What can be the delay in menstruation. Delayed menstruation, but the test is negative: what to do? Delay of menstruation. When to see a doctor

All women in their lives are faced with a delay in menstruation. And every time we worry, we begin to find out what it is connected with. There are many reasons for its appearance. Therefore, if you observe signs of a delay in menstruation, you need to contact your gynecologist.

After all, untimely identification of the reasons causing a violation of the monthly cycle, and untimely treatment of delayed menstruation can lead to infertility.

Signs of delayed menstruation

A sign of a delay in menstruation is the absence of menstruation at a certain time. The delay may be accompanied by pulling pain in the lower back, spotting bleeding, breast tenderness, pain in the lower abdomen. These symptoms often mean your period is about to start.

Normally, the monthly cycle lasts from 21 to 38 days. A cycle duration of 28 days is considered the best option. An increase in the usual monthly cycle is considered a delay in menstruation. All women, regardless of age, may have changes in the monthly cycle, that is, menstruation may start earlier or later by several days. A normal delay in menstruation is a delay of no more than five days.

Every woman should learn how to correctly calculate the duration of the menstrual cycle. It will be correct to start the calculation from the day of the beginning of menstruation and until the first day of the next. To correctly determine the period of delay in menstruation, women should maintain an individual calendar in which to mark the days of the beginning and end of menstruation.

If you have a normal period of 1-3 days delay, this is not a reason to worry. But when the period of delay in menstruation is 7 days or more, you should consult a doctor, since there can be many reasons for its appearance.

Causes of delayed menstruation

Pregnancy

Have you had regular periods, and then a delay? This may indicate pregnancy. To determine it, you need to do a test. If he showed that you are pregnant, make an appointment with a gynecologist so that he excludes the presence of an ectopic pregnancy, which can pose a great danger to the woman's life.

It so happens that the test is positive, and the woman went on her period after a delay. This may indicate that the pregnancy was terminated and a miscarriage occurred. In this case, you also need to see a doctor. Spontaneous and surgical abortions often lead to infertility or permanent delays in menstruation.

Breastfeeding period

After the birth of the baby, the woman's body produces the hormone prolactin, which is responsible for lactation. It blocks ovulation, as a result of which there is a strong delay in menstruation. The monthly cycle usually recovers within 1–2 months after breastfeeding stops. But it happens even earlier, even if the woman continues to breastfeed.

Adolescence

Delayed menstruation during puberty is normal and does not require treatment. As a rule, disruptions in the monthly cycle can be observed within 1-2 years after the onset of the first menstruation. But if after two years the normal menstrual cycle has not been established, this indicates that you need to undergo a medical examination.

Preclimax

In women over the age of 40, a delay in menstruation often signals an approaching menopause and is not a deviation from the norm. Each time, menstruation comes later and later, until it stops altogether.

Acclimatization and stress

Various stressful situations and a change of residence also often lead to a delay in menstruation. The maximum delay of menstruation by more than 5 days in this case is not the norm, but it does not require treatment either. Adequate rest and sleep, as well as taking anti-anxiety medications, will help bring your monthly cycle back to normal.

Wasting and obesity

Extreme diets, strong physical activity lead to exhaustion of the whole organism. As a result, the body stops producing the hormone estrogen, which leads to the cessation of ovulation and a delay in menstruation. With obesity, estrogen is produced in excess, which also negatively affects the monthly cycle. A healthy, balanced diet and adequate rest will help normalize your monthly cycle.

Intoxication

Alcohol abuse, smoking, drugs, work in hazardous work have a negative impact on a woman's health. Intoxication of the body often leads to irregularities in the menstrual cycle.

Hormonal Disorders

A woman's body produces hormones such as progesterone and estrogens. A strong delay in menstruation may be associated with hormonal imbalance. A decrease in progesterone levels can lead not only to a violation of the monthly cycle, but also to problems with conception. In case of violations of the cycle, it is imperative to resort to qualified medical assistance.

Gynecological and endocrine diseases:

polycystic ovary syndrome. With this disease, male sex hormones begin to be intensively produced in the female body, due to which ovulation may occur with a delay or not occur at all. In women with polycystic ovaries, male-pattern hair growth is observed, acne appears on the face, and body weight increases. The disease often leads to infertility. If you start having your period after a delay of more than 7 days, this disease may be the cause, so you should not postpone a visit to the doctor. Polycystic ovary syndrome can be caused by malfunctions of the thyroid gland, hypothalamus, pituitary gland, adrenal glands, ovaries;
inflammation of the uterus and its appendages (adnexitis). With this disease, the production of hormones is disrupted, which are responsible for the regulation of the monthly cycle;
endometriosis and uterine fibroids. These diseases can cause both a delay in menstruation and uterine bleeding.

The reasons for the violation of the monthly cycle can also be:

endometritis;
intestinal and colds;
salpingo-oophoritis;
diabetes;
infections and diseases of the genitourinary organs;
dysfunction of the thyroid gland;
improper placement of the intrauterine device.

Taking birth control pills

The maximum delay in menstruation for more than a week can occur when taking birth control pills or after they are canceled. Many women on the forums ask the question: "Can there be a delay in menstruation and the onset of pregnancy when taking Postinor tablets?" If the first tablet of this drug was taken within 24 hours after intercourse, and the second - 12 hours after it, in 95% of cases, pregnancy does not occur. After discontinuation of the drug Postinor, the delay in menstruation may be within two weeks.

Diagnosis and treatment of delayed menstruation

To determine the reasons for the delay in menstruation, the gynecologist may prescribe the following examinations:

Ultrasound of the thyroid gland, pelvic organs, adrenal glands (to determine or exclude pregnancy, endocrine and gynecological diseases and tumors);
examination for the presence of sexually transmitted diseases;
basal temperature scheduling;
various studies of the hormonal background of the body (FSH, PRL, LH, etc.);
general urine and blood tests;
examination of the pituitary gland (electroencephalography, magnetic resonance imaging, radiography, computed tomography).
determination of the level of hCG in the blood;
consultations of an endocrinologist, nutritionist and psychotherapist.

Treatment for delayed periods includes:

treatment of infections causing delay;
hormone therapy;
taking vitamins and homeopathic medicines;
physiotherapy and gynecological massage;
a change in lifestyle (rejection of bad habits, proper nutrition, etc.);
acupuncture.

Gynecologists often prescribe progesterone with a delay in menstruation, if the examination reveals a shortage of it in the body. Typically, the drug is given as an injection or tablet. Taking progesterone helps to normalize the monthly cycle, but has some contraindications. It is not prescribed for vaginal bleeding, breast tumors, liver disease.

The homeopathic medicine Pulsatilla with a delay in menstruation can also be prescribed by a doctor if it is associated with stress. The granules of this drug are composed of lumbago extract, known for its medicinal properties. While taking Pulsatilla, you should exclude chocolate, coffee, mint, tea, alcohol and citrus fruits from the diet, as they can reduce its effectiveness.

In the office of gynecologists, it often sounds: "I have a delay in menstruation every month, what does this mean?" All women from time to time have minor deviations in the timing of the onset of menstruation. The reasons for constant delays in menstruation are different: from harmless features of physiology, the body's response to external factors to diseases requiring intervention. Let's figure out when you shouldn't worry, and when you need to rush to the doctor.

What is considered a delay

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

The duration of the cycle is calculated from the first day of menstruation until the day the next regulation starts. 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 sound the alarm.

Constant delays in menstruation are caused by both a slight malfunction and a violation of the state of hormonal levels or other pathologies.

Reasons for persistent delays

Cycle fluctuations are a common occurrence that happens many times in every woman's life.

Why there are constant delays in menstruation:

Natural causes are puberty, pregnancy, breastfeeding, pre-menopause, no ovulation cycle.
Pathological reasons - gynecological problems, hormonal imbalances, abortion, miscarriage, taking certain medications, withdrawal of hormonal drugs, sudden weight fluctuations, low or too high body mass index, unbearable physical activity, stressful situations, climate change, the action of toxic substances or toxins, chronic diseases and ARVI.

A constant delay in menstruation for more than 10 days, if it is not associated with natural age-related reasons, can talk about pathology - this requires close attention and medical care

Physiological causes

A constant delay in menstruation is standard for reasons associated with age-related and functional changes in the work of the reproductive system.

Puberty. After the onset of menarche in adolescents, the cycle is established up to two years, so it can be irregular - it either shrinks or lingers. It's okay, don't worry.

Pregnancy. Before the invention of ultrasound and hCG analysis, a delay in menstruation was considered a relatively reliable sign of pregnancy. Nowadays, if there is such a possibility, a home test will clarify this issue on the first day of the delay with an accuracy of 80-90%.
Menstruation after childbirth and lactation. When breastfeeding, menstruation does not occur for 7-18 months. Prolactin, which stimulates milk production, inhibits ovulation.
Premenopause and menopause. The function of the reproductive system is gradually weakening. WHO declares the end of fertile age at 49 years. After 40, the nature and duration of the cycle changes.
Anovulatory cycle. Researchers don't know why nearly every woman has cycles without ovulation during some months. There is a delay during these periods.

Read also 🗓 Monthly no six months what to do

Pathological causes

Most often, menstruation is constantly delayed for the following reasons:

Due to stress, delayed periods are the most common. Nervous shocks, chronic lack of sleep, constant point negative influences, troubles in the family and at work, passing exams, financial difficulties and uncertainty in the future - the body perceives all this as a signal to postpone conception: the work of the hypothalamic-pituitary system is upset, which leads to a decrease in production luteinizing and follicle-stimulating hormones.
Rapid weight loss or 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 build-up or loss of adipose tissue. With a passion for diets, a deficiency of one or more essential elements inevitably occurs, which leads to cycle disturbances. A very difficult situation is anorexia. In this case, menstruation completely stops due to the threat to life.
Too intense physical activity. For professional athletes and women doing hard work, delayed menstruation is a common problem.
Change of climate and time zone. Vacation in a hot country in January or frequent business trips contribute to menstrual irregularities. As well as prolonged exposure to the sun.
Abortion, miscarriage, hysteroscopy. During surgery, the endometrial layer is removed, it takes time to recover.

Less common and more serious causes of changes in the timing of menstruation:

Taking medications. With prolonged use of antidepressants, corticosteroids, diuretics, psychotropic and some other drugs, side effects are frequent, delayed menstruation is one of them.
Canceling or taking hormonal drugs. If a woman took oral contraceptives for several years, she did not produce her sex hormones. After the hormonal drugs are canceled, it 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 of producing its own hormones, so there may be a delay.
... A dangerous condition requiring immediate hospitalization.
Chronic diseases. Chronic gastritis, diabetes mellitus, diseases of the urinary system, breast cancer affect all organs and systems of the body.
ARVI... With the seeming frivolity of this disease, its consequences are severe.
The presence of gynecological diagnoses, such as: salpingo-oophoritis, cervicitis, endometrial hyperplasia or hypoplasia, uterine polyp, endometriosis, endometritis, follicle maturation disorders, neoplasms (uterine fibroids, cysts, cervical cancer), ovarian disease (polycystosis, corpus luteum cyst, syndrome ovaries or their premature depletion) causes disturbances in the normal cycle.
Hormonal disorders: hyperprolactinemia, hypothyroidism, pituitary or adrenal adenoma, ovarian dysfunction - always affect the duration of the cycle.

When consulting women, an obstetrician-gynecologist is often faced with a complaint about "delayed menstruation." In this case, the patient has anxiety and logical questions: "Is everything all right? What if I'm pregnant? Does this happen to others? Am I healthy?" Let's talk about the reasons for this condition, which can be different.

A bit of physiology

The menstrual cycle is a monthly change in the female body that occurs under the influence of sex hormones. The main sign of a normal cycle (its duration is 21-35 days) is considered regular - bloody discharge from the genitals, the duration of which is normally 3-7 days. Normal blood loss during menstruation does not exceed 50-100 ml.

Menstrual function is regulated by the joint activity of a complex complex of nervous and humoral structures (cerebral cortex; hypothalamus and pituitary gland - endocrine glands located in the brain), as well as genitals (ovaries, uterus). Since all levels of this system are interconnected, a delay in the next menstruation may be associated with a malfunction of any of the listed links. Therefore, the cause of delayed menstruation can be "breakdown" at any of the levels of regulation of the menstrual cycle.

Causes of delayed menstruation

A delay in menstruation can be caused by various gynecological diseases, such as uterus (salpingo-oophoritis), uterus (benign tumor of the uterus) and others. However, it should be noted that with these diseases, bleeding from the uterus is more common.

Periodic delays in menstruation are characteristic of a disease such as polycystic ovary disease (PCOS)... Under this concept, a number of pathological processes are combined in which the production of hormones is disrupted. At the same time, ovulation does not occur in the body (the release of an egg from the ovary) and infertility occurs.

PCOS is observed with dysfunction of various organs: the hypothalamus, pituitary gland, adrenal glands, and the ovaries themselves. Therefore, the disease can manifest itself in different ways depending on the causes of its occurrence, and it is not enough to use any one diagnostic sign or method to establish a diagnosis.

With polycystic ovary, the most common menstrual irregularities (more often delays from several days to several months), excessive body hair growth, an increase in the size of the ovaries (but not always), in half of patients - obesity. When measured (in the rectum), it remains approximately constant during the cycle, and does not increase in the second half of it, as is normal. With the most pronounced (primary) form of the disease, these signs appear already in adolescence after the onset of menstruation.

For the treatment of this condition, various hormonal preparations are prescribed, agents are used that reduce the level of male sex hormones (the formation of which increases with this disease), regulate metabolic processes in the structures of the brain, etc. If there is an absolute need to reduce body weight. In preparation for a planned pregnancy, an important stage of treatment is to stimulate ovulation - the release of an egg from the ovary. For this, drugs are used, and if they are ineffective, surgical methods of treatment are used. Currently, it is performed by laparoscopy: small holes are made in the anterior abdominal wall through which optical instruments for examining the abdominal cavity and surgical instruments are inserted.

A delay in menstruation can also occur after termination of pregnancy... The reason is hormonal imbalance, as well as the fact that during the instrumental curettage of the uterus, an excessive amount of tissue can be removed, including that part of the inner lining of the uterus, which normally grows during the menstrual cycle and is excreted in the form of menstrual blood. It sometimes takes a little more time to restore this functional layer than during a normal cycle. That is, after an abortion, menstruation may occur not after 28-32 days, but after 40 days or more. This delay is not normal: the woman needs examination and treatment.

Menstruation delay may be due to taking oral contraceptives... During the administration of the drug or after its withdrawal for several menstrual cycles, there may be an absence of menstruation: this is the so-called ovarian hyperinhibition syndrome.

With the development of ovarian hyperinhibition syndrome, oral contraceptives are canceled. As a rule, within 2-3 months, maximum - within 6 months after the end of their intake, the function of the ovaries spontaneously restored. If the absence of menstruation persists for a longer period, drugs are prescribed that stimulate the work of the pituitary gland (CLOMIFEN), or drugs that stimulate the maturation of the egg and its release from the ovary (PERGONAL, CHORIONIC GONADOTROPIN). Other methods of contraception should be used until normal menstrual function is restored.

Stress- long-term or strong short-term - is the cause of malfunction of the central structures (cerebral cortex, hypothalamus) that regulate the work of the ovaries and uterus. An example of such disorders is the so-called wartime amenorrhea, when women stop menstruating under stress.

Another reason for a significant delay in menstruation can be significant and rapid weight loss. So, doctors have such a concept as critical menstrual mass - this is the weight, in the presence of which adolescent girls, as a rule, begin menstruation. However, we are more interested in the fact that with a strong desire to lose weight, having reached this critical menstrual mass (45-47 kg), a woman can get not only the desired result, but also a long delay in menstruation.

Most often, this effect occurs when anorexia nervosa- eating disorder characterized by refusal to eat and / or rejection of it. This is accompanied by a breakdown in the work of such regulatory systems of the body as the nervous and endocrine. Anorexia nervosa is characterized by a sharp decrease in the production of pituitary hormones, including regulating the work of the ovaries. In this case, impaired reproductive function should be considered as a protective reaction in conditions of nutritional deficiency and mental stress. Therefore, in order to restore age-related secretion of hormones, it is required to achieve ideal body weight and eliminate mental stress.

Anorexia nervosa in 50% of cases can occur with episodes bulimia(gluttony), after which the patient shows especially clear signs of anxiety, remorse and depression, successful attempts to induce vomiting.

For this reason, when preparing for pregnancy, do not try to achieve the ideal "90 - 60 - 90". If you are planning to lose weight, take it sensibly, or better - consult a nutritionist.

Pregnancy Fortunately, this is the most common and most physiological cause of delayed menstruation in women of reproductive age. In this case, a delay in menstruation may be accompanied by such signs as a change in taste and smell, engorgement, breast tenderness. As a rule, a pregnancy test in this case gives a positive result. A delay in menstruation also occurs during an ectopic pregnancy, when the ovum is attached to the fallopian tube. In this case, all the subjective sensations characteristic of pregnancy may also be present.

What can a doctor do?

In case of menstrual irregularities, you should immediately consult a doctor. Examination by an obstetrician-gynecologist will exclude conditions that require immediate surgical intervention. It can be an ectopic pregnancy, a frozen pregnancy, tumor diseases, etc.

To understand the cause of the menstrual irregularity, the doctor may prescribe additional examinations:

measuring basal temperature and scheduling its change- these measurements, along with other methods, make it possible to judge the presence or absence of such an event as ovulation - the release of an egg from the ovary;
Ultrasound of the pelvic organs- uterus, ovaries;
blood test for hormones- with its help, the level of hormones of the pituitary gland, ovaries, and, if necessary, other endocrine glands is determined;
computed or magnetic resonance imaging- methods with which you can get layer-by-layer images of the structures of the brain to exclude a pituitary tumor.

In the presence of concomitant endocrine diseases, the gynecologist will appoint a consultation with other doctors - endocrinologist, psychotherapist, nutritionist.

Ildar Zainullin
obstetrician-gynecologist, Ufa

- This is the absence of cyclical bleeding for more than 35 days in a woman of reproductive age who has not entered menopause. The reasons for such a violation of menstrual function can be many, they are caused by physiological, organic and functional disorders.

As for the age at which the delay is observed, it can be different, from the period of puberty of the girl to the period of premenopause. Statistics indicate that 100% of women have faced this problem at least once in their life.

For what reasons can there be a delay in menstruation?

Naturally, the most common reason why the next menstrual cycle does not start on time is pregnancy. In addition, a woman's taste sensations change, morning sickness can be observed, and even painful sensations appear in the mammary glands. All these signs are associated with a change in hormonal levels in a woman's body after conception.

However, pregnancy is an obvious reason for the delay, and it is not difficult to determine it using a special test.

If the result is negative, then other reasons should be considered, including:

Increased emotional stress, for example, strong, study load before exams. Don't underestimate the effect of stress on a woman's body. It can cause serious disruptions in the work of areas of the brain that are responsible for hormonal regulation. With severe stress, menstruation can stop even for several years.

Increased physical stress associated, for example, with increased sports training or difficult working conditions.

Professional training in heavy sports.

Refusal to take hormonal contraceptives. This delay is due to the fact that the functionality of the ovaries decreases against the background of prolonged intake of hormones from the outside. A deviation from the norm in this case is the absence of more than 2-3 cycles.

Taking medications high in hormones that are used as emergency contraception. For example, such means as Postinora, Escapeli, etc.

Violation of follicle maturation, which is expressed in its atresia or persistence.

The period after childbirth, when the delay is due to hormonal changes in connection with the onset. The body begins to produce prolactin in excess, which helps to suppress the functionality of the ovaries. A woman needs to know that if the baby is not breastfeeding, then menstruation should begin two months later. If the mother is feeding the child, then menstruation should be restored after the cessation of lactation.

Viral infections, for example, ARVI and.

Exacerbation of chronic diseases:,. In addition, functional impairments, etc. may have an impact.

Taking medicines. Antidepressants, corticosteroids, chemotherapy for cancer can have an effect.

Digestive disorders, which can be caused by strict diets, illness, overeating, metabolic disorders, etc.

Abortion. In this case, either hormonal disturbances or mechanical damage lead to a delay.

Ectopic or missed pregnancy. Both cases require immediate surgical intervention.

Early miscarriage after conception.

Severe weight loss. A disease such as anorexia can lead to a complete shutdown of the functionality of the ovaries.

Alcohol abuse, drug use. Often, a delay in menstruation can occur in women who prefer beer to all alcoholic beverages.

Overcooling of the body, as well as overheating, can provoke a delay in the next cycle.

An increase in the level of prolactin in the blood, which can be a symptom of a brain tumor.

Reasons for delaying menstruation by 2-3-4-5 days

A failure in the menstrual cycle for a short period of time - up to 5 days or less, is considered the norm. However, if, after this time, menstruation has not resumed, it is necessary to consult a doctor.

There may be several reasons for such a short delay, and most often they are explained by natural physiological processes in the body. So, in the pubertal period, when the formation of the cycle is just taking place, such breaks are not any deviation from the norm. Temporary fluctuations with delays of up to 5 or even 7 days can be observed for 1.5-2 years. After that, the menstrual schedule should return to normal. If this does not happen, then you should seek the advice of a doctor.

In addition, such a delay is a frequent companion of the premenopausal period, when there is a progressive slowdown in menstrual function. The rhythms of the woman's body change, as well as the timing of each cycle. At this time, delays in menstruation can be replaced by their complete absence.

Sometimes such time delays can occur in women of childbearing age. Most often, women themselves are able to determine the reason for such a short delay - this is the onset of pregnancy, breastfeeding, refusal to take oral contraceptives, acclimatization and other natural physiological reasons. But if such violations become regular, then this indicates pathological processes occurring in the body and a doctor's consultation is necessary in this case.

According to doctors, a short one-time delay in menstruation for up to five days is a physiological norm and most often does not require special treatment. However, no one knows her body better than the woman herself. Therefore, if there is reason for concern about a delay of even a few days, then you should not postpone the trip to the doctor.

The reasons for the delay in menstruation for 10-15 days or more, the test is negative

Prolonged absence of the menstrual cycle is a delay of 10-15 days or more. If the pregnancy test did not give a positive result, then it makes sense to start worrying about your own health. Most often, such a prolonged absence of menstruation indicates the presence of any irregularities in the body. Only a doctor can correctly diagnose the cause of the delay and prescribe treatment.

Of course, the cycle can recover on its own if the delay was caused by stress or acclimatization.

But, if this does not happen, and the delay is 15 or more days, then this may be due to the following reasons:

Oligomenorrhea, which is characterized by a weakening of menstruation. They become not only scarce, but also rare. The interval can be from 15 days to six months. This pathology occurs in about 3% of women.

Polycystic ovary syndrome, when multiple cystic formations begin to grow inside and outside of them. It occurs both in young girls and in women of age.

Endometriosis can lead to a delay in the menstrual cycle.

Alimentary causes caused by imbalance of proteins, fats, carbohydrates, lack of vitamins, microelements from food.

Any significant change in life. Delays can appear against the background of the fact that adaptive and adaptive mechanisms work much worse with age. Even a short trip to the sea may have an effect.

Taking medications, the amount of which increases significantly as a woman ages. Any drug can provoke a delay, but most often at this age it is observed against the background of taking antipsychotropic drugs, drugs to get rid of endometriosis - Zoladex, Dipherelin, Buserelin, as well as due to the use of Duphaston, Lanazol, Methyldopa, etc.

Any diseases of the reproductive system, for example, polycystic ovary disease, benign and malignant tumors, vaginal colpitis, etc.

Given these factors, a woman should seek the advice of a specialist if delays become regular and exceed the physically acceptable limits of 5 days.

Why are constant delays in menstruation dangerous?

If a single delay in menstruation within physiologically acceptable boundaries is not a threat to a woman's health, then regular interruptions are fraught with danger. It lies in the fact that the reason that caused the delay will not be diagnosed in time and eliminated.

It is important to seek medical help for often frequent irregularities in the cycle, since:

The delay can be caused by the growth of microadenoma - a malignant brain tumor. Cycle irregularities are caused by an increase in the level of prolactin in the blood.

Inflammation of the uterus and appendages can cause not only delays, but also lead to anovular infertility, the formation of a purulent process, pelvic thrombophlebitis, parametritis. In addition, depletion of the follicular apparatus due to regular delays due to inflammation of the appendages often leads to early menopause, at the age of 35 and younger.

Any neglected female diseases threaten the development of complete infertility, and they can begin with the usual delays in menstruation.

Polycystic ovary disease, often manifested in delayed menstruation, can lead to the development of gestational diabetes, obesity, etc. As a result, the entire cardiovascular system suffers, up to blockage of veins, heart attack, etc.

Any hormonal disruptions not only disrupt a woman's well-being, but also cause miscarriages, uterine fibroids, are fraught with development, diabetes mellitus, and malignant cancers. In addition, in addition to the delay in menstruation, hormonal disorders significantly impair the quality of a woman's life (appear, mammary glands, sleep disturbances, increased sweating, etc.) and lead to changes in her appearance (obesity or thinness, underdevelopment of the mammary glands, increased hair growth on body, oily skin, etc.).

Early menopause leads to premature aging of the skin, weakening of the body's immune forces, the development of atherosclerosis, premature extinction of fertility, an increased risk of diabetes mellitus, etc.

Due to the fact that regular menstrual irregularities can cause serious health problems, women must definitely consult a gynecologist and other necessary examinations to establish the cause of the failure.

What to do if there is a delay in menstruation?

If there are regularly recurring delays in menstruation or the period of delay exceeds the maximum permissible physiological limits of five days, then it is necessary to consult a doctor. After finding out the reasons, the woman will be prescribed appropriate treatment. Most often, therapy is carried out using hormonal pills. However, in no case should they be taken on their own, without medical advice. This is extremely dangerous for a woman's health and can disrupt the entire hormonal system, which means it can lead to serious health problems.

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

Postinor. It is a drug used for emergency contraceapse. This remedy is used if it is necessary to induce the menstrual cycle as soon as possible. However, it is recommended only with regular menstruation, since taking it can provoke cycle disturbances, and with very frequent use, lead to infertility.

Duphaston. They are used if the delay in the menstrual cycle is caused by insufficient levels of progesterone in the body. Only a doctor should adjust the dose, based on 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, your period should start after two or three days.

Mifepristone can be used to induce menstruation in early pregnancy that does not exceed 42 days. However, in no case should it be used if there is a suspicion of an ectopic pregnancy. admission should be carried out under the supervision of a physician, since the indiscriminate use of mifepristone leads to a violation of the hormonal background.

Pulsatilla. Another hormonal drug that can be prescribed for missed periods. This is the safest remedy 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.

Non-ovlon, a drug that stimulates the onset of the menstrual cycle, is able to prevent acyclic bleeding. It contains estrogen and gestagen. Most often, with a delay, two tablets are prescribed after 12 hours. However, before using it, it is mandatory to consult a specialist, since the drug has side effects and can disrupt the functioning of the reproductive organs.

Progesterone is an injectable hormone. It is used to induce menstruation, the selection of the dosage is carried out strictly individually. An increased intake of progesterone in the body can cause a host of side effects, including excess hair growth, weight gain, and menstrual irregularities. More than 10 injections are never given. The effect is based on stimulating the work of the glands located in the uterine lining. The tool has a number of contraindications, including: liver failure, breast tumors, etc.

Norkolut, causes menstruation, as it contains norethisterone, which is similar in its action 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, it is not used during pregnancy, as it threatens with miscarriage and bleeding. It has a large number of contraindications and side effects, therefore, prior consultation with a doctor is necessary.

Utrozhestan. It is an agent that suppresses estrogen and stimulates the production of progesterone, which explains its therapeutic effect. In addition, it has a stimulating effect on the development of the endometrium. The drug can be administered vaginally, which is its undoubted advantage, however, this tool also has some contraindications.

Naturally, using hormonal drugs to induce menstruation is not a safe method. It is necessary to take them correctly, as you can cause irreparable harm to health.

It should be understood that any interference with the hormonal background must be justified. Each medicine is selected strictly individually and in compliance with clear medical recommendations. Only in this way can you preserve your own health and avoid negative consequences. But long delays should not be ignored either. Therefore, the most correct decision would be to go to the doctor and undergo reasonable and adequate therapy.

Education: Diploma in Obstetrics and Gynecology was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013 completed postgraduate studies at N.N. N.I. Pirogova.

What can be the delay in menstruation. Delayed menstruation, but the test is negative: what to do? Delay of menstruation. When to see a doctor

Signs of delayed menstruation

Causes of delayed menstruation

Diagnosis and treatment of delayed menstruation

What is considered a delay

Reasons for persistent delays

Physiological causes

Pathological causes

A bit of physiology

Causes of delayed menstruation

What can a doctor do?

For what reasons can there be a delay in menstruation?

Reasons for delaying menstruation by 2-3-4-5 days

The reasons for the delay in menstruation for 10-15 days or more, the test is negative

Why are constant delays in menstruation dangerous?

Popular questions and answers:

Can thrush be the reason for delayed menstruation?

Can cystitis be the reason for the delay in menstruation?

Can a cyst be the cause of delayed menstruation?

What to do if there is a delay in menstruation?