Pulls the lower abdomen and no menstruation (stomach ache, aching, pulling pain)

The regular cycle of menstruation is an indicator of the normal functioning of the female reproductive system. Every woman should know her body, be able to react to its signals and changes. All girls understand that recurring pain in the small pelvis during menstruation is normal and natural. But the situation when the lower abdomen pulls, but there is no menstruation, makes you think.

Why does the stomach hurt during menstruation

Pain during menstruation and 1-2 days before their onset is a normal, physiological state of the body. Before the start of regulation, the concentration of serotonin, which is a natural pain reliever, sharply decreases in the blood. At the same time, the production of prostaglandin increases, which causes contractions of the uterus to cleanse the inner layer, the endometrium.

Such sensations can be of different intensities: from the feeling of sipping in the lower abdomen to severe soreness, which not every analgesic can cope with. The duration of this condition usually does not exceed 3 days from the onset of menstruation.

Let's figure out why it sometimes happens that the stomach or part of it hurts like during menstruation, but they are not at this time.

Ovulation

In the middle of the cycle, at about 9-14 days (with a cycle duration of 28 to 31 days), during the normal course of the menstrual cycle, ovulation occurs - a rupture of a mature follicle and the release of an egg. This is due to a sharp jump in the concentration of luteinizing hormone. The restructuring of the endocrine system, as well as the rupture of the follicle itself, can provoke a feeling that the stomach aches a little, as if before menstruation. With this problem, you usually do not need to do anything - the pain is not intense and goes away on its own.

Sometimes (especially often when canceling birth control pills, with hormonal stimulation, if the day before there was sexual intercourse) ovulation is accompanied not only by rupture of the follicle, but also by damage to the ovary itself - apoplexy. It is a surgical emergency requiring immediate medical attention. In severe cases, severe bleeding occurs, which is fatal.

Premenstrual syndrome

The second cause of discomfort in the lower abdomen is the same PMS. 2-3 days before the onset of menstruation, many women complain of headache, irritability, discomfort in the chest, tearfulness and soreness in the lower abdomen. This, like ovulation, is a physiological condition and is caused by a change in hormonal levels and the preparation of the uterus for menstrual bleeding.

Stomach hurts, and there is no menstruation during pregnancy

A pulling pain in the lower abdomen that occurs on the day of the supposed onset of menstruation, accompanied by a delay, can be a signal of pregnancy. This is explained by the fact that 5-7 days after conception, the fertilized egg begins to integrate into the endometrium - the process of implantation of the future embryo is underway. Often this is exactly what happens on those days when a woman is expecting the arrival of her period. Implantation is often accompanied by soreness on one or both sides, as well as slight bleeding, which is often mistaken for menstruation. However, the introduction of the egg is characterized by insignificant bloody or dark brown discharge, do not require the use of a pad or tampon (a regular daily is enough) and lasts no more than 3 days.

Therefore, if the lower abdomen is strongly or not very pulling, and there is still no monthly period, think about conducting a pregnancy test or visit a gynecologist.

These were normal conditions that can be accompanied by painful sensations in the abdomen of varying intensity. However, there are a number of diseases that require medical attention.

Hormonal disruptions and cycle disorders

The female reproductive system is very finely tuned and extremely sensitive to stress factors. Exposure to stress, changing climates, extreme fatigue and lack of sleep can lead to menstrual irregularities and hormone imbalances. All this leads to a delay, an unstable emotional state, as well as stretching in the lower abdomen in the absence of regular periods. In this case, the comment of an experienced doctor is required.

Ectopic pregnancy

Not every pregnancy develops the way it should. There is a concept of "ectopic pregnancy", when the ovum for some reason does not enter the uterus, but remains in the lumen of the fallopian tube or in the pelvic cavity. Nothing connects the ovary and the fallopian tube, the released egg with the help of the villi at the entrance to the tube is directed to the right place and begins the process of attachment to the wall. This causes pain, more often on the one hand. The growing fetus ruptures a tube or other anatomical structure and causes severe bleeding.

Therefore, if a woman has aching pain in the lower abdomen, but it did not happen during menstruation and is accompanied by weakness, cold sweat, pallor, this is a reason to immediately call an ambulance.

But even if the rupture did not occur, the occurrence of a condition when the lower abdomen constantly hurts, as with menstruation, and the absence of menstruation, means that it is time to see a doctor. The fetus is able to develop only in the uterine cavity, therefore, an ectopic pregnancy never persists. It must be surgically interrupted to prevent serious complications from developing.

Inflammatory processes of the female reproductive system

There are many pathologies of various organs of the female reproductive system, the inflammation of which causes abdominal discomfort. The nature of such pain is usually aching, prolonged (more than a week) and does not depend on the phase of the cycle.

Colpitis (vaginitis) is an inflammation of the vaginal mucosa caused by exposure to pathogens (viruses, bacteria, fungi). In addition to aching pain, there may be itching of the external genital organs and pathological discharge with a specific odor.

Adnexitis (salpingo-oophoritis) is an inflammation of the uterine appendages (fallopian tubes, ovaries). Discomfort in the lower abdomen can be accompanied by fever, chills, headache, and monthly disruption.

Endometritis is an inflammation of the inner layer of the uterus. Symptoms include soreness, purulent discharge, fever, and general weakness. In the absence of proper treatment, the disease can lead to the development of sepsis (blood poisoning) and infertility.

Infections can be caused by staphylococcus, streptococcus, chlamydial and mycoplasma infections, the causative agent of gonorrhea, tuberculosis and syphilis, fungi of the genus Candidae, herpes and others. Also, the development of colpitis leads to a violation of the microflora of the vagina.

Diseases of the urinary system

The pelvic cavity contains not only the reproductive organs, but also the bladder, ureters and urethra. With inflammation of these structures, sometimes a woman has a pain in the lower abdomen or part of it, as before menstruation. However, with cystitis and urethritis (inflammation of the bladder and urethra), there is pain when going to the toilet, a change in the color and nature of urine. The presence of these diseases can be easily confirmed by simple tests.

With urolithiasis, pain is also present. More often it hurts on one side, especially during urination.

Diseases of the digestive tract

Appendicitis, adhesive disease, intestinal obstruction - all these diseases can cause pain. Therefore, remember: acute pain in the lower abdomen, accompanied by indigestion and not associated with the onset of menstruation, is the reason for contacting the surgeon.

Volumetric formations of female genital organs

This includes cysts, fibroids (benign tumor of the uterus), various types of malignant lesions and pathologies that are the beginning of trouble. More often women over thirty suffer from this. Pain is a sign of neglect of the disease! Therefore, if you or your relative has a pain in the bottom, half, part of the abdomen, as with menstruation, but they have already passed or still did not start, all this is accompanied by poor health, fever, a change in appetite - do not postpone a visit to gynecologist. You could be wasting valuable time.

The threat of early termination of pregnancy

The first trimester of pregnancy is the most difficult for a woman. From the very beginning, the female organism recognizes the developing life as a foreign agent and directs all its forces to fight against it. Only hormones protect the future man. Therefore, it is at this time that the risk of spontaneous abortion increases. And the first sign of something amiss may be constant pain in the abdomen.

What to do

If the pain is caused by the onset of a healthy pregnancy, you should accept it and allow the body to get used to the new condition. Wise Nature will help you with this. Just give yourself a break.

During premenstrual syndrome and ovulation, you can drink No-shpa or its analogues, most often this is enough.
The rest of the causes of pain are easier to prevent than to deal with the consequences of their exposure.

1. Proper nutrition and sports are important for maintaining the health of the entire body, including the reproductive system. A balanced diet is a supplier of essential catalysts and trace elements that are actively involved in the synthesis of hormones and biologically active substances. Moderate exercise maintains vascular tone and promotes the production of serotonin, the hormone of happiness.
2. Refusal from uncontrolled sexual intercourse. Sexually transmitted infections are among the leading causes of infertility and cervical cancer. Take care of yourself and choose your partner responsibly.
3. Get regular check-ups with your gynecologist. Take a vaginal smear every six months, and perform an ultrasound of the pelvic organs every year. These simple actions can detect the development of dangerous diseases in the early stages and thereby improve the prognosis.
4. Learn how to correctly calculate the date of the onset of menstruation. This will allow you to notice the delay in time and compare it with other existing symptoms.
5. Don't forget to rest. The female reproductive system is very sensitive to nervous and physical stress. Work will wait, but returning health is not at all easy.
6. Sex education for girls. When the first period comes, the girl should not be afraid. The duty of every mother and daughter is to acquaint her with the body and its periodic changes. Tell how and why your period goes, what to do if your tummy is sick, how to protect yourself from unwanted pregnancies and STIs, and give some advice.

A woman is able to reproduce a new life. This is a great gift, the most powerful work and an incredible miracle. For this ability, you must always love and take care of yourself. Respect your body, protect it, take more care. Study yourself and your organs. Be healthy!