Delay of menstruation. The reasons
Meanwhile, the delay of menstruation causes for themselves may be very different. The main one, of course, is a uterine or ectopic pregnancy, in which the uterus begins to produce a hormone to support the further activity of the corpus luteum of the ovary. Thus, the ovulation characteristic of normal menstruation (the release of the egg from the follicle) does not occur, and, consequently, menstruation does not occur.
Another common cause of delayed menstruation is a cyst of the corpus luteum of the ovary. In this case, ovulation occurs, and the corpus luteum of the ovary is formed. However, shortly before the onset of menstruation, hormonal disruption occurs, and this yellow matter continues to function in the uterus for some time. Therefore, delay may delay menstruation for 5 days or more.
The next most common pathology, in which there is a delay of menstruation for 3 days or more, is a follicular ovarian cyst. The situation here is as follows: the follicle began to mature at the beginning of the menstrual cycle, but then in the middle of this cycle a hormonal failure occurred. Ovulation did not take place, and the follicle produces hormones that suppress the next monthly.
Another significant cause of delayed menstruation is inflammation of the internal genital organs, which in our time often happens in women of any age. Such inflammation is a significant stress for our ovaries, contributing to disturbances in the normal maturation processes of the follicle. There are failures in an ovulation and work of a yellow body, and, as a result, a delay of periods 10 days and more.
Well, and finally, the cause of delayed menstruation may be age-related menopausal dysfunction of the ovaries, which occurs in women after forty years. This is the age at which the delay of menstruation for 2 weeks or even the delay of menstruation for 2 months is a rather frequent occurrence. Ovarian dysfunction can cause diseases of the endocrine and reproductive systems, which can also be a reason for menstrual disorders. Of course, it can be provoked by other reasons, which can only be established through a thorough medical examination.
Periodically delayed menstruation is characteristic of polycystic ovary, which disrupts the production of hormones in the body. It is observed in diseases of the adrenal glands, thyroid, ovaries, pituitary and may manifest itself in different ways. In this case, to establish an accurate diagnosis requires in-depth comprehensive examination.
What to do when you delay the monthly?
If the monthly did not come in due time, then, of course, first of all you need to be examined for the presence of pregnancy. The test examination in this case is not enough: even if the menstruation delay gives a negative test, pregnancy cannot be completely ruled out. Especially if there was a delay of 2 months or a delay in menstruation for 4 days. The most accurate diagnosis of pregnancy can be done with a blood test, which can determine pregnancy even on the first day of menstruation. This analysis will show the level of human chorionic gonadotropin in the blood, determining the presence of conception or its absence. If there is a pregnancy, ultrasound should be done to find out the location of the ovum, which may be located outside the uterus.
Ultrasound should be done in the case when the blood test gave a negative result. It will help identify abnormalities in the work of the pelvic organs and find out the causes of failure in this work. And then, in accordance with these reasons, prescribe drugs, treatment of which, eventually, will cause menstruation.
In general, the delay of menstrual periods up to five days is a fairly common phenomenon, and it should not cause much concern. This can happen if a woman has suffered severe stress, which has led to a failure in the normal functioning of the central nervous structures responsible for the normal functioning of the uterus and ovaries. Such disorders can cause cessation of menstruation and for a short and rather long term. They require, rather, the intervention of a psychologist than a gynecologist.
Delayed periods can be a reaction of the organism to a too dramatic change in living conditions, such as climate change, an increase or decrease in usual physical activities, too strict a diet and a drastic weight loss falling below the critical menstrual weight of forty-five to forty-seven kilograms.
After an abortion, too, due to hormonal imbalance, there may be a delay in menstruation, which is also caused by the fact that a large number of internal tissues of the uterus can be removed during abortion. Serious and prolonged treatment may be necessary to restore this layer.
Reception of combined hormonal drugs also often causes disruptions in the monthly menstrual cycle, which are called “ovarian hyper-inhibition syndrome”. Such treatment failures, as a rule, do not require. Menstruation recovers in one to three months.
As we can see, there are quite a few reasons for the delay of menstruation. To determine which of them is true, only a doctor can. Therefore, one should not panic in case of irregularities in the menstrual cycle, and, even more so, it is impossible to drink medications on someone’s advice — this can be very detrimental to health. Timely and correct treatment is the key to restoring this health in a short time.