Delayed period – pregnancy or not?
Most women understand that they are pregnant, only when they do not receive regular periods. Delay of menstruation (amenorrhea) – the main sign indicating the occurrence of pregnancy. Most often during pregnancy, periods are absent from the beginning of pregnancy to the termination of breastfeeding.
However, the first after conception, menstruation may still occur and small bleeding appears. You can confirm the fact of pregnancy with the help of a home test on the first day of the delay. Some tests give a positive result even earlier.
Delayed menstruation – what to do?
If the monthly has not come in the expected time, then starting from the next day of the delay to determine pregnancy, it is possible to measure the temperature in the rectum. Immediately after waking up, a medical thermometer is inserted into the rectum to a depth of 2 cm for 5-7 minutes. From the bed you can not get up!
If the temperature stays around 37 degrees for several days, then, if there is a delay, this suggests a probable pregnancy. However, during pregnancy, there are other – low temperatures, especially with the threat of miscarriage in the early period.
If you have not had unprotected sexual intercourse and you exclude the presence of pregnancy, then we advise you to read about other possible causes of delayed menstruation.
Because delay of menstruation – not yet proof of pregnancy: delay can occur due to high stress, excessive exercise, infection, side effects of contraceptive drugs, long travel, fatigue, panic fear of pregnancy, hormonal problems, extreme thinness or fullness, infectious and non-infectious diseases and a number of others.
11 reasons for delayed menstruation
Delayed menses due to ovulatory anomalies
The cause can be any inflammation, a side effect of hormone therapy, emotional shock.
Delayed menses due to pills
During the intake of birth control pills and several months after they are canceled, instability of discharge, delayed or absent menstruation may occur. Menstruation may be delayed due to taking an emergency oral contraceptive.
Delayed menses due to ovarian cysts
Ovarian function can be impaired by the presence of a follicular cyst, a corpus luteum cyst.
Delayed menses due to polycystic ovary
At the same time, hormone production is impaired: polycystic ovary prevents ovulation.
Monthly Delay: gynecological diseases
Any gynecological diseases can contribute to the delay of menstruation, be it uterine fibroids, inflammation of the fallopian tubes, inflammation of the appendages. But gynecological diseases are often accompanied by bleeding.
Delayed menstruation due to stress
Severe short-term or prolonged stress leads to malfunction of the pituitary and hypothalamus. And sexual activity "out of control".
Delay of menstruation: rapid loss or weight gain
Slimming in the short term threatens the violation of all body processes. Do not allow a BMI below 18. Also, do not allow obesity. To restore the monthly requires the achievement of normal body weight and the elimination of stress.
Delay of menstruation due to vitamin deficiency
With a lack of vitamins and minerals in the body, the metabolism is disturbed, and as a result, the menstrual cycle is also disturbed.
Delayed menstruation due to excessive exercise
High exercise can disrupt the usual menstrual cycle for several days.
Delay of menstruation during breastfeeding
During breastfeeding menstruation is not. Such a delay is physiological and is not a violation. But at the same time, pregnancy may also occur (
Delayed monthly due to climate change
In the period of habituation to another climate zone, there may be a lack of menstruation. The recovery cycle occurs in 1-3 months.
Delay of menstruation due to abortion
Abortion can also be the cause of delayed menstruation, since it disrupts the hormonal system. But this requires the help of a doctor.
Methods for determining pregnancy after delayed menstruation
- diagnostic tests for pregnancy in the form of indicator strips;
- test systems for the rapid diagnosis of pregnancy, with a very high degree of reliability;
- blood and urine tests to detect chorionic gonadotropin or pregnancy hormone;
- ultrasound examination of the pelvic organs is the most effective and reliable method for determining pregnancy. All of these methods are able to detect early pregnancy in a woman.
Signs of pregnancy along with delay
- tingling and chest pain
- unexpected fatigue
- chronic diseases of internal organs, poor health, weak immunity;
- inflammatory diseases and pathologies of the female organs (endometritis, adnexitis, dysfunctions, etc.);
- congenital or acquired ovarian defects;
- endocrine diseases;
- emergency contraception after sexual intercourse (such methods apply crushing blows to the hormonal system);
- long-term use of certain drugs;
- miscarriages, abortions, disturbances in the position of the intrauterine device (cause changes in the hormonal status);
- abrupt climate change, the abuse of sunbathing and solarium;
- cancellation of hormonal contraceptives that have been taken for a long time;
- menopause (after 40 years);
- various gynecological procedures (colposcopy, cauterization of erosion, etc.);
- bad habits and chronic intoxication (smoking, alcohol, drugs).
Symptoms and signs of delayed menses
- menstruation did not start at the appropriate time;
- several days passed after the estimated date of the beginning of the month, but menstruation is absent.
Gynecologists believe that the regular cycle should be established within 2 years after the arrival of the first menstruation.
But this statement is controversial, as there are healthy women who have irregular cycles throughout their lives.
But too long and frequent delays should cause concern. In this case, it is necessary to undergo examination by a specialist.
Symptoms that may accompany delay:
- bloody, pinkish spotting from the vagina;
- aching pain in the lumbar region;
- pain in the lower abdomen;
- tension, pain and breast tenderness.
Such signs indicate that menstruation will begin from day to day. You just have to wait a bit. But for some women, these symptoms accompany the onset of pregnancy. Therefore, you need to do a pregnancy test to make sure your assumptions.
How is delay diagnostics performed?
Diagnosis of the reasons for the absence of menstruation is based on a study of the patient’s medical history, examination data, blood tests and ultrasound. The doctor determines the secondary or primary amenorrhea. In the first case, it excludes pregnancy.
Next, an assessment of the functions of the female genital organs. The size and shape of the ovaries, the thickness of the endometrium, the level of sex hormones – all of this plays an important role for the correct diagnosis.
First month delay
The very first menstruation occurs in adolescent girls aged 13 to 16 years. In some girls, they appear at an earlier age. The first menstruation is irregular.
The very first periods come with significant intervals. Their duration varies. In such cases, we are not talking about delays. The irregularity of the cycle in adolescents is a normal phenomenon.
Some girls after the first menstruation there is a big break. The second monthly period may begin in a few months. In the first year after the onset of menstruation, doctors do not talk about delays.
They are physiological, since the hormone system is only being formed during this period. Everything will improve later, when the hormonal system comes to a stable state.
If, however, 2 years after the appearance of the first menstrual cycle, the cycle was not established, then it is necessary to contact a gynecologist
White discharge with delayed menses
Cheesy discharge of white color – a fairly frequent phenomenon with delays. They may be accompanied by slight itching in the genital area. The discharge may indicate candidiasis (thrush). Sometimes they are accompanied by violations in the genitals.
If you notice a white discharge during a delay, be sure to visit a gynecologist. In the case of pregnancy, thrush can cause fetal damage.
An accurate diagnosis can only be made by a doctor. Thrush is not as safe as it may seem. Sometimes it is almost asymptomatic, turning into a chronic form.
Leucorrhoea sometimes occurs during pregnancy in healthy women. They have a dense texture and are considered the norm. The body in this way protects the genitals from the penetration of pathogens.
In some cases, white discharge, accompanied by a delay, talking about hormonal disorders. In this case, the doctor conducts the examination and prescribes the optimal treatment regimen. Proper hormone therapy helps to restore the normal functions of the hormonal system. Selections and delays disappear, and the menstrual cycle is getting better.
Another cause of white discharge is inflammatory diseases of the female genital organs. If a woman has a complex of symptoms – discharge, delay and abdominal pain, then she needs to be examined by a gynecologist.
The doctor will take a smear to examine the microflora. If you suspect a problem with the female organs, an ultrasound is appointed.
A dangerous sign – the delay of menstruation and the allocation of brown. If there is a pregnancy, this is a sign of problems (ectopic pregnancy, placental abruption). Therefore, with this symptom should immediately run to the gynecologist.
Having noticed a delay and allocation, you should not postpone the examination. By taking action in time, you will be able to prevent and eliminate disruptions in the reproductive system.
How long can the delay be?
The menstrual cycle should normally be regular, but even in healthy girls it is not always accurate. Changes in the cycle can trigger many factors. Therefore, minor deviations from the start date of the monthly should not bother you.
Thus, doctors consider it normal, if a woman has menstruation a couple of times a year, with a slight delay (no more than 7 days).
Delay is involved in cases where, with a stable cycle, there are no monthly periods for several days. There are women who have an unstable menstrual cycle. Therefore, it is very difficult for them to establish the fact of delay. In this embodiment, it is almost impossible to predict the exact date of the beginning of menstruation.
Delay of menstruation with a negative pregnancy test
If you have a delay, and the test performed showed a negative result, then it should be repeated again after a week. In addition, you should purchase tests from different manufacturers. This will provide an opportunity to accurately verify the absence of pregnancy.
If the test is carried out at a very early time, then he still can not determine the presence of pregnancy. The correct result can be seen 4-5 weeks after conception. Very rarely come across substandard tests. Therefore, it is important to purchase a second test from another manufacturer.
If the retest was negative, then there is no pregnancy. In this case, the delay is caused by other reasons, which were mentioned above.
Most often, menstrual failures occur due to diseases of the endocrine system or pathologies of the reproductive organs.
If there are any changes in the adrenal glands, thyroid gland or hypothalamic-pituitary sphere, they can lead to ovarian dysfunction.
This leads to cycle violations and
In this case, the test shows a negative result, but menstrual bleeding does not begin. Very often, delays are observed in women with polycystic ovaries. Such patients have an irregular menstrual cycle and suffer from infertility.
Delayed menstruation with ovarian cyst
Chest pains with delayed menses
Sometimes delayed menstruation is accompanied by chest pain. These symptoms may be accompanied by nagging pain in the lower abdomen. The reasons here can be many. Such signs may have
If the test showed a negative result, then chest pain, which is accompanied by a delay in menstruation, may indicate a number of diseases. It is necessary to undergo examination by a specialist. A common cause of chest pain is mastopathy. This disease is characterized by changes in the breast tissue.
The changes are benign. If you find a seal in the chest, you should immediately consult a doctor. If you start the pathological process, then you will have to do the operation later.
Chest pain and delay may appear after a long strict diet. In this embodiment, it is enough to establish the correct diet to get rid of problems.
If you are too active in sports, then you too may experience such symptoms. Then you need to determine what is most important for you: sports or the preservation of childbearing function.
What to do when you delay the monthly
If the delay is observed in a woman who has sex, then the following measures should be taken:
- buy and make a home pregnancy test (with a negative result, do another test a week later);
- calculate exactly what factors could influence the change in the menstrual cycle;
- consult a gynecologist in case of repeated and long delays.
If a woman does not lead a sex life:
- take into account factors that could affect the change in hormonal status;
- if the delay lasts more than a month, and there are no obvious reasons for this, then you should consult a doctor.
If the delay is observed in a woman after 40 years, then this may serve as a sign of the beginning of menopause. In this version, you also need to visit a gynecologist. In case of a delay after an abortion or when there are signs of gynecological diseases (abdominal pain), you should consult a doctor and be examined.
Is treatment required for delay
If you have lost your menstrual cycle, this does not always indicate the need for treatment. Some women seek to return menstruation by any means, to avoid unwanted pregnancy.
This is the wrong approach. If the delay arose as a result of conception, then it is too late to prevent pregnancy. Indiscriminate intake of various drugs leads to complications.
If there is a delay, but there is no pregnancy, you should look for the root cause of this condition. By eliminating the cause, you can restore a normal menstrual cycle.
Sometimes it is enough to adjust the power system and reduce physical exertion so that the delay
Thus, there are no drugs that would eliminate the delayed menstruation. There are medications that can cause menstruation, but they are used only under medical
Minor and rare delays do not cause concern. They usually pass by themselves and do not require any measures.
Lower abdominal pain with delayed menses
Lower abdominal pain during menstruation is a common occurrence for many women. But if the pain is accompanied by a delay, then it is a concern. Sometimes light nagging pains and delay are the first signs of pregnancy. If chest pain is added to them, then many women are almost 100% aware that they are in an interesting position.
In this case, it remains only to make a test to confirm your guess. But if you did 2 tests that showed negative results, then the cause of abdominal pain should be sought further. Numerous factors can trigger the delay.
The most frequent cycle disturbances that are accompanied by aching pain are found in those who suffer from polycystic ovary.
Inflammatory diseases of the female genital tract are the most likely factors for abdominal pain. If the delay lasts more than a week, and the pain does not go away, then you need to contact a gynecologist. If you want to preserve the reproductive function, then these symptoms must be treated very carefully.
If you start the inflammatory process in the female organs, it will lead to infertility. Frequent monthly delays are a bad sign that indicates hormonal problems. If in this condition there is also pain in the abdomen, then the woman should urgently visit a doctor.
You should not delay the examination, since serious hormonal disorders result in infertility and miscarriage in the future.
Severe abdominal pain and delayed menstruation is a very dangerous symptom. This happens during ectopic pregnancy. If you make a test, it will show a positive result. But pregnancy does not develop in the place where it should be. Therefore, there are severe pain.
Sometimes pulling pain in the lower abdomen indicates premenstrual syndrome. It is also manifested by increased irritability, tearfulness, aggressiveness, nervousness, increased appetite, drowsiness, fatigue, and swelling.
If you have a set of such signs, then wait for the arrival of menstruation. To get rid of the pain in the lower abdomen before menstruation, you must lead a healthy lifestyle and eliminate all chronic diseases. Specific recommendations on this issue can only give your gynecologist.
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Delay of menstruation during pregnancy
Any woman who is having a sex life immediately thinks about pregnancy during a delay. Conception leads to a change in hormonal levels. An embryo appears in the uterus and the body creates optimal conditions for
Immediately after birth, the menstrual cycle is unstable. They are restored a couple of months after the birth of the baby. If mom does not breastfeed the baby, then the menstrual cycle is restored faster. In nursing women, these terms are individual. Therefore, in this period of life it is very difficult to predict the onset of ovulation.
If you become pregnant, you can notice a delay at least 2 weeks after conception. The development of pregnancy at this time can not be stopped with emergency contraception. Folk and home remedies can only harm. In this embodiment, there is only one relatively safe procedure for women – an abortion.
You can not try to terminate the pregnancy yourself. This leads to dangerous consequences. Sometimes there are lethal outcomes. If you are configured for an abortion, then you should not delay with this. The procedure carried out in the early stages of pregnancy is most easily tolerated.
Duphaston in the delay of menstruation
The drug duphaston has wide application in gynecological practice. It is an analogue of the female hormone progesterone. This hormone is responsible for the second phase of the menstrual cycle. The drug acts on the principle of progesterone.
It makes the endometrium thicker, which increases the likelihood of bleeding. Sometimes the endometrium grows too quickly under the influence of duphaston. In this case, the woman may have bleeding between periods.
Duphaston prescribed for ovarian dysfunction, painful menstruation, as well as to relieve premenstrual syndrome. Pregnant women take the drug with a lack of progesterone. This helps prevent miscarriages.
Duphaston is an indispensable medicine in many cases. It is used for replacement therapy, as well as in the treatment of infertility. In the complete absence of monthly duphaston taken with estrogen. It is also prescribed during menopause.
Duphaston is considered a safe drug. It very rarely causes side effects. If they occur, it is only because of the wrong regimen. Therefore, only a gynecologist can prescribe this drug.
The dose of this medicine is always selected individually. The doctor takes into account the state of the hormonal system of the patient. Usually, the daily dose of duphaston is divided into parts, taking them evenly throughout the day.
If a woman has no menstruation, then the drug is prescribed together with estrogen. This combined treatment is carried out for 3 months.
Pulsatilla for delayed menses
If the menstrual cycle fails, the doctor may prescribe a hormonal drug Pulsatilla. It is considered very effective and is often used in the treatment of such disorders. The medicine is considered homeopathic. At its core, Pulsatilla is sleep-grass or backache. In homeopathy, it has been used for about 200 years.
The drug helps to establish a normal menstrual cycle. It is taken in the form of granules. The optimal dose – 6-7 granules at a time. But a lot here depends on the patient’s characteristics and the severity of the disease. Therefore, only the doctor should select the required dose.
Granules should be put under the tongue. Pulsatilla can bring a positive result after the first application. It does not have side effects and does not violate the general condition of the female body. This medicine is prescribed by a specialist after the examination.
Nard in delay
Elecampane is a powerful herbal remedy from the arsenal of folk healers. It causes monthly in the shortest possible time. A few methods of decoction are enough for a woman to start menstruating. This tool is used by many women who want to cause menstruation.
Decoction of elecampane is useful in uterine diseases. It is also drunk when the uterus is lowered. To cause menstruation, you need to drink 50 ml of broth 2 times a day. He usually helps during the first day.
Buy in a pharmacy root devyasila. Pour a large spoonful of grass in 200 ml of boiling water. Boil the broth for about 5 minutes. Then he must infuse for half an hour. After that, it must be filtered and taken inside. Decoction of devayasila has a bitter taste. In pregnant women, it causes spontaneous abortion.
- pregnancy (abortion occurs a few hours after taking the decoction);
- menstruation (drink causes heavy bleeding).