Timely menstruation, taking into account the woman's cycle, is the main sign of the he alth of the reproductive system. However, sometimes there may be pain in the lower abdomen and a delay in menstruation, which signals not only pregnancy, but also the course of many diseases, pathological disorders in the body.
If you experience such symptoms, be sure to consult a gynecologist for a comprehensive diagnosis and proper treatment. It is important to establish the cause of unpleasant manifestations in a timely manner in order to prevent the development of various pathologies.
Main reasons
Factors that provoke pulling pains in the lower abdomen and delayed menstruation can be very different. Among the main reasons, in addition to pregnancy, one can distinguish such as:
- hormonal imbalance;
- cyst and neoplasm in the ovaries;
- climate change;
- endometriosis;
- stress;
- medication use;
- physical activity;
- power errors;
- inflammatory processes;
- climax period.
All of these reasons can delay menstruation by about 7-10 days, but all the signs of menstruation are observed.
Pregnancy and cycle disorder
If a woman who is sexually active without using contraceptives has a delay in menstruation, her chest hurts and her stomach pulls, then the first thing she thinks about is pregnancy. To dispel doubts, you need to do a test. If it turned out to be negative, then this is not a reason to completely exclude the possibility of pregnancy. An additional examination is recommended. If for several days the chest hurts, the stomach pulls and the delay in menstruation continues, then you need to pass a special test for hormones. It will help determine the presence or absence of pregnancy even at the earliest possible date.
If, with a slight delay in menstruation, the stomach hurts and the test is negative, and the test for hormones is positive, then it is important to urgently undergo an examination by a gynecologist. This may indicate an ectopic pregnancy. Usually, in this condition, a woman does not feel well. She has:
- headache;
- apathy;
- pulls in the lower abdomen;
- dizziness;
- bad mood;
- weakness.
Usually women do not realize the complexity of the situation and believe that this is a normal condition that precedesmenses. There may be occasional brownish or red-brown spotting. If you do not undergo an examination in a timely manner and do not take the necessary measures, then there is a high probability of rupture of the fallopian tube and the opening of internal bleeding. In such cases, surgery is required followed by treatment.
A delay in menstruation for 3-4 days is considered the norm if there is no soreness and nausea. If the stomach pulls a little and the mood changes, then this may indicate premenstrual syndrome.
Inflammatory processes
If a woman has a missed period along with a negative test and a stomach ache, there is a possibility that this is inflammation. At first, it is impossible to determine for what reason such a violation occurred, you just need to remember that long-term complex treatment is required. Among the main diseases of an inflammatory nature, it is necessary to highlight such as:
- vaginitis;
- adnexitis;
- endometritis.
Vaginitis refers to inflammation of the walls of the vagina. In this case, there may be a prolonged delay in menstruation and severe pain in the lower abdomen. Painful manifestations are mainly pulsating in nature, and brownish vaginal discharge may also appear periodically. The pain often radiates to the lumbar region. Sometimes itching of the genitals is felt.
Adnexitis - inflammation of the fallopian tubes or appendages. In the presence of such a disease, the stomach pulls very strongly, but there is no dischargeobserved. This disease is dangerous because it is very difficult to recognize, since a woman may simply stop paying attention to the signs in 1-2 weeks, deciding that these are just the features of her body.
However, at the same time, the disease will begin to progress more and more and become chronic. If timely treatment is not carried out, then the woman may remain infertile.
Pain in the lower abdomen and delayed periods can be a sign of endometritis. This is an inflammation of the outer lining of the uterus, in which spotting occurs periodically. During an exacerbation, the stomach hurts much more than usual.
Among the main provoking factors of inflammatory processes, it is necessary to highlight such as:
- tobacco smoking;
- chronic infection;
- hypothermia;
- alcohol abuse;
- stress.
Among other symptoms of the course of inflammation, it is necessary to highlight such as:
- temperature increase;
- painful manifestations;
- menstruation disorder;
- vaginal discharge;
- pain during intercourse.
In all these cases, the woman has a strong pull and pain in the lower abdomen. The onset of menstruation is delayed by about 5 days. Sometimes you can notice the discharge, accompanied by itching of the genitals. When urinating and during sexual intercourse, a woman, as a rule, is worried about significant discomfort. Moreover, in some cases, the symptoms may be enoughpainful.
You can recognize this condition by fever. All this indicates that an inflammatory process occurs in the body, the provoking factor of which is a sexually transmitted infection. When the disease becomes chronic, the temperature generally remains within the normal range and the state of he alth also remains normal.
If timely treatment is not carried out, then the inflammatory process spreads to the peritoneum and causes the development of peritonitis. Other possible complications include the risk of ectopic pregnancy and infertility.
Ovarian dysfunction
Ovarian dysfunction is often the cause of pain in the lower abdomen and delayed menstruation. Signs may also appear in the presence of another gynecological disease, in particular, such as:
- adnexitis;
- uterine fibroids;
- polycystic ovaries.
Also, problems of an endocrine nature, in particular, thyroid diseases, can provoke a violation. With ovarian dysfunction, there is no ovulation, which is why a woman complains of a delay in menstruation, she has a stomachache, pulls her lower back, and there may also be other symptoms. The disease manifests itself in the form of the absence of menstruation for more than 4-5 months, after which bleeding begins and lasts 7 days. However, more frequent, erratic spotting is also possible.
In the presence of ovarian dysfunction, there is pain in the lower abdomen, as well as discomfort in the lumbar region. The disease can cause infertility or lead toto the inability to bear a child. Also, the disease threatens the development of mastopathy, uterine fibroids, endometriosis. This may indicate the presence of a malignant neoplasm and an ectopic pregnancy.
Tube solderings
In the presence of a chronic form of adhesive disease, such undesirable symptoms as delayed menstruation, pain in the lower abdomen are also possible. The test is negative, accompanying these signs, should alert the woman. In addition, there may be additional constipation. In the same way, latent infections and endometriosis sometimes appear. Adhesions are very dangerous in that they can lead to infertility over time. The disease is diagnosed during a gynecological examination, taking into account the characteristic complaints of a woman, as well as anamnesis.
Untimely treatment leads to menstrual disorders, bending of the uterus, and ectopic pregnancy.
Pelvic Varicose Veins
If a woman has a delay in menstruation for a week, her stomach hurts and pulls in the perineum, you need to exclude varicose veins of the small pelvis. With such a disease, discomfort may additionally be felt after sexual contact.
Varicosis has a progressive course. The disease begins to develop in adolescence and is almost asymptomatic, therefore, it is possible to diagnose changes in the venous system of the small pelvis only by using additional research methods.
As you get older, the pain sensations begin to increase more and more, and they differ in theirvariety. There are no specific signs of varicose veins, therefore, if there is such a problem as a delay in menstruation and a stomachache for a week, you should definitely undergo an examination and treatment.
The disease is chronic, so a full recovery is impossible, however, you can achieve a significant improvement in well-being. Therapy must be comprehensive and includes taking medications and exercise therapy.
Polycystic ovaries
With polycystic disease, there may be a delay in menstruation, pain in the lower abdomen, and the test is negative. With this disease, small cysts form and grow in the ovaries. As a result, hormonal disorders occur in the body of a woman. The disease can be completely asymptomatic, but sometimes among the main signs, gynecologists distinguish a delay in menstruation and aching pain in the lower abdomen.
It happens that painful manifestations spread to the pelvic region and lower back. In addition, obesity, as well as increased greasiness of the skin and hair, can join such symptoms. PCOS can lead to miscarriage, premature birth and infertility.
Sexually transmitted diseases
Provoke a delay in menstruation and severe pain in the lower abdomen can be sexually transmitted diseases, in particular, such as:
- chlamydia;
- gonorrhea;
- mycoplasmosis.
They may be accompanied by unusual vaginal discharge accompanied by genital itching andunpleasant smell. Such diseases are completely asymptomatic. To exclude their presence, you need to periodically undergo an examination, as sexually transmitted diseases threaten infertility.
Other reasons
Among the causes of delayed menstruation and pain in the lower abdomen and lower back, there are violations of the menstrual cycle and the reproductive system. Additionally, there may be such a symptom as amenorrhea. A similar condition is characterized by the fact that menstruation may not appear for up to 6 months, although the syndrome preceding it is observed monthly. If the diagnosis is confirmed, the gynecologist prescribes hormone therapy.
Very strong emotional stress can cause pain in the lower abdomen after a long delay in menstruation. This condition significantly impairs the quality of life. Severe stress and depression can lead to dangerous problems with a cycle that starts much later than expected. The body reacts very sharply to various kinds of emotional overstrain, which can additionally manifest itself in the form of nausea, dizziness. In this case, you should definitely consult a psychologist, as well as take sedatives. If the cause of the disorder is stress, then after a while such a condition will pass on its own.
If, when moving to another area, there is a delay in menstruation, the lower abdomen and lower back hurt, then this is a consequence that has arisen as a result of changing climatic conditions. There are people who are sensitive to weather changes. If a woman flew to another climate zone, thisequates to psychological stress and a state of nervousness. However, in some cases, such changes can cause premature menstruation.
Causes of pain in the lower abdomen and delay in menstruation may be due to strong physical exertion. This condition is familiar to many women who are actively involved in sports and attend intensive training. A strong mental load is also similar to a state of stress. It is familiar to all those who are engaged in mental work. Doctors say that working at the limit of your capabilities adversely affects the functioning of the whole organism. A short delay in menstruation and pulling pain in the lower abdomen is often noted in women with insufficiently good nutrition and after following strict diets. Be sure to visit not only the gynecologist, but also other specialists, as this may be a sign of a disease of the internal organs.
If there is severe pain in the lower abdomen after a missed period, then this may be a sign of diseases such as:
- appendicitis;
- cystitis;
- urolithiasis;
- salpingitis;
- cervical pathology.
Painful sensations may come and go periodically. Severe pain occurs only in exceptional cases. A subsequent delay in menstruation with increased pain may indicate the progression of the pathology.
One of the most difficult and dangerous causes of delayed menstruation and severe stomach pain is uterine fibroids. Benign tumors causespasmodic or cutting pain. After some time, prolonged and profuse bleeding, pulling pains in the area of the uterus, as well as discharge between menstruation, may join. As the nodes increase in size, the pain increases significantly.
Often, when a patient has a delay in menstruation, her lower back and stomach hurt, she is diagnosed with an ovarian cyst. In this case, soreness is observed constantly and intensifies before the expected menstruation. With a large cyst, the pain is very sharp, throbbing, increases when jumping and running.
Benign neoplasms of the ovaries normally go away on their own, as, in fact, they are simply an excessive growth of tissue. If this does not happen, then an operation is required. When hemorrhage into the cyst, a hemorrhagic tumor can form. Among the main symptoms is a delay in menstruation and sharp pains in the lower abdomen. The provoking factors of hemorrhage are the following:
- weight lifting;
- sexual intercourse;
- nervous or physical strain.
A common cause of pain is inflammation of the bladder. Violation of the microflora can be caused by accidental penetration of pathogens into the urethra from the vagina, after which the sluggish inflammatory process worsens. With cystitis, the pain in the lower abdomen is constant, and there are also problems with urination. This condition is accompanied by cloudy urine, frequent urination and fever.
If observeddelay in menstruation, lower back and stomach pain, and there are also white curdled discharge, this may be a sign of candidiasis. This disease is caused by the Candida fungus. In this case, qualified assistance from a gynecologist is required.
Provoke a delay in menstruation and pain in the lower abdomen on the right diseases of the intestines and stomach, in particular, such as hernia, adhesions, colitis, appendicitis. All this can delay the start of critical days by 3-4 days. That is why, it is imperative to learn to distinguish the nature of pain. In the conditions mentioned, the symptoms are:
- painful manifestations will be cutting, pulling, stabbing;
- bloating, constipation or diarrhea;
- may pull the lower back;
- temperature rising.
Delay the onset of menstruation can take oral contraceptives, puberty, menopause. With a delay in menstruation, you need to remember that a similar problem occurs after miscarriages, operations on the pelvic organs, and abortion. All this affects the woman's cycle, and also provokes pain in the lower abdomen, which occurs as a result of uterine contraction.
There is a possibility of similar sensations during pregnancy with placental abruption. Unpleasant symptoms are accompanied by the presence of bloody or brownish discharge, fever, a significant deterioration in well-being. In this case, you should definitely call a doctor, as such a condition is life-threatening.
Abdominal pain in teenage girls
Teen girls, uwho have not yet had menstruation, periodically visit severe cutting pains in the lower abdomen. One of the reasons for this phenomenon is the infection of the hymen. As a result, menstrual blood cannot flow out of the vagina normally.
If there are painful sensations, and the girl did not have a period until the age of 16, then an urgent need to contact a gynecologist. When the cause is indeed an infection of the hymen, the doctor will perform a small operation to cut the hymen, after which the accumulated blood will come out of the genital tract.
Possible Complications
Any violations of the menstrual cycle often indicate the development of a serious pathology. If you ignore the deterioration of well-being, then this can cause serious and very big complications.
Among the most dangerous causes of delayed menstruation is uterine fibroids, ectopic pregnancy, large ovarian cysts. Lack of timely treatment can lead to tissue necrosis, spillage of purulent contents or decay products into the abdominal cavity, rupture of the walls of internal organs, and severe bleeding. There is a risk of acquiring a general blood poisoning, peritonitis, vascular collapse, anemia. Cutting pains in the lower abdomen and a delay in menstruation should definitely serve as a warning signal. However, the soreness that occurs after the period has passed can sometimes lead to serious complications.
Any sharp deterioration in he alth should be the reason for a comprehensive instrumental and laboratory examination. Timely diagnosishelps to prevent the risk of complications and be limited only to conservative therapy. If treatment is not carried out in time, then in the future it may threaten more serious problems and infertility.
Surveying
If there are problems with the menstrual cycle, a woman needs to be examined by a gynecologist every 6 months. In addition, you need to play sports, normalize nutrition, spend more time outdoors and maintain body tone.
Many women who miss their period get a pregnancy test. If it turns out to be negative, then a comprehensive examination is required, as a result of which diseases and various disorders can be detected. To identify the presence of dangerous pathologies, you must:
- get checked out by a gynecologist;
- consult an endocrinologist;
- do an ultrasound of the pelvic organs.
Women need to remember about a scheduled visit to the gynecologist twice a year. But under some conditions, a visit to a doctor must be urgent. Seek immediate medical attention in this case:
- temperature increase;
- strong weakness;
- vomiting and nausea;
- discharge from the genitals;
- pregnancy;
- previously rescheduled;
- prolonged abdominal pain.
Only after a comprehensive diagnosis, the doctor selects a treatment that helpsget rid of unpleasant symptoms.
Features of treatment
If there is no menstruation for a long time and there are pains in the lower abdomen, some women try to self-medicate, taking analgesics and using folk remedies. However, drug therapy is not always required to solve the problem.
If the symptoms and delay are not related to pregnancy, first of all you need to undergo a comprehensive examination and determine the cause of the violation. A sudden lengthening of the cycle may indicate disturbances in the functioning of the body. Based on the results of the diagnosis, the doctor will be able to choose the required method of therapy. Hormonal disorders are corrected by taking special drugs.
To normalize the menstrual cycle, it is necessary to adjust the diet and lifestyle, namely:
- give up bad habits;
- do not abuse caffeinated drinks;
- normalize diet;
- revise the daily routine and devote more time to rest;
- take walks in nature.
In addition, you should try to avoid conflict situations that can provoke stress, depression and nervous breakdowns. It is also recommended to play sports, as light physical activity will help to normalize well-being.
It is worth remembering that fluctuations in the menstrual cycle are only permissible during menopause and in adolescence, when ovulation processes are just getting better or starting to fade. ATIn other cases, a violation of menstruation indicates the presence of pathologies in the body.
Severe abdominal pain is considered a dangerous sign that may indicate an ectopic pregnancy. This is due to the fact that the fetal egg did not attach to the uterus, but began to develop in the fallopian tube. The pain is felt only on one side, in the part where it is located.
You must immediately consult a doctor to avoid negative manifestations, in particular, bleeding, which occurs due to rupture of the pipe and the onset of inflammatory processes. In this case, you can not do without surgery.
Delayed menstruation and pain in the lower abdomen is a pretty serious reason to worry about your he alth. In addition, it is accompanied by other unpleasant sensations, in particular, such as nausea, headache, lethargy, and a state of depression. To avoid complications, be sure to visit a doctor.
