The cyclic bleeding that occurs in a woman from the moment of puberty until the onset of menopause is called menstruation. The nature and duration of discharge for each woman is individual. Sooner or later, everyone is faced with such a concept as a delay. There can be many reasons for this and each case requires an individual approach.
At the beginning of the menstrual cycle, this happens as often as in the periods preceding menopause. Women are most alarmed by the delay when it is in the active reproductive phase. What causes this and does the absence of menstruation always indicate the presence of pregnancy? More on this in the article below.
Causes of occurrence
Not every woman can boast of an ideal menstrual cycle, like clockwork. The thing is that a lot of factors can influence it, therefore, there can be several reasons for the delay. The average cycle length is 28 days. The onset of menstrual bleeding earlier than this period is not alwaysleads to he alth concerns. The picture is more complicated when the calendar is on the 35th day of the cycle, and there are no periods. And this is a cause for concern.
The reason may be:
- An unsteady cycle in a teenage girl.
- Inflammatory infections in the pelvic organs.
- Pregnancy.
- Ectopic pregnancy.
- Hormonal failure.
- Taking or stopping medications containing hormones.
- Nervous tension.
- Change of climate zone.
- Sudden weight loss or weight gain.
- Cyst, fibroid, neoplasm in the uterine cavity.
Teen girl's missed period
Girls have their first menstrual period between the ages of 11 and 15. In some cases, it can come a couple of years earlier, it all depends on the degree of maturity of the child. If the first signs of puberty appear, then the onset of menstruation is just around the corner. It is quite natural that for some time the menstrual cycle will have a different duration and pattern of discharge.
Doctors say that this process is quite natural and may take several years. Therefore, you should not panic when there is no menstruation on the 35th day of the cycle. However, it is still worth consulting a doctor for a consultation and diagnosis of a he alth condition.
Positive pregnancy test
With the onset of puberty and sexual activity, every woman who does not use protection may experiencepregnancy. This is another factor that leads to the fact that there is no menstruation on the 35th day of the cycle. The first thing a woman can do at this moment is to do a rapid pregnancy test. If the average duration of the menstrual cycle is 28 days, and ovulation occurred exactly in the middle (on the 14th day), then the fertilized egg has already managed to securely gain a foothold in the uterine cavity. At this time, the test result can be considered absolutely informative and reliable.
There are several other ways to confirm pregnancy. For example, donate blood for an hCG analysis (an increase in the level of the hormone indicates the presence of pregnancy), as well as undergo an ultrasound examination. With a positive result, we can safely say that if at the moment the menstrual cycle is 35 days, this is normal for any pregnant woman. The main thing in such a situation is to monitor your he alth and avoid overexertion and physical exertion on the days of the expected menstruation for another three months. The body can menstruate even when the pregnancy is developing normally, which confuses many women. However, doctors assure that this is not a pathology and you should not self-medicate.
Ectopic pregnancy
If there is no period on the 35th day of the cycle and the woman has established the fact of pregnancy, the next step is to exclude the risk of developing an ectopic. It can cause a delay in the cycle. Since the body has received a signal about the fertilization of the egg and its successful implantation, menstruation does not come. Tillthe embryo is very small, a woman may not be aware that he was attached not in the uterine cavity, but outside it.
For example, in the fallopian tube or abdominal cavity. An ectopic can only be diagnosed with an ultrasound. A home express test can only react to the presence of hCG in the urine and show a positive result. It is impossible to determine such a failure on your own. Further therapy takes place under the close supervision of a gynecologist.
Sexually transmitted infections
Inflammatory processes that affect the pelvic organs are one of the most popular reasons for delaying menstruation, the 35th day of the cycle may not be limited. Some women also noted a longer period of up to several months. In this case, it is necessary to approach the solution of the problem comprehensively and only together with the doctor after the diagnosis.
First you need to be tested for infections that are sexually transmitted, to exclude sexually transmitted diseases. This can be done with the direction of a doctor or in a private laboratory. Symptoms indicating an inflammatory process in the pelvic organs:
- Drawing pains in the lower abdomen, radiating to the lumbar region.
- Discharge becomes copious, smelly.
- Discomfort during intercourse.
- Itching and burning in the genital area.
The disease can be hidden and not manifest itself at all for some time. In particular, gardnerella, which causes the development of bacterial vaginosis, provokes a delay in the cycle (35days or more). The attending physician must select a course of treatment in such a way that the woman not only restores the microflora in the vagina, but also normalizes the cycle. An imbalance can also be indicated by discharge with a pungent smell of fish, while their consistency becomes creamy, and the color is from milky to light yellow. The reason for this is harmful pathogens and bacteria in the vagina. In the process of treatment, special attention should be paid to strengthening immunity.
Greenish discharge, which indicates the development of a purulent process, should also alert. The doctor may prescribe an analysis for bacterial culture and ultrasound diagnostics. The latter may indicate the focus of the development of the inflammatory process.
Lack of progesterone
If there is no menstruation on the 35th day of the cycle, and the test is negative, then, most likely, there was a malfunction in the hormonal system. It can be not only the reproductive system, but also the endocrine system. Both of them are responsible for the nature and duration of the menstrual cycle. If a progesterone deficiency has formed in the body, then this is one of the reasons why there is no menstruation on the 35th day of the cycle.
You can identify the lack of this hormone with the help of a blood test. At the beginning of the menstrual cycle, it is low, closer to ovulation, its level increases. If pregnancy occurs, then its content in the blood increases. A low progesterone level may be one of the reasons for terminating a pregnancy. Therapy, as a rule, consists in the need to take drugs,containing this hormone. The duration of treatment takes from 3 to 6 months.
Thyroid and menstruation
Disruption of the thyroid gland is also one of the common causes of menstrual irregularities. We can say that a menstrual cycle of 35 days is normal when insufficient production of luteinizing or follicle-stimulating hormone, progesterone and estrogen is diagnosed. The ovaries are unable to produce the required amount of substances that are responsible for the process of maturation and release of the dominant follicle. It happens that the menstrual cycle of a woman turns out to be anovulatory at all. This is when ovulation does not occur and the likelihood of pregnancy is reduced to zero.
The thyroid gland produces thyroid hormones (T3 and T4), which are an important link in the process of hematopoiesis. During menstruation, the uterine mucosa is updated, the endometrium is replaced. If a hormonal imbalance occurs, a woman may note that the nature of the discharge has become more scarce, pain intensifies. In order to diagnose the disease, the doctor may prescribe a number of studies:
- Blood test to determine the content of hormones TSH, T3 and T4.
- Thyroid ultrasound.
Depending on the results obtained, the doctor selects a treatment regimen. Methods of correction and recovery are strictly individual and self-treatment in this case is not worth it.
Delay due to oral contraceptives
Long receptioncontraceptives can lead to the fact that the calendar is already on the 35th day of the cycle, but there are no periods and the test is negative. In this case, anything can come to mind. But it is better to exclude suspicions and seek the advice of a doctor. In order for the specialist to have a complete picture of what caused the delay, an ultrasound examination should be performed in advance. If pregnancy is not established, then the next step is likely to be testing for hormones.
In the absence of pathologies, the most optimal way to correct the cycle is to change the drug. Oral contraceptives are designed not only to protect a woman from unwanted pregnancy, but also to normalize the duration of menstruation. Therefore, violations in the cycle should alert the woman. It is important to consult a doctor and only then make a decision on the advisability of continuing to take the drug as a contraceptive.
Climate change
During holidays associated with a change in climate or time zone, many women note that even on the 35th day of the cycle there is no menstruation. Reviews of this kind are quite common. The body is especially sensitive to sudden changes in the environment. For example, when the host country has a very hot climate, high humidity. The duration of the delay can be much longer. The primary task of the doctor is to exclude or confirm the presence of pregnancy. One of the questions during a consultation with a gynecologist,start date of last period. If there is no menstruation on the 35th day of the cycle, a pregnancy test can be done at the time of contacting a specialist. An ultrasound will also be useful.
It is worth considering the individual characteristics of the menstrual cycle. It is known that for each woman its duration is due to different factors. So, if it occurs once every 30 days, then a delay of 5 days is not critical. Delays lasting more than 14-30 days can cause concerns. In this case, it is worth consulting with a doctor why the cycle delay (35 days or more) is so long. In terms of treatment and correction, hormonal drugs are usually prescribed that stimulate the restoration of the cycle. This may be, for example, "Dufaston" or "Utrozhestan", as well as other drugs prescribed by a specialist. With positive dynamics, their reception continues for 2-3 cycles.
Cysts and neoplasms
One of the unpleasant moments is when the menstrual cycle has increased to 35 days, and the reason for this is the presence of a cyst or neoplasm in the uterine cavity. Diagnosis of tumor development at an early stage is possible provided that a woman visits a gynecologist every six months. Also, a deviation in the work of the reproductive organs can be detected using cytological analysis. It can indicate the presence of an inflammatory process, which often contributes to the fact that a benign neoplasm develops into cancer.
Cysts can form on the ovaries and resolve on their own in most cases(follicular or corpus luteum cyst). In most cases, they do not manifest themselves in any way, and do not require additional treatment. However, if the egg is mature, but not released from the follicle, then a follicular cyst is formed with the accumulation of fluid in it. In medical terminology, this phenomenon is also called a cystic sac, which can reach several centimeters in diameter. A woman may feel pain in the lower abdomen and note a delay in the cycle up to a month. The reason for such soybeans can be:
- Inflammatory processes and sexually transmitted diseases.
- Recently had an abortion.
- Disruption of the hormonal system, thyroid gland.
- Stress and physical strain.
- Frequent use of emergency contraceptive methods.
Uneven shedding of the uterine lining also causes a delay in the onset of menstrual bleeding. At the same time, a woman may notice completely natural white discharge, and there is no menstruation on the 35th day of the cycle.
In a blood test, a hormonal failure is marked by an increase in the content of progesterone, and an ultrasound specialist diagnoses the presence of a corpus luteum cyst. Such a tumor is called luteal. A woman may experience symptoms typical of the onset of pregnancy: nausea, dizziness, breast swelling and weight changes, bloating, and frequent urination. Treatable (functional) tumors can be eliminated with the right treatment. Hereinclude hormonal drugs, vitamins and dietary supplements, oral contraceptives.
Some neoplasms in the uterine cavity, such as fibroids, are difficult to diagnose at an early stage. This is due to the fact that it may not manifest itself for a long time. However, if its size begins to increase, then the nature of menstruation changes. In some cases, women note the presence of delays of several days. Myoma is not an obstacle to pregnancy. Therefore, in the absence of menstruation, the first step is to do an express test and only then consult a doctor for advice.
