Delayed menstruation: what ideas. Video
A delay in menstruation causes anxiety in women, and this is quite justified, because, ideally, the body should work like a clock. The cycle lasts 28 days, of which 3-5 are menstruation. However, this is a theory, in practice, some women have a longer cycle, others have a shorter cycle, and sometimes the usual routine is completely lost. There are conditional boundaries, going beyond which indicates health problems.
A normal menstrual cycle lasts no less than 21 and no more than 35 days, and menstruation itself should not last less than three days or more than a week. It is important to take into account the profusion of bleeding: normally, the volume of blood loss varies from 50 to 150 ml. However, in a young girl, the first time after the onset of menstruation, the duration of the cycle can vary greatly. A regular cycle will be established within a year from the onset of the first menstruation. By the age of 45–55, the intervals between menstruation can also fluctuate, mostly increase.
Irregular menstruation during these periods is not a pathology, but the natural state of the body
An alarming signal requiring immediate medical attention at this age is abundant bleeding.
Why is there a delay in menstruation
Menstrual function is regulated by the joint work of a complex of humoral, nervous structures, as well as reproductive organs. Since all these systems are interconnected, the delay in the next menstruation may be associated with a disruption in the activity of any of the named links. So, the reason may lie in various gynecological diseases, for example, inflammation of the uterine appendages (salpingo-oophoritis), uterine myoma and others. But it should be noted that these diseases are often, on the contrary, accompanied by bleeding.
Periodic delays in menstruation are characteristic of a disease called polycystic ovary disease. This concept unites a number of pathological processes, accompanied by a violation of the production of hormones. In this case, ovulation does not occur in the body, and infertility occurs. Polycystic ovary disease is observed when various organs are disrupted: the pituitary gland, thyroid gland, hypothalamus, ovaries and adrenal glands. With polycystic menstruation, menstruation can be delayed from several days to months. In addition, obesity, increased body hair growth and sometimes an increase in the size of the ovaries can be observed with this disease.
To treat this condition, hormonal drugs are prescribed that regulate metabolic processes and reduce the level of male sex hormones in the body. Obesity requires weight loss. When drugs are ineffective, they resort to surgical methods of treatment, which are currently carried out through laparoscopy.
It is dangerous to cause menstruation with folk remedies without consulting a doctor. A specialist will help establish a diagnosis and identify contraindications before using them.
Also, a delay in menstruation can occur after termination of pregnancy. In this case, the cause is a violation of the hormonal balance and the removal of the inner lining of the uterus, which normally grows during the cycle and is excreted in the form of menstrual blood. The restoration of this functional layer takes time, i.e. after an abortion, menstruation may occur not after 28-31 days, but after 40 or more.
This delay is not normal and requires treatment.
The reason that menstruation does not come may be ovarian hyperinhibition syndrome, which occurs when taking oral contraceptives. With the development of hyperinhibition, oral contraceptive intake is canceled. Within 2-6 months after the end of their intake, ovarian function, as a rule, is restored. With a longer preservation of their dysfunction, drugs are prescribed that stimulate the maturation of the egg and the work of the pituitary gland.
Strong short-term or long-term stress can also cause a “breakdown” in the female body, in particular in the work of such central structures as the hypothalamus and cerebral cortex, which regulate the activity of the uterus and ovaries. An example of such disorders is the so-called amenorrhea during the war, when under stress, women did not have menstruation.
Another reason for delaying critical days can be rapid weight loss. Doctors have a concept of critical menstrual mass – the weight at which young girls begin to menstruate. And with a strong desire to lose weight, a woman, having reached this critical mass (about 45 kg), can get a delay in menstruation.
This effect most often occurs against the background of anorexia nervosa, a behavior disorder characterized by food rejection or refusal to take food.
This is accompanied by disorders of the endocrine and nervous systems.
Fortunately, the most common and most physiological cause of delayed menstruation in women of reproductive age is pregnancy. This may be accompanied by a change in olfactory and gustatory sensations, breast tenderness and roughness, and a pregnancy test is positive.
Always keep track of your cycle by marking critical days on your calendar. Visit doctors in a timely manner so that no prolonged absence of menstruation, except physiological, threatens you
In case of violations of the cycle, you must consult a doctor who will exclude conditions that require surgery. It can be a frozen or ectopic pregnancy, tumor diseases and others. To identify the cause of the “breakdown”, the doctor will prescribe additional examinations, and in the presence of concomitant diseases – consultation of other specialists.
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