Why menstruation does not go (reasons): if there is no pregnancy

Doctors assure that a delay in menstruation is possible at any age: in a teenage girl, a woman of reproductive age, or during pre-menopause. And only a qualified specialist can establish why menstruation is not going on and, if necessary, prescribe appropriate therapy. Moreover, the failure can be caused by serious pathologies that threaten fatal complications.

Having studied the articles presented on Internet resources, you should not independently determine the reasons, and then self-medicate. It is important to understand that an alarming symptom requires a mandatory consultation with a gynecologist.

How to understand if there is a delay

The menstrual cycle prepares the female body for pregnancy. And menstruation is a kind of "revenge of the body" for the fact that conception did not occur. Normally, regular spotting appears within 2-7 days with a blood loss of 50-150 ml.

Before talking about the delay of menstruation, you should know the duration of your menstrual cycle (normally 21-36 days). It is determined from the 1st day of menstruation until the day before the start of the next menstruation.

Usually there is a 28-day cycle with 3 or 5-day menses and 50-100 ml of blood loss.

Useful advice! To determine the length of your cycle, you need to mark the first day of your period on the calendar. Within six months, the onset of menstruation will cease to be a surprise, and the delay will not be ignored.

It happens that menstruation begins one or two days earlier or does not come 3 days. Don't worry, these are permissible, meaningless errors. Deviation - 5-7 days delay. In many cases, the violation indicates pregnancy.

But what if the test result is negative, and critical days still do not come? Or did the failure occur in a woman who is incapable of reproducing offspring? First of all, you need to see a doctor. Having determined the reasons for the delay, he will explain why menstruation does not come, and tell you how to normalize the cycle.

Pregnancy

It happens that the delay was joined by nausea, engorgement of the mammary glands, drowsiness, general malaise, and the test shows a negative result. For maximum reliability, it is recommended to do a second test after a couple of days. And also do a blood test to determine the level of hCG. And only after making sure that conception did not happen, you need to look for other reasons for the absence of menstruation.

Emotional or physical stress

Can menses not go for a whole month if pregnancy is excluded? Menstruation can be delayed by:

• excessive physical activity (gym, difficult working conditions);
• emotional outbursts (state of shock, stress);
• intensive mental activity (preparation for the exam).

Stress adversely affects a woman's well-being and condition. This is not the best atmosphere for pregnancy and the body starts to "strike". The process manifests itself in the area of ​​the brain (pituitary gland) that is responsible for sexual activity.

Menstruation stops until the crisis moment passes (there are cases when menstruation disappeared for years).
Girls who regularly perform strength exercises in the gym or are busy with hard work should think about reducing the load, not going to workouts for a while. Within a month, the cycle should be restored.

Sudden weight fluctuations

Lovers of losing weight with the help of all kinds of diets should not be surprised if their periods did not come on time. Diet restriction leads to hormonal imbalances and nutritional deficiencies, and this leads to a malfunction of the menstrual cycle.

There is a special "menstrual mass" and its lower limit is 45 kg. If the woman's weight is lower, her period will stop. The body simply does not have the resources for the full functioning of the reproductive system.

If a woman sharply decreases or gains her body weight (up to 3 degrees of obesity), the body is undergoing severe stress. With a dramatic change in weight, periods may disappear for several months. In order for the cycle to normalize, and menstruation to go on time, you need to adjust your diet, if necessary, contact a nutritionist, psychologist.

Formation of the cycle and the extinction of reproductive function

In adolescence, when the cycle is in the formation stage, delays occur often (the first menstruation occurs at 10-14 years). During the ripening period, they happen more often, sometimes less often. And only after a while a constant cycle with regular critical days is established.

Attention! If your period begins in a child under 10 years old or is absent in a 15-year-old girl, specialist advice is needed.

A delay in menstruation after 40 years is not a reason for panic. The violation is of a physiological nature, informing a woman about the proximity of menopause. The ovaries reduce their functions and critical days come haphazardly. Preclimax accompanied by a hormonal swing can last for about 10 years. Then menopause occurs, the ovaries cease their reproductive function, and menstruation stops forever.

Important! The delay is not always associated with the suppression of reproductive function. During the pre-climax period, the development of many chronic diseases, including female ones, is observed. To exclude the likelihood of a pathological process, you should be examined by a gynecologist every six months.

Abortion

Even the safest operative abortion (curettage, vacuum, medical) provokes hormonal disruptions. It is important to understand that during the operation, the lining of the uterus, the "keeper" of the uterine blood, is removed. It takes about three to four weeks to recover.

In half of women, critical days occur only one and a half months after termination of pregnancy. This is a serious abnormality that requires examination and hormone therapy. Injury in the process of scraping or retention of parts of the ovum - also provoke a delay.

Diseases and taking medications

Colds, exacerbation of chronic pathologies, thyroid diseases are not all conditions that cause delay. Moreover, it is not the pathology that is to blame, but the drugs that the patient is taking. If the reason for the absence of menstruation is this, the violation does not last more than a week. If it does not come after this period, be sure to consult a gynecologist.

Attention! If your period is 14 days or more late, it is dangerous to ignore the deviation. We can talk about a developing inflammatory process.

Reproductive system diseases

The presented group of pathologies requires close attention. These are the most dangerous reasons for a delay in menstruation.

Tumors or inflammation of the organs of the reproductive system: oophoritis, adnexitis, fibroids, etc. In this case, the delay in menstruation is accompanied by pain and abnormal vaginal discharge. Diseases require urgent therapy, since they pose a serious danger to a woman's life (infertility, peritonitis, sepsis, death).

Cyst of the corpus luteum of the ovary. In this case, menstruation is delayed by 10-14 days. The pathology formed by hormonal disruption is cured by a course of hormonal treatment.

Polycystic ovary disease. It means a lot of cystic formations that have occupied a woman's ovary. This can lead to disruption of the ovulation process, the menstrual cycle. The disease is accompanied by short, irregular delays. There are cases when menstruation did not occur for two or more months.

Ectopic pregnancy

The fertilized egg is not attached to the body of the uterus, but directly in the tube. This is an extremely dangerous condition that threatens a woman's life. In the first weeks, symptoms of a normal pregnancy appear, but the test shows a negative or subtle result. If no pathology is detected at the initial stage, the grown egg will rupture the fallopian tube, the contents will enter the abdominal region, the woman will develop peritonitis, and a lethal outcome is possible.

Not all women are aware of the seriousness of the problem, moreover, in the gynecologist's office they cannot even remember the date of the last menstruation (and this is the most necessary, significant criterion for determining the term, if a girl pregnant). To find out the provoking factors, the doctor conducts an examination, takes tests, and, if necessary, prescribes an ultrasound examination. Guided by the results obtained, the gynecologist will tell you why your periods did not come on time, what it means and what the consequences might be if you do not start treatment right now.

Taking hormonal contraceptives

Sometimes oral contraceptives normalize the menstrual cycle, but it can also happen the other way around. Long-term use of drugs or a sharp refusal from them are factors that "inhibit" the work of the ovaries, and therefore provoke a delay of 2-3 months.

Taking emergency contraceptives containing large doses of hormones also leads to the delay of critical days. In this case, the delay does not exceed 10 days.

Gynecological procedures

A slight delay can be triggered by cauterization of cervical erosion, hysteroscopy. If the critical days are 2 days late, this does not indicate a deviation. If it did not start on the third day, it is better to be examined by a gynecologist.

Improper nutrition

A poor diet, lack of fresh vegetables and fruits, addiction to fast foods deplete the body, disrupt metabolic processes. Vitamin E deficiency is one of the main reasons for a few days delay. But do not jump to conclusions and absorb pills uncontrollably. An excess of "female vitamin" is just as harmful to the body as its deficiency.

After the baby is born

The pituitary hormone prolactin, which stimulates the secretion of breast milk, suppresses the cyclical activity of the ovaries. With breastfeeding, the critical days do not come until lactation stops. If a woman is not breastfeeding, it takes almost 2 months for the cycle to recover and menstruation does not come during this period. A one-year delay is not considered normal.

Climate change

Very often, moving to another climatic zone is accompanied by a general malaise. Some women, who abruptly changed the Russian winter to the Egyptian heat, literally lay in a layer the whole vacation. And the harder acclimatization is, the higher the risk of cycle disruption. In this case, your period may be delayed until you return from the spa.

If the delay is not provoked by the onset of pregnancy, many women only breathe out with relief. Naturally, there is no question of going to the doctor. In the meantime, pathological processes are developing in the body, leading to dangerous complications. It is important to understand that most pathologies that are easily treatable at the initial stage, flowing into a chronic form, become incurable. If your period stops due to a neoplasm, every day of delay can cost your life. Therefore, if there is no pregnancy, and menstruation does not go for a long time, do not waste time, it is better to contact a qualified specialist.