Any woman knows her individual norm for delayed menstruation. The absence of delays in menstruation indicates a normal healthy state of the reproductive system. In women and girls of various ages there may be a permissible period of delay of menstrual flow.
According to doctors, a delay in bloody vaginal discharge can be considered normal for 1-7 days if, against the background of this female body does not experience any “side symptoms.” If a representative of the fairer sex feels well and does not suffer from discomfort, then such delays are considered acceptable. But each age segment has its own limit on such expectations.
Pay attention! In girls, menarche (first regula) is expected at age category 11-15 years old. And during the first two years it will be difficult to expect the regularity of these discharges. At a young age, a 5-day delay in discharge should not cause concern.
If after two years your periods have not stabilized, you should contact a gynecologist to determine normal operation uterus and ovaries. "Dry" period healthy woman and girls is 28-35 days. It is after this time that they appear monthly spotting.
Phases of the menstrual cycle In older women, sexual function declines, which is a natural and inevitable process. With each new month there will be a delay in menstruation, which will gradually increase until it stops altogether.
The average age for menopause in women is 44-50 years. But there are exceptions to climacteric ovarian dysfunction in one direction or the other.
Delayed menstruation (main reasons, besides pregnancy, why is there a delay in menstruation):
The reasons for long waits for menstruation are gynecological (with the exception of pregnancy) and non-gynecological in nature.
Delayed menstruation can have gynecological and non-gynecological reasons Gynecological reasons:
Non-gynecological reasons:
Important to remember! Some medications used in treatment can delay menstruation. genitourinary system, stomach ulcers and depression.
Maintaining unhealthy image life, drug use, large doses of alcohol and smoking - all this can change the monthly regular occurrence of menstruation.
There are times when a negative test result results in a significant delay in the cycle. Such a failure, lasting more than 7-15 days, may be a consequence of taking hormonal drugs.
There may also be a test error if your period is late and the test is negative.
As soon as a delay in regulation occurs, women use rapid tests to determine pregnancy. All tests work according to the same principle - they determine hCG level in female urine. If this indicator is normal, the result does not exceed 5 MIU/ml. Starting from the 7th day of pregnancy, this figure increases 5 times. 
Errors during testing can be primarily due to non-compliance with instructions and a low-quality product. There are many known tests that show errors in cases of kidney disease and hormonal imbalance. Violation of the integrity of the packaging and expired expiration date also do not promise a reliable test result.
A woman may receive a false negative test result if there is a slight delay, when 3 days have not passed since the missed period. Another reason for false information may be late ovulation previous cycle. Insufficient concentration of urine composition gives an unreliable result.
Therefore, testing should be done at the first urination of the day. A pathological pregnancy (frozen or ectopic) will not indicate an increase in the level of hCG in the blood.
False positive result happens less often than a false negative. This result may occur in the case of termination of pregnancy at a very early stage, which showed the actual level of hCG at the time of pregnancy. Tumors formed due to hormonal imbalance contribute to the production of hCG, which can mislead a woman.
A positive response to testing may occur in the event of a recent termination of pregnancy (miscarriage, abortion). The use of certain drugs in the treatment of infertility can also cause false results.
A pale and unclear second line of the test gives rise to re-testing after 3-5 days, and in the case of IVF you will need to wait 10-15 days. Test error is undoubtedly possible, which is why doctors recommend mandatory recheck the result two more times.
A delay in regulation that does not cause concern is 5-7 days in a woman of young and middle reproductive age. In the case of older women during menopause, the maximum delay period can be about six months. The acceptable period for delaying the arrival of menstruation after the first sexual intercourse is considered to be 2-4 days.
On women's health many factors influence: external environment habitat, age, physiological state and others. The table below shows the factors, conditions and moments and how they affect the regularity and nature of menstruation in women.
| Taking antibiotics, antidepressants, hormonal drugs and other potent drugs | If the hormonal drug is chosen incorrectly, a delay in menstruation may occur. Only those pills that contain exclusively progestogen do not affect the length of the cycle. Long-term use oral contraceptive reduces the intensity of discharge. Antidepressants, according to doctors, rarely cause a delay in menstruation. This group of drugs reduces the intensity of menstrual blood secreted. During treatment with antiulcer medications, the regularity of the menstrual cycle is sometimes disrupted. |
| Homeopathic medicines | Homeopathic medicines are often prescribed by gynecologists to their patients in order to normalize a woman’s hormonal levels. This group of drugs rarely causes a delay in menstruation, since they do not contain potent substances and hormones. Most often, periods are late due to pathological condition, in which the specialist prescribes homeopathic remedy — depressive state, severe stress, etc. |
| Hog queen | The boron uterus contains phytohormones (phytoprogesterone and phytoestrogen), so the plant affects the regularity of the menstrual cycle. With the help of such a remedy, you can normalize a woman’s hormonal levels, eliminate inflammation in the pelvic organs and increase local immunity. If you approach the treatment process irresponsibly, side effects may occur, which manifest themselves in the form of hormonal imbalance and deterioration in general well-being. Girls claim that after consuming boron uterus, a delay occurs due to successful conception. It should be remembered that the herb suppresses ovulation if the therapy is not carried out correctly. healing agent. The plant is necessary to maintain the second phase of the cycle - progesterone. |
| Tranexam | Gynecologists claim that Tranexam is an effective hemostatic drug and does not cause delays. This medication is prescribed to patients if there is hormonal imbalance. "Lag" critical days in this situation indicates that the cycle has not yet recovered after Tranexam therapy. |
| Premenopausal syndrome | Menstrual irregularities are main feature menopause for women after 50. Due to fading reproductive function there is a delay in menstruation. Over time, the volume of blood released during menstrual periods decreases. The main symptoms of menopause include: hot flashes, weakness, insomnia, depression. During menopause, problems arise with the absorption of calcium, so the condition of the skeletal system worsens. |
| Folic acid | Folic acid is a vitamin, not a hormone. This drug does not affect the regularity of the menstrual cycle. The medication is absolutely safe and does not cause side effects. Vitamin B9 strengthens the immune system and has a positive effect on the circulatory system. |
| Edas 927 | The drug "Mastiol Edas 927" belongs to homeopathic medicines. Prescribed for mastopathy. Gynecologists say that taking the medicine does not affect the regularity of the menstrual cycle. Granulated sugar, calcium fluoride, creosote, spotted hemlock - these are the substances that make up this tool. The elements do not adversely affect the functioning of the female reproductive system. |
| Oxyprogesterone capronate | Injections of oxyprogesterone capronate are prescribed to those girls who have been diagnosed with a long delay in menstruation. Reviews from women indicate that this substance is administered intravenously to patients to normalize hormonal levels. If you self-medicate and choose the wrong dosage, your menstruation may be delayed. Only a doctor must develop an individual treatment regimen, depending on the physiological characteristics of the patient’s body and the severity of the pathology. |
| Mirena hormonal device | Levonorgestrel is a hormonal substance contained in the Mirena spiral. This element is secreted into the uterus. Under such conditions, the process of growth and rejection of the endometrium is blocked. Since the effect of the hormone occurs only inside the reproductive organ, the risk of hormonal imbalance is reduced. The spiral suppresses sperm motility and blocks ovulation, but does not in any way affect a woman’s hormonal levels. Side effects manifest themselves exclusively in the form of headaches, acne, and heart pain. The intrauterine device does not protect against sexually transmitted infections, which often disrupt menstrual cycle. The installed coil, if there are contraindications, sometimes causes the development of an inflammatory process. In this situation, the length of the menstrual cycle may be disrupted. |
| Sports loads | If you actively engage in sports and go on a diet, then a person will rapidly lose weight. Extreme weight loss can cause a delay in menstruation. A sharp jump in weight is a lot of stress for the body. New and unusual stress on the body sometimes affects the regularity of the menstrual cycle. In this case, doctors recommend eating a healthy and balanced diet - after a few months the cycle returns to normal. |
| Climate change | The female body is too vulnerable to any negative impact environment. Moving to another country sometimes provokes headaches, weakness, drowsiness, irritability, nausea and apathy. The duration of adaptation to a new place of residence is 13 days. Atmospheric pressure and temperature differences are factors that can cause a delay in menstruation. |
| Heat, sauna | Due to a sharp increase in atmospheric pressure and temperature, the female body experiences stress. Under such conditions, a delay in menstruation may occur. |
| Stress | Systematic stress and anxiety often provoke the development of serious gynecological diseases. Under such conditions, menstruation becomes profuse and accompanied by painful sensations. Due to hormonal imbalance, which was caused emotional stress problems may arise in the functioning of the girl’s reproductive system. A change in lifestyle stability is reflected in the functioning of the female body. |
| Cold | Flu and colds are very stressful for the body. Under such conditions it decreases protective function body and the regularity of menstruation is disrupted. It is possible to resume full functioning of a woman’s reproductive system without additional therapy—it takes 1.5 months to normalize. |
| Thrush | If the body's protective function is weakened, candidiasis may occur. The disease develops as a result of pregnancy, exposure to medicinal product, overwork, systematic stress - these factors affect the functioning of the reproductive system of women. If thrush occurs due to hormonal imbalance, then the duration of the menstrual cycle is disrupted. |
| Cystitis | With cystitis, a delay in menstruation is often observed. This is due to generalized inflammation, which affects not only the mucous membranes of the bladder, but also the pelvic organs. |
| Ovarian cyst | Whenever follicular cyst there is a delay in menstruation. This neoplasm is benign. After the cyst resolves, critical days begin - this process takes from 6 to 20 days. |
| Cervical erosion | The pathology itself does not affect the regularity of the menstrual cycle. But if cervical erosion develops actively, then the uterus begins to change. Under what conditions is a cycle failure possible? Infection may cause a delay. |
| Endometriosis | With this disease, the endometrium begins to grow. During the development of the disease, there is often a delay in menstruation and painful sensations in the area of the pelvic organs. This disease often causes infertility. Gynecological diseases have a detrimental effect on the functioning of the female genital organs. Under such conditions, hormonal disruption occurs. |
The absence of the onset of critical days within 1 week against the background of symptoms of their appearance can be considered the norm. If the acceptable delay period has expired, action should be taken. The first step in the plan should be pregnancy testing.
If pregnancy is not confirmed and the normal waiting period has passed, you should immediately go to antenatal clinic. At the appointment, you will need to talk about how you are feeling, the appearance of new symptoms, and be examined and tested.
Doctors are paying attention! A significant delay in regulation cannot be attributed to external factors and normal physiological processes. This signals the beginning of pathological processes, which should be intervened as quickly as possible.
Before the onset of critical days significant number women notice swelling, pain and sensitivity of the mammary glands. If your chest hurts, but your period has not arrived, then this may be a signal of the beginning of a new life. 
This happens in 70% of cases. If pregnancy never occurs, and the mammary glands continue to bother you, then in 20% of cases the problem is associated with mastopathy.
The remaining 10% is attributed to: the presence of infection in the mammary glands:
You may also experience pain in the abdomen in the absence of menstruation. Some women experience pain during ovulation when the follicle ruptures. This is a normal process that is attributed to the individual characteristics of the body.
Gynecological problems can also be accompanied by pain. Women begin to pay attention to inflammatory processes after the appearance of severe pain. If such inflammations are ignored and not treated, they can later give rise to serious diseases.
Abdominal pain can be caused by accumulation of fallopian tubes liquid, which will prevent the appearance of menstruation.
Acyclic pain in most cases cause urolithiasis. Adhesions, cystitis, and colitis can cause trouble. If, in addition to the abdomen, a woman is bothered by a bursting sensation in the mammary glands, fibroids can be suspected. If you have abdominal pain and lack of regulation, you should undergo an examination to rule out an ectopic pregnancy.
Important to remember! For every woman, the duration of the menstrual cycle can last different period time. Most often, an established cycle (21-35 days) accompanies a woman throughout her reproductive age from 18 to 45 years.
The countdown begins on the first day of discharge and lasts until the arrival of the next ones.
A healthy woman has regular periods for 1-3 days and there is no reason to worry.
The most common reasons for delay (1-4 days) are the following:
With a 5-day wait for the arrival of menstruation, it is too early to talk about any pathology, because it is within normal limits. A woman has time before taking active steps.
The reason for the failure of the regularity of the cycle may be the consequences of workaholism., which lead to exhaustion of the body, lack of sleep and decreased vitality. In the absence of poor health and unpleasant symptoms, we can say there is no problem. 
Doctors pay attention! A delay of 6-10 days in menstruation is the first call for a woman. It can signal borderline state, pregnancy or illness.
If pregnancy is excluded, doctors call this delay secondary amenorrhea. A very dangerous condition for a woman that should be excluded first is ectopic pregnancy.
Symptoms of this pregnancy are:
If these symptoms are detected, you should immediately visit an antenatal clinic. Ignoring an ectopic pregnancy causes heavy bleeding and infertility.
A woman’s good health and the presence of a partner obliges her to undergo testing. When the fact of pregnancy is not confirmed, you must consult a doctor to undergo an examination and identify the causes.
Based on the survey results, A gynecologist will be able to detect or exclude diseases:
If gynecological problems the doctor did not find it, you should go to his colleagues. The delay can be caused by illness:
Waiting for critical days longer than two weeks no longer leaves hope that everything is in order with the woman’s body. This condition cannot be ignored, even if the woman is not bothered by anything. A trip to the antenatal clinic should be organized in the very urgently.
If the regulations have not arrived after 2 months, you need to be examined for ovarian dysfunction. This disease is not independent, as it is caused by factors such as viral or infectious disease; diseases of the genital organs, kidneys, thyroid gland, stomach.
As soon as the woman discovered vaginal discharge symptoms that do not resemble menstruation should be taken to the clinic. After stopping taking contraceptives, your period should come in 2-3 months; if this does not happen, and you feel discomfort down there, don’t put off going to the antenatal clinic.
Waiting for the arrival of menstruation for 3-6 months received the medical name - amenorrhea. It is caused by a serious illness gynecological field, which obliges you to undergo examination and examination by a specialist.
Important to remember! Every woman recovers her menstrual cycle differently after an abortion.
In this situation, it is worth taking into account the timing and method of termination of pregnancy, physiological characteristics patients. Provided the outcome of the operation is normal, after 1 month. After an abortion, regulation should begin. The first day of the cycle should be considered the date of the operation.
Doctors are paying attention! If you have not had your period 31 days after surgical termination of pregnancy, it is recommended to visit a doctor to avoid health problems.
The return of menstruation in recent women will depend on the lactation process, during which high level the hormone prolactin, which is responsible for breast milk. If the natural process of lactation does not occur ( C-section, refusal to breastfeed, other reasons), then the cycle will be restored after 1 month. 
In this case, the maximum delay after childbirth can last approximately 8 weeks. During lactation, normalization of the menstrual cycle is purely individual process. This may take 2-3 years.
Important to remember! To accurately predict the time at which the menstrual cycle begins to resume after childbirth, it is necessary to take into account:
If the mother feeds the baby at the child's request, the menstrual flow will be restored one year after birth. With mixed feeding, you can expect your period to return after 3-4 months. For 80% of women giving birth, their critical days come after weaning their baby.
Dangerous reasons delays:
Gynecological and endocrine diseases are at risk. Diseases of the ovaries, adrenal glands and thyroid glands can cause polycystic ovary syndrome and lead to infertility.
Adnexitis is an inflammatory process in the uterine appendages that causes hormonal imbalance. Endometriosis or uterine fibroids - benign tumor, which can degenerate into a malignant neoplasm.
It is not recommended to ignore periodic delays. And if they become frequent, it is absolutely impossible to show a negligent attitude towards a woman’s health.
Gynecologists insist! Ignoring regular and frequent delays can lead to chronic diseases, infertility, oncology of the genital organs.
The delay forces the woman to wait agonizingly for a week and then go to medical institution. Any deviation of the menstrual cycle from the norm is a reason to contact an antenatal clinic.
Together with the gynecologist, the cause of the menstrual cycle failure will be determined. To do this, you will need to take tests, undergo pregnancy testing, and be examined by an endocrinologist and an ultrasound specialist.
In the case of an unstable menstrual cycle in a girl (duration less than 2 years), the onset of menopause in an older woman and an acceptable one-week delay, do not panic and try to induce menstruation.
Important to know! In women who have not reached menopause and have passed the age of menerche constant delays critical days are not normal. Therefore, having established the reasons for the delay, measures should be taken to restore the cyclicity of the regulation.
It is possible to provoke monthly bleeding if it is delayed both under medical supervision and at home. Almost all medications used to restore the menstrual cycle are hormonal.
You can get the desired effect from taking them if a woman has problems with hormonal levels and a deficiency of a certain substance in the body.
Having established the patient’s hormonal picture, the gynecologist prescribes special medications according to the regimen. Often women use herbal infusions that provoke the onset of menstruation. At home, you can induce menstruation with medications and decoctions. medicinal herbs, hot baths, large doses of vitamin C and vigorous exercise.
Decoction of medicinal herbs:
Herbs taken 2 tbsp. l., and filled with 1 l. boiling water, consume after 12 hours of exposure for one day. To induce menstruation, they also drink a decoction of onion peels and ginger.
If no serious health problems are identified, doctors prescribe special drugs, which stimulate the arrival of critical days. 
Such drugs include:
Duphaston is prescribed 1 tablet twice a day for a course of 5 days. If serious health problems are detected, the endocrinologist may prescribe a different treatment regimen. Most often, the long-awaited discharge appears on the 2-3rd day of taking the drug.
The expected effect of Duphaston is ensured by the concentration of progesterone. In case of pregnancy, this drug will not cause harm to the fetus, and it will not be able to terminate the pregnancy. Duphaston will give results only if a hormonal imbalance is detected.
If the delay occurs due to stress, then Pulsatilla will help speed up the onset of menstruation, 6 granules of which thin the blood. Taking Postinor can urgently induce menstruation.
The emerging problem of delayed periods should not provoke women to look for ways to speed them up without determining the cause of this condition. 
Important to remember! Any delay in the menstrual cycle is a failure, the cause of which should be found out.
If you experience frequent delays in your periods, you should definitely consult a specialist to rule out serious illnesses, including malignant tumors, mental disorders, infertility and other gynecological diseases.
Delayed menstruation test negative. Why and what to do:
About the reasons for a delay in menstruation, if the test is negative in adolescents and women:
At what stage will a pregnancy test accurately show a 100% result:
There is a situation in every woman’s life when her period is delayed, but the test is negative (or even several pregnancy tests done at home). What to do? Can these tests be trusted and if there is no pregnancy, then what is the reason for the absence of menstruation?
First of all, let's talk about the analysis of hCG in urine itself - a rapid pregnancy test. Home tests are typically 97% accurate when all directions for use are followed.
However, there may be cases where an incorrect result occurs:
The main reason for a false negative test is that the test is done too early and there is not yet enough hormone in the body pregnancy hCG. Quantitative blood tests and the most sensitive urine tests cannot detect pregnancy until 3-4 days after conception. The hCG hormone begins to be produced only after implantation of the embryo, which can occur from 6 to 12 days after ovulation. Therefore, it is not recommended to do testing at all unless there is a delay. As a rule, if there is a delay of 12-14 days and the test is negative, the probability of pregnancy is low. In any case, express testing is only suitable for initial diagnosis, and only a blood test for hCG should be trusted.
Typically the menstrual cycle is 28 days. If you're lucky, the cycle will be regular, i.e. you need to count 28 days from the beginning of the last menstruation to the beginning of the next. The problem is this:
The menstrual cycle is divided into two phases. The first is called the follicular phase and lasts from the beginning of menstruation until ovulation. The second half is called the luteal phase and is counted from the time of ovulation to pregnancy or menstruation. Then the cycle repeats. During the follicular phase of the cycle, hormones are produced, specifically LH (luteinizing hormone) and FSH (follicle stimulating hormone). After ovulation, other types of hormones increase - estrogen and progesterone. The length of the follicular phase can vary significantly. The duration of the luteal phase is usually 13-14 days. For example, a woman's cycle is usually 28 days, but the follicular phase is 16 days instead of the typical 14 days. This means that if a woman takes a test on the next day of her missed period, it really means that the test was taken on the 12th day after the end of ovulation, and not on the 14th. One day difference can affect the test result - positive or negative.
Another factor to consider is when implantation occurs. The result will be negative until implantation occurs. Although hCG is produced at the time of conception, this will not occur until the egg is implanted as there will not be enough hCG in the blood to cause a positive result. The time of implantation, as already mentioned, can range from 6 to 12 days after ovulation. Some women may notice slight spotting or bleeding, known as implantation bleeding.
Other reasons for a negative test may include the use of stale urine, an expired test, improper use, or the presence of an ectopic pregnancy. If the test is negative after a day - two missed periods, this may be due to the fact that it was taken too early. Repeat it after a week and if negative, consult a doctor.
Amenorrhea is the medical term for the absence of menstruation, either permanently or temporarily. Amenorrhea can be classified as primary or secondary. In primary amenorrhea, menstruation has never occurred (beginning at age 16), while secondary amenorrhea is defined as the absence of menstruation for three consecutive cycles or for more than six months in a woman who has previously menstruated.
The menstrual cycle can depend on many internal factors, such as temporary changes in hormonal levels, stress and illness, as well as external or environmental factors. Missing one menstrual cycle is rarely a sign of a serious problem, but amenorrhea longer duration may indicate the presence of a disease. Here we will talk about secondary amenorrhea and its causes.
Pregnancy is the obvious reason for missing periods and is the most common cause secondary amenorrhea. Other causes are varied and may include conditions that affect the ovaries, uterus, hypothalamus, or pituitary gland.
Common reasons for missing periods:
Abuse medicines drugs such as cocaine and opioids have central effects that can disrupt the menstrual cycle. Antiepileptic drug use is associated with amenorrhea
Gynecological and endocrine causes of secondary amenorrhea:
Women who stopped taking oral contraceptives may not have periods for three months.
Gynecologist answers to questions
Question
My periods always came on time, exactly every 28 days. Now suddenly my period is delayed by 7 days without any apparent reason- I tested negative. I'm not pregnant, but I had some pain in my lower abdomen. When I sleep at night I sometimes feel something hard in my pelvic area. This is worrying me terribly, is it something serious, any suggestions on what it could be? What to do?
Answer
It is unlikely that you are pregnant, although pregnancy tests can sometimes give a false negative result if you are early in your pregnancy. The pain you are experiencing may simply be due to a missed period that is late. One thing we can say is that the more you worry, the more likely it is that your period will be delayed even longer.
As for "something hard" in your pelvic area, it could just be a buildup of feces in the lower part of your intestines or even part of the bone structure. If you suffer from constipation, it may be causing the pain you experience. You need to consult a gynecologist (to conduct an examination and find out the reason for the delay in menstruation) and also a therapist.
Question
That month, my period started a week earlier than usual and lasted 7 days, instead of the usual 4-5. It was accompanied by severe pain, after my period two weeks later I had slight pain. bloody discharge twice. Now my period is 10 days late, during the first days of the delay I took a pregnancy test - negative, and went to the gynecologist. She said that she didn’t see any abnormalities and only suggested as an option to do an ultrasound and check if there was a pregnancy, but the ultrasound was scheduled for March 3, it was a very long wait.
Now for 15 days there has been pain in the lower abdomen and lower back (it started 5 days before the start of menstruation), initially there was severe pain in the chest. Today white discharge with lumps began, but there is no itching or irritation, what could this be?
Answer
Unfortunately, you did not indicate your age, but this has great value. Changes in the menstrual cycle and delayed menstruation during childbearing age in the presence of a negative pregnancy test may be associated with nervous stress, heavy physical activity, the presence of a cyst or inflammation of the uterus and appendages. In your case, the presence of abdominal pain may indicate a cyst or inflammatory process. I recommend doing an ultrasound examination and repeating gynecological examination and examination to detect inflammation.
Question
My period is late for 6 days and the tests are negative. My last period was on February 1st. The cycle is 31 days, menstruation lasts 6-7 days. Conception took place on February 19th. According to my calculations dangerous days. The tests are negative. I measure my basal temperature. The last 4 days have been between 37.0 and 37.2. On March 6, conception repeated itself, but if I had had my period, I could have said that non-dangerous days. On Sunday I felt very sick, I couldn’t eat anything, I couldn’t get poisoned by anything. I noticed that the color of the urine became brighter, yellowish. Today the stabbing in the right ovary is intermittent. It’s not that it hurts, but I really feel it. Could this be pregnancy? If so, why don’t the tests show it, and when should I do it again? And if not, then why am I delayed? I have regular periods, I haven’t used any protection for about a year now.
Answer
First of all, you did not indicate your age, and this is important for making a diagnosis. In order to provide qualified assistance to you, you must indicate your age. I can advise you to contact a gynecologist, do a hormonal profile, and ultrasound examination of the follicles in the ovaries. Sometimes there is premature ovulation or its delay. Perhaps this is what happened in your case.
Question
I am 24 years old and currently have a delay. In January, from 07 to 11, I had my period, the cycle was 28-30 days, my periods were on time, as expected. Now the delay is 13 days, I took a test once - negative, and also had a white discharge, my stomach and chest hurt. What reasons can cause a delay in menstruation? Thanks for the answer!
Answer
Most often, a delay in menstruation is associated with a hormonal shift - usually temporary, due to stress, lack of sleep, or a change in climate zone. Sometimes, due to this shift, the correct maturation of the follicle does not occur and there is no ovulation in a given cycle; accordingly, there are no necessary changes in the ovary that give a full second phase of the cycle, after which menstruation comes. And this results in a delay in menstruation. Sometimes the follicle matures, but there is not enough hormonal background for it to ovulate, and the follicle develops into a functional cyst - again, in this case, there will be no second phase and menstruation will be delayed. In some cases, the cause of non-ripening of the follicle and, accordingly, delay, may be sluggish or chronic inflammation ovary. You can determine exactly what is wrong with you during an examination. And in any case, it makes sense to do an ultrasound to exclude the most dangerous cause of delayed menstruation - an ectopic pregnancy (a negative test reduces the chances of an ectopic pregnancy, but does not completely exclude it).
The main reason for delayed menstruation is pregnancy, so if menstruation does not come on time, any woman goes to the pharmacy for a test. If the pregnancy is not confirmed and the test is negative, the question arises: why was the period delayed and what to do now?
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Maybe in the following cases:
Woman is sick. The menstrual cycle is associated with several organs. The process involves: the hypothalamic-pituitary system of the brain, ovaries and uterus. Failure of their work leads to the absence of menstruation. The test is not wrong: in this case, the woman is not pregnant. The cause of amenorrhea is problems in the body.
Incorrect use of the test . The test can be wrong in several cases. If a woman is pregnant, drank a lot of water in the evening, took a diuretic medication, or has an illness urinary tract, in which the excretion of hCG slows down.
The test is lying. The work of any rapid test is based on human chorionic gonadotropin. During pregnancy, the level of this hormone in the urine increases, and in less than a month reaches a concentration of 10-25 mIU/ml. This positive result is what the test shows. An expired or poor-quality test, even with a high hCG, will show a negative result.
What to do if the test is negative, but there is no menstruation? If you do not have your period and the pregnancy test is negative, you need to repeat the test in a week. Urine for testing must be collected early in the morning - the first portion. Do not take diuretic medications, limit yourself to drinking in the evening. If there is a delay, treat the situation carefully - contact.
The situation may arise due to various reasons. They depend on the woman’s health condition and the true duration of the delay. It is important to understand exactly when your last menstruation was. In any case, a delay in menstruation is not a reason to panic: it is not always pregnancy or illness.
Let's look at the delay times in more detail.
If during the menstrual cycle, when your period should come, there is no discharge, but your lower back, lower abdomen hurts, you feel nauseous, and your temperature is elevated, you need to urgently make an appointment with a gynecologist.
Is this condition dangerous and does it always indicate pregnancy? No! The egg may be delayed from leaving the ovary, which is why menstruation is delayed by a week, even if the woman is not pregnant! You need to wait 3-4 days and take a blood test for hCG. Tests will definitely show whether there is a pregnancy. If you do the tests twice, you can take an online hCG test
If the test gives a negative result, but there is still no period, you need to think: most likely there is a pregnancy, but with a negative test, we can say that it is developing incorrectly or has stopped altogether, and therefore the level of gonadotropin is lower than usual. After a week, if menstruation does not begin, you need to contact a gynecologist, get tested for hCG and undergo.
If there is no delay in menstruation on the 15th day, this is a serious cause for concern. In theory, a new ovulation should occur at this time.
Cause long delays- not always normal pregnancy:
If a repeat pregnancy test is negative and menstruation does not occur, you need to consult a doctor, undergo an ultrasound and full examination.
Breast pain and menstruation is delayed.
It is impossible to say for sure whether there is a pregnancy during a delay or not based on this sign. Breasts often hurt during PMS, before menstruation and during pregnancy. Swollen painful breasts in fact associated with tissue swelling caused by hormonal changes. If the mammary glands not only hurt, but have also increased in size, pregnancy is quite likely. You can see all the signs of pregnancy.
If your period is late, scanty pink or brown discharge. These are symptoms indicating tubal abortion due to ectopic pregnancy. If the embryo has reached large sizes, pipe rupture is possible. This condition is very dangerous. A habitual early miscarriage has the same symptoms. This usually occurs for genetic and immunological reasons. Such spotting with a negative test should not go undiagnosed, regardless of the day of delay.
When delayed, it pulls the lower back and stomach. Pain in the lower abdomen. This characteristic symptoms, ectopic or . The same pain occurs when a tube or ovary ruptures. Light discharge and pain can also occur with blood retention in the uterus or sexual diseases.
Temperature during delay – 37 and above. Elevated body temperature indicates an inflammatory process.
If we are talking about basal temperature (in the rectum), then this is a symptom that ovulation has passed. During pregnancy basal temperature It stays within 37-37.2, and in case of miscarriage or miscarriage the indicator decreases.
Delayed menstruation during menopause (after 40-45 years). The first sign of the premenopausal period in all women is a delay in menstruation. This occurs due to a decrease in the concentration of sex hormones. Changes in the duration of the menstrual cycle can reach up to 90 days, while the discharge becomes scanty. Menstruation may not come for several months, but then the cycle is restored.
In women over 40 years of age, the ability to conceive decreases, but pregnancy in this case is still possible. The endometrium thickens at this age, which leads to delayed uterine bleeding. If, even with a negative test, you must make an appointment with a gynecologist and have an ultrasound done.
Delayed menstruation during breastfeeding. When breastfeeding, menstruation usually does not occur (the so-called lactational amenorrhea), but this does not mean that pregnancy is excluded. Hoping for lactation, a woman does not go to the gynecologist until the fetus begins to move. At this stage, abortion is already prohibited, although childbirth with a short interval is undesirable.
It is technically possible to induce menstruation on your own, but gynecologists categorically prohibit doing this, because the reason for the delay is not clear and most often such amateur activity leads to heavy bleeding, deterioration of the condition, increased inflammation, even peritonitis.
Most often on the Internet it is advised to induce menstruation as follows:
Gynecologists advise: if there was a delay, don’t risk it! Contact a good gynecologist, get examined, do an ultrasound. Modern gynecology easily and quickly diagnoses the causes of amenorrhea and eliminates it.
It depends on the reason for the delay.
Treatment of amenorrhea begins with a quality diagnosis. Go through everything in St. Petersburg necessary tests and ultrasound can be done at the address: Zanevsky Prospect, 10. Sign up for any convenient time: we work seven days a week and seven days a week.
A delayed menstrual cycle is a dysfunction of the body, which manifests itself in the absence of bleeding for more than 100 days. Minor deviations in the onset of menstruation are a completely natural process, but only when the delay does not exceed 7 days.
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A month's delay in menstruation makes every woman nervous. Some of us associate this phenomenon with the joyful anticipation of motherhood, while others experience less joyful emotions or even fear.
Of course, if you haven't had your period for a whole month, this doesn't necessarily indicate pregnancy. And, alas, very often this confuses the fair sex. Having learned that they are not pregnant, an irresponsible attitude towards such a cycle disruption appears, which can lead to serious problems with health.
Often, the delay of critical days is not associated with any illnesses. This is typical for cases when the “delay” of menstruation does not exceed 7 days.
Delay of “guests” for a month
If you have not had your period for a whole month and the test is negative, the reasons for this phenomenon may be the following.
Do not forget about such common diseases as ARVI, colds, flu, as well as chronic diseases - thyroid dysfunction, gastritis, diabetes, kidney disease and others. Taking medications can also cause failure of your period. If you haven't had your period for a month and you don't know what to do, urgently make an appointment with a gynecologist to avoid serious pathology.
Heavy loads may cause delays
Very often, when a girl turns to a gynecologist with a complaint that her periods are 2 months late, she is immediately diagnosed with ovarian dysfunction. But it’s worth noting right away that this term already implies irregular menstruation, frequent delays bleeding other than pregnancy.
Simply put, having made such a diagnosis, the doctor only makes a statement of fact. But the reasons for not having periods for two months may be the following.
They've been gone for 2 months
All of the above reasons must be discussed with a gynecologist, a full examination of the body must be carried out, and only after that the doctor will be able to give you a final diagnosis.
If a woman has not had her period for 3 months, she simply needs to see a doctor immediately. The first question a gynecologist asks in such a situation is about pregnancy. If you have not had sexual intercourse and the possibility of conception is excluded, then you will be prescribed additional examinations, since there are several reasons for this pathology.
Birth control pills may be to blame
Amenorrhea is a term that is appropriate if you have not had a period for 5 months or more. The causes of this pathology are hidden at each stage of cycle regulation.
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Attention!
The information published on the website is for informational purposes only and is intended for informational purposes only. Site visitors should not use them as medical advice! The site editors do not recommend self-medication. Determining the diagnosis and choosing a treatment method remains the exclusive prerogative of your attending physician! Remember that only full diagnostics and therapy under the supervision of a doctor will help you completely get rid of the disease!
Why is there a delay in menstruation if the pregnancy test is negative, how to recognize it severe symptoms and what to do if menstruation does not occur for more than 3-5 days.
As a rule, experts conditionally divide the causes of delayed menstruation into two types. The first one wears general character, and the second is the reasons that are due to medical problems.
Do not forget about medical reasons that may explain the delay:
You should definitely visit a doctor if you experience the following signs:
When inflammatory processes occur in the body, it begins to bother nagging pain in the lower abdomen, extending to the lower back, menstruation is delayed for five days. Of course, first of all, girls think that they are pregnant, but if the test is negative, then other organs need to be examined. Body temperature may also rise and last for several days.
Diseases gastrointestinal tract have different manifestations and symptoms, but if there is a healthy balance in work internal organs is disrupted, this often affects the menstrual cycle. The cause of this may be the following diseases: inflammation of the intestines, the formation of adhesions or hernias, tumors in the gastrointestinal tract, appendicitis.
Sometimes a delay in menstruation and a negative test may not be directly related to such diseases, but it has been proven that any inflammation and instability of the functioning of organs and systems in the body can slightly delay the arrival of menstruation.
If you haven’t had your period for more than six days, you have a tugging and pain in the lower abdomen, and the reason for this is gastrointestinal disease, then along with these there are several additional symptoms:
You will be examined by a doctor, receive professional recommendations, and learn about the state of your body’s health. You will definitely be prescribed a course of treatment, after which all the causes and unpleasant symptoms will be eliminated, and the disrupted menstrual cycle will be restored.
It is very important to remember: you should absolutely not take medications that have not been prescribed by a doctor! It is also very dangerous to use various folk recipes, found on the Internet, because, firstly, medicinal herbs and prescriptions may have contraindications, and secondly, precious time will be lost when the disease can be cured with minimal therapy. Only consultation with a professional will help you.
Watch a video about a delay in menstruation with a negative test:
