now all live to sit on hormones ?? then children from these hormones are born, to put it mildly, with deviations in the future. Make it clear, please! thank

Answer Bystrov Leonid Alexandrovich:

Truly Risen! Clarity in your case, in my opinion, is simple, to be examined and treated in a qualified and specialized medical institution. I do not know where you live and if you have such an opportunity, but one thing is for sure - such difficult questions are not solved through the Internet consultations.

I had my last periods 46 days ago, I smoke. Why do I have delays almost every month, but usually for 3-6 days? Help me!

Eliz Martinovna Karapetyan answers:

Delayed menstrual cycle can be caused by your smoking, due to the fact that smoking inhibits ovarian function. Delay 3-6 days - within the physiological norm. The duration of a normal menstrual cycle is 21-35 days, and for you it already lasts much longer. This reason will appeal to the gynecologist - endocrinologist to identify the true cause of the delay. My personal recommendation is to quit smoking urgently. It is proved that smoking has a strong negative impact on the reproductive health of women!

Hello dear doctors. Answer please. I am 28 recently moved to a neighboring city to m.ch. there was regular sex, not protected, in the middle of the cycle, he ended up at me. The cycle is regular. The delay is already 7 days, I have done 2 tests and both are negative. A few days, the lower abdomen and chest ached, everything is like during menstruation, but there are no tests. I did tests for 2 and 4 days of delay. Regular sex life we ​​live 2 months every day. Maybe this is a pregnancy (why the test is negative), or because of a change in the situation?

Hello! I am 18 years old. Weight is 51 kg, height is 1.60 cm. Now I have been meeting with a young man for a year. Sex life began with him a little more than half a year ago. Both were virgins. There were no other sexual partners. We always protect ourselves with candles, farmatex and condoms The menstruation I have always had a more or less regular delay in a week or 2 weeks, but not more. In July, August, September 2010, we went regularly with a difference of 2-4 days. Before that, in July we were examined by an ultrasound at the gynecologist . They said that everything is normal, no cysts, myoma, etc.net.After the 6th September 2010, the period was not still. Not pregnant, tests have already done 4 times. The latter was just recently. Often subjected to stress, nervous to one degree or another almost every day.
What to do with the monthly? Why do not they go and what should I do with such a long delay ?? I have never had such delays. Thanks in advance.

Hello. most likely I’m writing nothing to you, but I decided to do it. I am 35. Daughters 12. In the last 2 months actively tried to conceive a child. and it seems every time there were all the symptoms and then monthly. A month ago, I passed on the hCG mk strips on the tests were pale. he was negative -0.18. This month, again, all the symptoms were (perhaps it is mania and strong desire) - but then suddenly there was a delay of 2 days and there was bleeding for 5 hours (July 2), well, like menstruation .. then suddenly towards the evening it abruptly ended. I thought maybe this late ovulation and implant. bleeding was. then 2 days nothing, and on day 3, the month went as usual for 5 days. I found out about my first pregnancy at 24 years old at 16 weeks, and I also had monthly ones .. Well, I again surrendered HCG yesterday .. it came out - negative again, but for some reason 2.8 (and not 0.18 as a month ago) -. if the chance that just a little skork from implantation ?? ..or quite small to believe in that. that he will grow up. Sorry if complete nonsense, but so wanted a second baby. In vain I probably wrote. Best regards, Olga

Inflammatory diseases of the uterus

Inflammatory diseases of the uterus and ovaries lead to disruption of the production of hormones, which are responsible for the maturation of the eggs, follicles, endometrium. As a result, they are often the cause of the delay. This changes the volume and nature of the discharge, pain in the lower abdomen, lower back, as well as other symptoms.

Often, inflammatory processes cause infertility, the occurrence of tumors of the reproductive organs, mammary glands. Inflammatory diseases arise due to the penetration of infection with improper hygienic care of the genital organs, unprotected intercourse, traumatic damage to the uterus during childbirth, abortion, curettage.

Uterine myoma

Monthly with uterine leiomyoma may be irregular, with a delay ranging from several days to several months. Despite the fact that this pathology in most cases is considered a benign tumor, there are a number of negative consequences to which it can lead. And first of all, its degeneration into oncological disease is dangerous. Therefore, access to a doctor with the slightest suspicion of fibroids is extremely necessary.

Polycystic ovary

One of the main causes of menstruation lag from the usual schedule in this case is the lack of the necessary amount of hormones. As a rule, the process is caused by the absence of ovulation, the depression of the endometrium, and the hormonal disorders present. The egg cell does not mature in this process, which gives the body a signal that there is no need to prepare for possible fertilization.

Non-pathological (natural) causes of delayed menstrual cycle

Significant disruptions and instability of menstruation usually indicate any physiological processes that accompany the body reconfiguration. The most striking example of such natural changes may be pregnancy, menopause, or the period of the first two years from the onset of menstruation in girls 11-14 years old. In all three cases, the functioning of the endocrine system varies greatly, as a result, the quantities and ratios of certain hormones of the female body change.

Also, a sharp change in climate, changes in sleep patterns and wakefulness or nutrition (for example, if you follow a strict diet) can also contribute to a violation of the cycle. The reasons for the delay are other differences in lifestyle, to which the body tends to adapt, while deviating from the previously established regular cycle. Some specific features of the reproductive system, including the peculiarities of the course of the menstrual cycle, may have a genetic nature and be inherited, without being a pathology.

Endometriosis

This ailment is a pathological proliferation of tissue of a benign nature, which is similar to the mucous membrane of the reproductive organ. The development of endometriosis can occur in different parts of the reproductive system, and it is also possible to go beyond it. Изменения гормонального фона могут быть как причиной возникновения заболевания, так и его следствием. Нерегулярные критические дни также являются одним из основных симптомов при подобных отклонениях.

Противозачаточные таблетки

If you take hormonal birth control pills, then it is possible that your menstrual cycle will be significantly different from normal. Very often, the duration of cycles when taking birth control pills is significantly increased. Some pills do not give this effect. Monthly go as usual, but most often are lighter and less long. It is also worth noting that pills in very rare cases may not prevent pregnancy, especially if you miss a dose. Nevertheless, even if you took the pills accurately and correctly, you have a delay in your period, and you are worried about this, you can take a pregnancy test to calm down.

Now on sale you can find a fairly large number of different birth control pills. Some of them may differ significantly in their effects on the body. In addition, it is worth noting that each individual woman may react differently to the same pills.

Also, keep in mind that when you stop using birth control pills, you will not immediately have a normal menstrual cycle. For most women, the recovery period takes from one to two months, and sometimes this period can last up to six months. Only then will you be able to conceive a child again. Accordingly, during the recovery period, you may also have an irregular cycle, and this should be taken into account if you have a delay.

Delay of menstruation during pregnancy and after delivery

During the entire period of pregnancy, menstruation in a woman does not happen. After birth, their renewal occurs in different ways - it all depends on the individual characteristics of the organism. Elevated levels of prolactin when feeding a baby can prevent the onset of egg production. If a woman breastfeeds a child, the delay in menstruation can last as long as milk is produced (this directly depends on the level of the hormone prolactin, which is responsible for lactation). Sometimes it can occur within 2-3 years.

If milk is not produced, after about 6-8 weeks, new menses occur. But sometimes there are exceptions, when the ovaries start working before the baby stops feeding, the egg matures, and the woman may become pregnant again. If this does not happen, the new cycle ends with the appearance of menstruation.

Monthly Delayed Surveys

To clarify the reasons for the delay of the month, the following studies are appointed:

  1. Examination of sexually transmitted diseases (gonorrhea, chlamydia, trichomoniasis, mycoplasmosis, ureaplasmosis, etc.).
  2. Ultrasound of the pelvic organs, thyroid and adrenal glands. This study is conducted to exclude pregnancy, tumors, gynecological and endocrine diseases.
  3. Examination of the pituitary (X-ray, magnetic resonance imaging, computed tomography, electroencephalography). Diseases of the pituitary gland are often the cause of delayed menstruation.
  4. Hormonal studies. Determine the levels of estrogen, progesterone, FSH, LH, PRL, as well as check thyroid hormones and adrenal glands.
  5. Scraping of the inner layer of the uterus and its further histological examination. Scraping is carried out from the cavity and canal of the cervix.

What to do if there is a delay of menstruation?

If there are regularly recurring delayed menstruation or the delay period exceeds the maximum permissible physiological limits of five days, then you should consult a doctor. After finding out the reasons, the woman will be given the appropriate treatment. Most often, therapy is carried out with the use of hormonal pills. However, they should never be taken on their own, without medical recommendations. This is extremely dangerous for the health of women and can disrupt the entire hormonal system, and therefore lead to serious health problems.

Among the most common hormonal drugs, doctors prescribe the following:

  1. Duphaston. Used if delayed menstrual cycle is caused by insufficient levels of progesterone in the body. To adjust the dose should only be a doctor, on the basis of the research. If there is no pregnancy, and the delay does not exceed 7 days, then the postinor is prescribed for a period of 5 days. After this time, menstruation should begin two or three days later.
  2. Postinor It is a drug used for emergency contraception. This tool is used, if you want as quickly as possible to cause the menstrual cycle. However, it is recommended only with regular menstruation, as its use can trigger cycle disturbances and, with very frequent use, lead to infertility.
  3. Pulsatilla Another hormonal drug that can be prescribed for delayed menstruation. This is the safest tool that does not lead to weight gain, does not affect the nervous system. However, it should not be taken by girls who have an irregular cycle.
  4. Progesterone is an injection hormone. Used to call menstruation, the selection of the dosage is carried out strictly individually. Increased intake of progesterone in the body can cause a lot of side effects, including excessive hair growth, weight gain, menstrual disorders. Never done more than 10 shots. The effect is based on stimulating the glands in the uterine lining. The tool has a number of contraindications, including: uterine bleeding, liver failure, breast tumors, etc.
  5. Non-ovlon, a drug that stimulates the onset of the menstrual cycle, can prevent acyclic bleeding. It contains estrogen and gestagen. Most often, a delay is given in two pills after 12 hours. However, prior to its use, a mandatory consultation with a specialist is necessary, since the drug has side effects and can disrupt the functioning of the reproductive organs.
  6. Utrozhestan. It is a means of suppressing estrogen and stimulating the production of progesterone, and this is due to its therapeutic effect. In addition, there is a stimulating effect on the development of the endometrium. The drug can be administered vaginally, which is its undoubted advantage, however, this tool has some contraindications.
  7. Norkolut causes menstruation, as it contains norethisterone, which in its action is similar to the action of gestagens. And their lack often provokes failures in cycles and their delay. The course of treatment should not exceed five days, is not used during pregnancy, as it threatens with miscarriage and bleeding. It has a large number of contraindications and side effects, therefore, it is necessary to consult a doctor in advance.

Naturally, the use of hormonal drugs to induce menstruation is not a safe method. They must be taken correctly, as it is possible to cause irreparable harm to health.

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