Delayed monthly: all possible causes
Delayed menstruation is one of the common problems that women voice when they visit a gynecological clinic. Complaints of women may be the same, but the reasons for this deviation are very different. In order to consider the most common of them, you first need to turn to the physiology of women.
Normal menstrual cycle and delayed menstruation
By the age of 12-14 years, almost every girl begins menarche – the first menstruation, which may be irregular for 1-2 years. At a young age, this is considered normal – the body has not yet developed the required amount of hormones. It must be remembered that from this moment a girl can become pregnant and bear a child, even if the menstrual cycle is irregular. If by the time the hormones are to be established, the monthly delays continue – it is better to contact a gynecologist to find the cause.
The intervals from the beginning of one menstruation to another should be the same, in normal it is 21-35 days. If the cycle is extended by several days – you should look for the cause, this is already considered a delay. Most often, the menstrual cycle is 28 days (some see this as a link with the lunar month). The amount of hormones in the body during the month varies. Immediately after the onset of menstruation, the level of the hormone estrogen rises, the endometrium in the uterus rises, to ensure a comfortable development for the fertilized cell. In parallel, the egg cell begins to grow and mature.
Ovulation occurs on the 12-14th day – a ripe egg leaves the ovary cavity and moves through the fallopian tubes, where fertilization can occur. Thanks to progesterone, the corpus luteum is formed. In some women, progesterone levels may be insufficient – then there is a risk of miscarriages in early pregnancy. If fertilization has occurred, then the cause of the delay is pregnancy. Next, the fetus develops in the uterus. In the case when conception does not occur, the level of progesterone and estrogen falls, menstruation begins. If pregnancy is not delayed, menstruation is most often associated with hormone levels.
Delay of menstruation during pregnancy and after delivery
During the entire period of pregnancy, menstruation in a woman does not happen. After birth, their renewal occurs in different ways – it all depends on the individual characteristics of the organism. Elevated levels of prolactin when feeding a baby can interfere with the onset of egg production. If a woman breastfeeds a child, the delay in menstruation can last as long as milk is produced (this directly depends on the level of the hormone prolactin, which is responsible for lactation). Sometimes it can occur within 2-3 years. If milk is not produced, after about 6-8 weeks, new periods will occur. But sometimes there are exceptions, when the ovaries begin to work even before the baby stops feeding, the egg matures, and the woman may become pregnant again. If this does not happen, the new cycle ends with the appearance of menstruation.
Delayed menses due to ovarian dysfunction
Ovarian dysfunction is often associated with delayed menstruation. Some doctors consider these terms to be synonymous. If a woman has constant menstrual delays, then they speak of ovarian dysfunction. The reasons for this phenomenon are several. These can be pathologies of the endocrine system, or of the ovaries themselves. Patients in such cases are referred for consultation to an endocrinologist and are recommended to do a number of other studies: tomography of the brain, ultrasound of the genital organs, examination of the thyroid gland and adrenal glands.
Delayed menstruation – gynecological causes
Some gynecological diseases can also cause disruptions to the menstrual cycle. If a woman has a pathology of female organs, you can expect disruptions in their work. It happens in uterine myoma, adenomyosis, endometriosis, inflammatory processes, cancer of the cervix or body of the uterus and
Delayed menstruation and polycystic ovaries
PCOS – polycystic ovary syndrome occurs most often in girls. During an external examination of the woman, the gynecologist will not be able to make an accurate diagnosis, but its main features can be noted – male hair growth (hair on the face, legs, groin area grows excessively), facial skin and hair quickly become oily. But these signs do not always signal abnormalities in the ovaries, for many they are simply features of the body. The main indicator of PCOS is an indicator of the hormone testosterone, which is considered “male.”
With a high level of testosterone, ovulation does not occur. Its excess can upset the menstrual cycle, and the consequences can be quite serious, even infertility. Today, such diseases are successfully treated. One of the methods of treatment is taking courses of contraceptive drugs that can “level” hormone levels. Special oral contraceptives are recommended specifically for women with elevated testosterone levels, while they not only restore the correct menstrual cycle, but also have a beneficial effect on the appearance of the woman.
What else could be the reasons for the delay of monthly
The delay of menstruation for 5-10 days is often in women with overweight. To check whether you are at risk by weight, you can use the formula for BMI (body mass index). Body weight (kg) divided by height (m) squared. The result obtained more than 25 speaks about excessive weight, less than 18 – on the contrary, about its deficit. You can normalize the weight for several months, along with this, the regularity of menstruation is restored.
Hard physical work
Women who have more physical activity at work may also have irregular periods. Eliminating these problems (going to a lighter job), monthly restored.
Other reasons for the delay in menstruation are stress, hard mental work, nervous shocks, moving to another area with an unfamiliar climate, taking certain medications. Sometimes the delay of menstruation occurs even when taking contraceptives.
Monthly delays – what could be the consequences?
Many women occasionally observe minor monthly delays – there is nothing special about this. The danger may be in the reason that causes these failures. For example, an increase in prolactin in connection with a developing brain tumor (microadenomas) can have dire consequences. Inflammatory diseases of the genital organs, tumors and endocrinological diseases, which can lead not only to infertility, but also to a deterioration of physical condition, pose major problems.
With a regular menstrual cycle, it is easier and safer for a woman to live – it is easier to control her sex life, to protect herself from pregnancy and to detect it in time. Although irregular periods are not a disease in themselves, it is necessary to monitor this in order to rule out the negative consequences to which this can lead. To normalize the cycle, doctors recommend using natural products that can solve the problem in a relatively short time without harm to the body. For example, the combined preparation “Time Factor”, which combines plant extracts of phytohormonal action, vitamins and trace elements, not only delicately normalizes various phases of the menstrual cycle, but also improves mood, alleviates the symptoms of PMS and maintains good mood and performance.
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Delay of menstruation – for what reasons can it be, when is it the norm, and when is it pathology?
Normally, the menstrual cycle lasts from 21 to 35 days. Each woman has its individual duration, but for most of them the intervals between menstruations are equal or different from each other by no more than 5 days. The calendar should always mark the day of the onset of menstrual bleeding in order to notice the irregularity of the cycle in time.
Often a woman after stress, illness, intense physical exertion, climate change, there is a slight delay in menstruation. In other cases, this symptom indicates a pregnancy or hormonal disorders. We will describe the main reasons for the delay of menstruation and the mechanism of their development, as well as talk about what to do in this situation.
Why is there a delay?
Delay of menstruation can be the result of physiological changes in the body, as well as be a manifestation of functional failures or diseases of both the genital and other organs (“extragenital pathology”).
Normally, menstruation does not occur during pregnancy. After childbirth, the mother’s cycle is also restored not immediately, it largely depends on whether the woman has lactation. In women without pregnancy, an increase in cycle time may be a manifestation of perimenopause (menopause). The irregularity of the cycle in girls after the onset of menstruation is also considered the norm, if it is not accompanied by other disorders.
Functional disorders that can trigger the failure of the menstrual cycle are stress, intense physical exertion, rapid weight loss, an infection or other acute illness, or climate change.
Often an irregular cycle with a delay of menstruation in patients suffering from gynecological diseases, especially polycystic ovary. In addition, such a symptom may accompany inflammatory diseases of the reproductive organs, occur after abortion or diagnostic curettage, after hysteroscopy. Ovarian dysfunction may be due to the pathology of the pituitary gland and other organs that regulate the hormones of a woman.
Of somatic diseases, accompanied by a possible violation of the menstrual cycle, it is worth noting obesity.
When menstruation delay is normal
Puberty and Ovulatory Cycle
The gradual puberty of girls leads to their first menstruation, menarche, usually between the ages of 12 and 13. However, in adolescence, the reproductive system was not yet fully formed. Therefore, failures in the menstrual cycle are possible. Delay in menstruation in adolescents occurs during the first 2 years after menarche, after this period it may be a sign of illness. If the monthly did not appear before the age of 15, this is a reason to visit the gynecologist. If the irregular cycle is accompanied by obesity, excessive hair growth on the body, a change in voice, as well as abundant menstruation, it is necessary to seek medical help earlier in order to start correcting the violations in time.
Normally, the cycle by 15 years is already regular. In the future, menstruation occurs under the influence of cyclic changes in the concentration of hormones in the body. In the first half of the cycle, under the action of estrogens produced by the ovaries, an egg cell begins to mature in one of them. Then the bubble (follicle), in which it developed, bursts, and the egg is in the abdominal cavity – ovulation occurs. When ovulation appears short mucous white discharge from the genital tract, may be a little sore on the left or right lower abdomen.
The egg cell is captured by the fallopian tubes and enters the uterus through them. At this time, the bursting follicle is replaced by the so-called corpus luteum – a formation that synthesizes progesterone. Under the influence of this hormone, the lining layer of the uterus from the inside, the endometrium, grows and prepares to receive the embryo upon the occurrence of pregnancy. If conception did not occur, progesterone production decreases, and the endometrium is rejected – menstruation begins.
During fertilization and development of the embryo, the corpus luteum in the ovary continues to actively produce progesterone, under the influence of which implantation of the egg cell occurs, the formation of the placenta and the development of pregnancy. Endometrium is not subject to degradation, therefore it is not rejected. In addition, progesterone inhibits the maturation of new eggs, so there is no ovulation and, accordingly, cyclical processes in the body of a woman cease.
If there is a delay
With a delay of menstruation for 3 days (and often on the first day) at home, you can do a test to determine pregnancy. If it is negative, but the woman is still worried about the delay, you should undergo an ultrasound examination of the uterus using a vaginal sensor, and also take a blood test that determines the level of human chorionic gonadotropin (hCG).
If ultrasound is determined by the second phase of the cycle, then the menstruation will soon come; if there are no signs of the second phase, you need to think about ovarian dysfunction (we’ll talk about it below); during pregnancy, the ovum is determined by the uterus, and for ectopic pregnancy, it is, for example, in the fallopian tube (tubal pregnancy). In doubtful cases, after 2 days, you can repeat the analysis for HCG. Increasing its concentration two or more times indicates the course of uterine pregnancy.
Menstruation after childbirth
After childbirth, the cycle of menstruation in many women is not immediately restored, especially if the mother feeds the baby with her milk. Milk production occurs under the influence of the hormone prolactin, which simultaneously inhibits progesterone synthesis and ovulation. As a result, the egg does not mature, and the endometrium does not prepare for its adoption, and then does not reject.
Typically, menstruation is restored within 8-12 months after birth, against the background of breastfeeding the baby and the gradual introduction of complementary foods. The delay in menstruation during breastfeeding with a restored cycle in the first 2-3 months is usually the norm, and may further indicate a new pregnancy.
Reproductive function extinction
Finally, over time, reproductive function gradually begins to fade in women. At the age of 45-50 years of age, menstruation may be delayed, cycle irregularities, changes in the duration of discharge. However, at this time, it is likely that ovulation will occur in some cycles; therefore, if a patient has a delay of more than 3–5 days, a woman needs to think about pregnancy. To exclude this possibility, you should consult a gynecologist in time and select contraceptives.
Intermittent cycle violations
Delay of menstruation with a negative test is often associated with the effect on the body of adverse factors. The most common causes of short-term failure of the cycle duration:
- emotional stress, such as a session or family trouble;
- intense physical activity, including sports competitions;
- rapid weight loss while dieting;
- climate change and time zone when traveling on vacation or on a business trip.
Under the influence of any of these factors, an imbalance of excitation, inhibition, and mutual influence of nerve cells develops in the brain. As a result, a temporary malfunction of the cells of the hypothalamus and the pituitary gland, the main regulatory centers in the body, may occur. Under the influence of substances secreted by the hypothalamus, the pituitary gland cyclically secretes follicle-stimulating and luteinizing hormones, under the action of which the synthesis of estrogen and progesterone occurs in the ovaries. Therefore, when the work of the nervous system changes, the duration of the menstrual cycle can also change.
Many women are interested in, can there be a delay in menstruation after taking antibiotics? As a rule, antibacterial drugs themselves do not affect the duration of a cycle and cannot cause a delay in menstruation. However, it can lead to the infectious disease, about which the patient was prescribed antimicrobial drugs. Infection has a toxic (poisonous) effect on the nervous system, and is also a stress factor contributing to dysregulation of hormones. This is possible, for example, with cystitis.
Normally, the next menstruation after a delay in these cases occurs on time. More permanent violations of the cycle may occur when using certain drugs:
- oral contraceptives. especially low-dose;
- progestogens of prolonged action, used in some cases for the treatment of endometriosis and other diseases;
- prednisone and other glucocorticoids;
- releasing hormone agonists;
- chemotherapeutic agents and some others.
How to cause menstruation during a delay?
This possibility exists, but you need to clearly answer the question – why does a woman need menstruation as a fact. Most often, the fair sex answer this question – to restore a normal cycle. In this case, you need to understand that thoughtless self-medication with hormonal drugs can, of course, cause menstruation, but even more likely to lead to dysfunction of the reproductive system, impaired ability to conceive.
Thus, a woman will get a much larger set of problems than just a delay in menstruation. In addition, she may be pregnant. Therefore, when menstruation is delayed for more than 5 days, it is recommended to do a home test to determine pregnancy, and then consult a gynecologist.
To normalize the cycle, the patient can only get rid of external factors contributing to the delay (stress, fasting, overload) and follow the recommendations of your doctor.
Diseases causing delayed menses
Regular delay of menstruation is most often a sign of diseases of the hypothalamic-pituitary system or the ovaries, less often – the uterus or appendages. This feature can also be observed in extragenital pathology, which is not directly related to diseases of the female reproductive system.
The defeat of the hypothalamus or pituitary gland can occur when a tumor of the neighboring brain regions or these formations themselves, hemorrhage in this section (in particular, as a result of childbirth). Frequent causes other than pregnancy, for which the regularity of the cycle is disturbed, are ovarian diseases:
Under these conditions, a woman often does not hurt anything, and she does not go to a doctor for a long time, not paying attention to the irregularity of the cycle. This leads to serious consequences for her health.
Delay of menstruation may occur in some other gynecological diseases, in particular, against the background of endometriosis, chronic endometritis. abnormal development of the uterus. Under these conditions, it often pulls the lower abdomen, and there are spotting secretions before and after menstruation. In addition, a violation of the cycle often accompanies diagnostic curettage, hysteroscopy, medical and other types of abortion, and the use of emergency hormonal contraception. If the irregularity persists for the next cycle after the intrauterine manipulation, you need to consult a gynecologist.
Finally, the delay of menstruation occurs in certain extragenital diseases:
- neurosis and other mental disorders;
- diseases of the biliary tract and liver;
- blood diseases;
- breast cancer;
- adrenal and other diseases accompanied by hormonal imbalances.
The variety of reasons for which may delay menstruation, requires careful diagnosis and different approaches to treatment. It is clear that only a competent doctor can choose the right tactics after a general, gynecological and additional examination of the patient.
All the reasons why there is a delay of menstruation except pregnancy
Delayed menstruation is a common concern for women. On the failure of menstruation, in addition to conception, other factors may influence. Because of what it happens, what influences, what needs to be paid attention – every woman should know to prevent possible serious health complications.
The rate of delay of menstruation without pregnancy
When menstruation is delayed for a week, this should be noted. In some cases, delays of up to six months are possible, and the medicine does not consider this a deviation. These women include:
- girls with an unspecified menstrual cycle – failure is possible for 2 years;
- besides pregnancy, young persons may have failures, after the first sexual experience – this is a matter of stress;
- delayed menstruation is common after pregnancy – breastfeeding, causes prolactin to be released, which blocks the performance of eggs;
- age after 42 years – menopause, this is the main answer to the question of why there is a strong delay, and sometimes missed periods.
Even with minor delays of menstruation, you should consult a doctor: find out the reason, eliminate complex pathologies, get recommendations.
When you need to start worrying
In young and mature age, excluding adolescence, you should pay attention to some features of menstrual failure:
- Irregularity without a cause: menstruation occurs with an interval of 60-90 days or a menstrual cycle of less than 20 days – these are abnormal indicators.
- Severe pain during menstruation, which is not amenable to aging without taking analgesics.
- After a delay, there is a strong excretion of masses: when the endometrial layer changes to the beginning of the menstrual period, it thickens, filling up in the spiral arteries, which paint the secreted masses in a bloody color.
- Discharges have their limits – gaskets change hourly – this is bleeding. In this case, women have a special malaise.
Monthly cycle disorders with delayed menstruation (except for pregnancy) are serious signs of diseases of the reproductive system, which is why there is a failure.
Gynecological reasons for the absence of menstruation
Why is the delay of menstruation, except for pregnancy.
Non-gynecological reasons for the absence of menstruation without pregnancy
Why is the delay of menstruation, in addition to pregnancy – one of the frequent questions for women who do not have pathological changes with health. Failures can occur not only because of serious problems Some other factors may contribute to this:
- Emotional state: stress, anxiety, depression.
These factors affect the functioning of the brain, which in turn is responsible for the production and quantity of hormones.
Heavy exercise – one of the reasons why there is a delay of menstruation except pregnancy
- Heavy physical exertion. This category includes women who subject the uterus and its muscle tissue to excessive stress.
- The period of adaptation of the organism to other climatic conditions.
- Vascular and heart diseases.
- Excessive production of testosterone, endocrinological pathology.
- Colds, flu.
- Adherence to dietary nutrition.
- Acceptance of certain drugs, radiation.
- Weakened immunity, insufficient amount of vitamins in the body.
The reasons for the absence of menstruation without pregnancy after 40 years
Why there is a delay after forty years – this question most often bothers women to consult a doctor. Delay of menstruation (except pregnancy), during menopause is a frequent problem. Menopause in women comes precisely at this age.
Climax or menopause – the reason for the delay of menstruation in women after 40 years
During this period of life, the woman’s body stops the reproductive process. The childbearing function fades away, there is a delay or the lack of ovulation in general – this is a natural flow. The period of menopause is called the transitional phase of life – there is a decrease in hormone production.
After a certain period of time, monthly stop altogether.
In the period of menopause, the female body is sometimes at risk of unwanted conception, which can be dangerous both for the health of the child and the woman in labor, which is why you should not immediately refuse to take contraceptives with menopause. Each monthly delay should be monitored by a specialist, because in addition to pregnancy, other complications are possible.
Due to various changes during menopause, you can not immediately determine the possible pregnancy.
Read the popular site article: Popular birth control pills: list, name, price, reviews
What are the risks of persistent delays?
The delays themselves are not scary, the causes that cause them are dangerous. If this happens regularly, it is necessary to contact a specialized specialist as soon as possible.
The problem in question can lead to infertility, be a signal of the occurrence of cancer and other pathologies. To exclude possible serious diseases, it is necessary to undergo examination and, if necessary, undergo therapeutic therapy.
Most often, it is enough to take the recommended hormonal drugs to eliminate the cause of delayed menstruation.
What to do if the delay of menstruation without pregnancy
Often, women do not immediately go to the doctor, and try to call their periods. However, such a decision may be hazardous to health.
Independent call menstruation can result in a serious complication in the form of bleeding.
When visiting a gynecologist, according to the results of the tests, the doctor will select the necessary therapy on an individual basis. There is no identical treatment regimen for everyone. You can use the recipes of traditional medicine, but only once, without fanaticism.
Popular ways to call menstruation
Among the most popular methods are the following:
- Hot bath When steaming, relaxes the whole body, muscles, and uterine.
For bathing use herbal infusions, with a gradual increase in water temperature.
- Receiving a large dose of ascorbinka supplement the hot tub with the addition of iodine, sea salt.
Before steaming, you need to do physical education.
- Broth with nettles and tansy. The raw materials of both herbs are crushed, mixed in the same quantity. To prepare the infusion requires two spoons of the combined raw material, which is poured 200 ml of boiled water.
Take half a cup twice a day: in the morning and evening.
A decoction with nettles and tansy can be taken to call monthly
- Mint, valerian root, chamomile flowers, oregano. From the set of herbs you should drink tea, you can add the root of elecampane to it. This will increase blood flow to the female genitals.
Based on this, you should carefully consider overdose.
- Tea from the grass motherboard. This medicinal plant is popularly used to call monthly.
On the day you need to drink 1 liter of steep brew prepared from dry raw materials.
- Tincture of bay leaf. For 200 ml of boiled water, 5 leaves of Lavushka are needed, when the infusion is aged and cooled, it can be taken.
- Parsley with dill. If you use these spices in any form, it will help to cause menses.
Use parsley and dill in fresh form, in salads, steamed infusions. You should know one fact – dill helps reduce pressure.
Among the drugs to call monthly take Postinor, Pulsatil, Duphaston. These drugs are able to create a hormonal shake for the body.
You should not engage in self-diagnosis and cause a monthly cycle. After all, problems can be much more serious than just menstrual failure. Only an experienced specialist will help identify the cause and prescribe adequate treatment.
Why there is a delay in menstruation (except pregnancy) – experts will tell you about the possible reasons:
How to restore a regular menstrual cycle: