Emerging delays are not uncommon for the menstrual cycle of the fair sex. Ideally, they are present no more than a couple of times a year, painless and short-term. No more than 7 days. Such delays are a variant of the norm.
But what if it's already the 4th day of delay, and pulls the lower abdomen and lower back of a woman? There can be many reasons. Reviews confirm this.
What reasons could contribute to this state of affairs?
It is immediately worth noting that such a delay in menstruation is not a symptom of pathology. Heaviness in the lower abdomen may be due to problems with the gastrointestinal tract (gastrointestinal tract). One of the symptoms may be severe constipation, as well as bloating. It is worth diagnosing this problem after all possible causes from the side of gynecology are swept aside.
Important! At the first ailments and complaints of well-being, a specialist consultation is required.
Firstly, if a woman leads an active sexual (sexual) life, it is necessary to refute or, conversely,confirm pregnancy.
Absence of menstruation is the first sign
You can do a test for home diagnosis or seek help from a medical center where they will take blood for the presence of hCG (human chorionic gonadotropin). The analysis will help to accurately determine an interesting position even at a very short period of 1-2 embryonic weeks (3-4 obstetric).
If the result is positive, then the pulling pains on the 4th day may indicate the following.
Growing uterus
The uterus gets bigger due to the blood flow to it. Gynecologists can determine the almost exact time when examining a woman in position, precisely by the size of the enlarged uterus. The ligaments begin to stretch, causing uncomfortable pulling sensations in the lower abdomen, but not much pain! Treatment in this case is not required.
The work of the corpus luteum
After ovulation in one of the ovaries, and sometimes on both sides, a corpus luteum is formed. It can be detected in the diagnosis of ultrasound (ultrasound). VT tends to give discomfort during its growth and work. The production of the hormone progesterone begins, which supports the normal development of the fetus until the placenta is formed. There is no need for treatment, if the sensations interfere with normal life activity, then you can take an antispasmodic in a small amount.("No-shpa", "Drotaverine", etc.)
Lack of progesterone
Progesterone deficiency (corpus luteum deficiency) is not uncommon. To determine this pathology, blood is taken for hormone analysis. The results will indicate the values of the norm at different times and your personal values. If the indicator is low, support should be provided, namely, taking synthetic or natural progesterone. Drugs such as Duphaston and Utrozhestan. "Dufaston" is taken exclusively orally, but "Utrozhestan" is still inserted vaginally, which is convenient for people with gastrointestinal diseases. Dosages vary according to the degree of deficiency. The gynecologist can prescribe both a single dose of one of the drugs, and several doses per day. In extreme cases, a number of injections are given to guarantee.
Tone
Toneness occurs for a variety of reasons: adhesions in the abdominal cavity, exercise, nervous disorders, inflammation, incomplete progesterone production, etc. The uterus is a muscle, and during contraction (when the lower abdomen stiffens, pulls), a tone arises. In this state, the fetus does not receive enough oxygen, hemodynamics (the transfer of nutrients from mother to child) may be disturbed. In general cases, it is enough for a woman to take antispasmodics, for example, insert Papaverine candles, providing peace and positive emotions. Prescribe "Magnesium B6" or "Magnelis". In severe cases, hospitalization, day hospitalization is required. Droppers with magnesium, Drotaverine injections and bed rest will be carried out.
It happens that the tone accompanies the pregnant woman for the whole period, in such cases you need to be especially careful and carefully listen to the recommendations of the attending physician!
Interrupt threat
If the pulling pains are accompanied by a small amount of blood discharge, with a positive test, you should immediately call an ambulance! It could be an interrupt threat. There are many reasons: hematoma, bleeding, damage, insufficiency, inflammation, fetal pathology. A timely ultrasound will help to detect the basis for the emergence of a threat.
Important! It is impossible to put this pathology on your own and competently treat it! Medical centers have everything needed to help a woman in such a situation.
It is not worth delaying with examinations of the body of a pregnant woman. It is possible that on the 4th day of the delay, it pulls the lower back. It can also indicate a threat.
Ectopic pregnancy
Drawing early can be very life-threatening. An ectopic pregnancy is the absence of a fetal egg in its proper place (uterus) and its presence in the tube, ovary, or even the surrounding peritoneum. Chorionic villi penetrate into the organ and damage it, as there are no normal conditions for development. A pipe rupture may occur, depending on the location along the pipe, the timing varies, mayinternal bleeding occurs. A timely diagnosis can not only save a life, but also preserve the reproductive function in full. Currently, laparoscopic operations (with the help of punctures) are being carried out, as a result of which it is possible not to remove the damaged pipes. Recovery after such an operation is much faster than after abdominal surgery.
Are you pregnant?
If there is no pregnancy, there may be various reasons for the delay. Not all of them require specialist supervision. It is enough just to monitor your he alth. Many girls confirm that they periodically experience short-term delays. But if there is white discharge, the test is negative, on the 4th day of delay it pulls the lower abdomen and lower back, the reasons may be as follows.
Late ovulation
On average, a woman's cycle is 28 days, but in fact it can fluctuate quite widely. From 21 to 35 days. Ovulation can also occur according to the norm on the 14th day of the cycle, and maybe on the 21st, for example. As a result, there are delays. Late ovulation can be painful for those who are especially sensitive. In this case, the discharges are of a normal nature, without various impurities. There is no need for medicines. Ultrasound will help to verify the correctness of the conclusions.
Anovulatory cycle
An anovulatory cycle happens 1-2 times a year in an average female. Ovulation is absent, follicles either do not develop or develop into a follicular cyst. A follicular cyst is uncomfortable, but usuallyafter the arrival of critical days disappears by itself. Often you have to resort to "calling menstruation" with the help of progesterone preparations, since the delay can last a very long period. After 7-10 days at the appropriate dosage, on withdrawal or the last days of taking, menstrual bleeding begins. If such cycles are repeated regularly, you should look for the cause.
Painful PMS
If there is no period, 4 days delay, pulls the lower abdomen and white discharge becomes saturated, it may be PMS. According to reviews, premenstrual syndrome lasts on average about a week before menstruation. Irritability, peculiar taste preferences, increased appetite, drowsiness, pressure surges, etc. With a delay and approaching critical days, these symptoms can be easily confused with the first signs of nascent life. PMS can be very painful, with pulling pains in the abdomen and lower back. You can use antispasmodics to prevent pain, start consuming foods that help raise hemoglobin in advance (pomegranate, liver, red caviar).
Hormonal disruption
Hormonal failure contributes to the disorder of the habitual rhythm. The test will confirm this problem, the treatment of which should be carried out under the supervision of specialists.
Important! In the event of a failure, pain does not occur if there are no concomitant diagnoses. Therefore, if on the 4th day of the delay the lower abdomen is pulled, then it is worth checking with a specialist.
Inflammation of the appendages
On the fourth day of delay, you should listen to your feelings. Do they give pain inother parts of the body? Maybe in the leg? Does it hurt on both sides or just one side? With inflammation of the appendages, often the pain is not localized in one place, but diverges. For example, in the leg, lower back, in the middle of the abdomen and on the side. The discharge becomes liquid, there may be an odor, peculiar color impurities (in the presence of infectious inflammation). The nature of infections can be different, it is imperative to pass smears and conduct an examination. In some cases, you can get by with anti-inflammatory suppositories and tablets, provided there is no infection. Most often, broad-spectrum antibiotics of the 1st or 2nd generation are used, which is more effective in injections. Doctors recommend hospital stay in rare cases, if there are serious indications.
Cervical erosion
Violation of the integrity of the cervix - erosion. It can be congenital or mechanically acquired. At the birth of a child, a large number of women acquire cervical erosion. Erosion is characterized by spotting spotting, discomfort in the lower abdomen, and the acquisition of infections. This pathology can lead to cervical cancer. It is necessary to hand over all analyzes and, ideally, to remove. Moxibustion, surgical methods, laser are used.
Benign and malignant growths
Unfortunately, it is not always possible to do without complications. Tumors in gynecology have many types and different nature. If even benign formations are detected, they are most often removed and constantly monitored. For example, myoma. Testing for oncomarkers will help make sure the natureswollen. Neoplasms cause discomfort, heaviness. They are easy to confuse. Treatment and diagnosis of such neoplasms is carried out most carefully, with a positive analysis they are sent to oncological centers.
Appeal to a good specialist, when there is no menstruation for the fourth day and there is heaviness in the lower abdomen, it will certainly help to recognize the cause and treat it.
