Why there are no periods: possible causes and methods of examination
Why is there no monthly period for a girl of reproductive age, living a sex life? In the first place, you can suspect pregnancy, but not only it, but many other circumstances and causes can lead to delayed menstruation. Consider the most common situations.
If there is no monthly period of 1-2 weeks or more, with all this, you do not exclude the possibility of pregnancy, for sure you can dispel your doubts in several ways at once. At this time on the ultrasound, the fertilized egg is already visible (if it is in the uterus). According to the blood test, the level of hCG is much higher than zero and corresponds to the duration of pregnancy. During a gynecological examination, the doctor diagnoses an enlarged uterus, acquiring a round shape (outside the interesting position, it has the shape of a pear), cyanosis of the cervix and labia. Monthly will not be during the entire pregnancy and some time after birth.
The gestation period is smoothly replaced by the lactation period. Monthly many young mothers do not start. throughout the time of breastfeeding. Whoever starts, then goes, most often, irregularly, may be too scarce.
Why there are no monthly 2 months for a girl of 13-15 years old? There is nothing surprising. In girls, the first two years after menarche (first menstruation) may be delayed by 2 months, and this does not at all indicate pathology. You just need to wait or visit the pediatric gynecologist, who will dispel all doubts.
Every woman in 40-55 years, there is a gradual extinction of ovarian function, that is, the childbearing function fades away, ovulation becomes more and more rare, as well as menstruation. If you are about 40 years old and you observe menstrual irregularities that you have not had before, it is recommended that you go to a gynecologist and undergo an examination. It is possible that competent hormone therapy will help to prolong youth, since it is known that after the onset of menopause a woman not only cannot become pregnant, but the aging processes begin to proceed much faster.
And why not monthly, and the test is negative for a not too young woman who is not breastfeeding and has excellent health (no gynecological problems)? If this problem is not systematic, then the reasons should be sought in changing your lifestyle. Perhaps you started to adhere to a strict diet, or just sharply lost a few pounds, and these pounds were not superfluous. Then you need to replenish a little bit again, and your period will return. Sometimes there are delays due to strong experiences, stress, during long journeys, especially in places with unusual climatic conditions. In a word, menstruation can linger with any change in lifestyle. A one-time delay says nothing.
Very often the doctors answer the question “why there are no monthly periods” that this is a normal hormonal failure. And if this is really a small failure, then do not worry. But the reasons may be more serious, such as, for example, an increased level of the hormone prolactin (by the way, due to which the menstruation does not go during lactation) due to the microadenoma (tumor) of the pituitary; or hirsutism, which occurs due to the increased content of male hormones in women. Manifestation of hirsutism is manifested in the male type (hair appears on the lips, on the chin, on the thighs, and very abundantly; there are acne on the skin, etc.). Both of these pathologies are detected through blood tests + observation of the patient’s doctor.
Diseases of the sexual sphere
For example, cyst of the corpus luteum. She is diagnosed with ultrasound. In addition to the delay of menstruation, there may be nagging pains in the area of the ovary, where the cyst was formed, and in the lower back. If the cyst remains in the ovary for a long time, it is possible to rupture it and cause heavy bleeding. If the cyst does not pass by itself, and the woman feels any discomfort due to her presence, surgery can be performed.
The menstrual cycle can also be disturbed with adnexitis – inflammation of the fallopian tubes and ovaries. The disease manifests itself primarily in pain. The most common causes are hypothermia and various infectious diseases.
You can still long to talk about why there is no monthly for a particular disease. But why guess? The diagnosis should be a doctor. And in conclusion, we will tell you about those analyzes and examinations that you will most likely have to go through if you are affected by the problem of an irregular menstrual cycle.
If you think about why there are no monthly periods several times a year, and a test is negative, then it’s time to be examined. Indeed, the absence of menstruation indicates any problems in the body. At a minimum, it will be difficult to get pregnant, but at a maximum, an irregular menstrual cycle can be one of the symptoms of serious diseases – endocrine, for example.
First, the doctor must make sure that the patient (neither uterine or ectopic) is pregnant. For this, a woman is issued a referral for blood test for chorionic gonadotropin. If there is no pregnancy, and there are no complaints besides irregular menstruation either, the gynecologist recommends that the woman measure the basal temperature for at least 3 months and build graphs. It will be possible to judge about the presence of ovulation, and how the whole cycle proceeds. Next, an ultrasound scan of the uterus and hormone tests are appointed. According to their results, the doctor may refer a woman for consultation to other specialists – for example, to an endocrinologist. If you can see that the girl has a weight deficit (which may be the cause of amenorrhea), then she is recommended to visit a nutritionist. Additional examinations that are not related to gynecology can also be prescribed for the detection of various pathologies. For example, with increased prolactin, magnetic resonance imaging may be prescribed in order to exclude the presence of a benign tumor of the pituitary gland, which is often just the cause of hyperprolactinemia.
In short, do not run the situation. If the body gives you signals that it is not all right (delayed menstruation), you need to respond to them. Be healthy!