When menstruation is late, the lower abdomen and lower back pull. Can there be pregnancy if the lower abdomen pulls as during menstruation, but there are no menstruation

Critical days in women indicate that the woman’s body is capable of childbearing. Menstruation appears every month (excluding the period of gestation), and in almost all girls from 12 to 45 years old.

If you don’t have your period within a certain period, then you should worry, especially when the pregnancy was not planned.

But you should take into account the fact that when your period is delayed, the stomach does not always pull due to pregnancy, but only in 70% of all cases.

Other situations are provoked by various factors: unsuccessful sexual intercourse, stress or gynecological pathologies.

If the delay lasts more than 10 days, the woman’s lower abdomen feels tight, and the pregnancy test gives negative results, doctors may suspect the presence of some kind of women’s health disorder in the body.

Main reasons

The main reasons for the absence of menstruation and pain in the lower abdomen include:

• gynecological diseases;
• ectopic pregnancy;
• complications of intrauterine pregnancy.

Gynecological diseases

If menstruation does not begin and the lower abdomen is tight, then the cause of this situation may be tumors and tumor-like (retention) formations of the ovaries, inflammatory diseases of the uterine appendages.

Most often, a gynecologist diagnoses ovarian cysts:

Follicular cyst

Follicular ovarian cyst is the most common gynecological pathology of girls and women of reproductive age. The mechanism for the formation of this type of cyst is based on a hormonal imbalance, as a result of which the dominant follicle does not undergo ovulation (the release of an egg from the ovary), while continuing to increase in size, menstruation is delayed.

It is the process of cyst formation that causes discomfort in a woman in the lower abdomen. Hormonal disorders, as a result of which a cyst is formed, can be caused by any unfavorable factor in the external and internal environment: physical, psychological, mental fatigue, concomitant diseases of the body, including chronic ones with their frequent exacerbations.

Corpus luteum cyst

Cysts can form in place of the corpus luteum during a normal two-phase menstrual cycle. These formations often do not manifest themselves at all. In rare cases, a woman has tightness in the bottom and there is a slight delay in menstruation (by a few days).

Within 1–2 months, this cyst undergoes complete regression and does not require treatment.

Endometrioid cyst

Endometrioid cysts are a manifestation of external genital endometriosis that affects the ovaries. Tissue that morphologically resembles the endometrium (that which lines the inside of the uterus) invades the ovarian tissue to form lesions. These altered areas merge into large endometrioid cysts.

With ovarian endometriosis, menstruation does not come, there is a delay, and the pregnancy test is negative. With this disease, pain in the lower abdomen of an aching or pulling nature is quite often observed.

Inflammation of the uterine appendages

Inflammatory changes in the uterine appendages (ovaries and tubes) cause disturbances in their functioning, hormonal imbalance occurs, and ovulation is disrupted.

In this case, the lower back and lower abdomen often hurt or ache, but menstruation does not begin. White or yellowish purulent discharge accompanies this pathology. Selection of competent anti-inflammatory therapy can solve this problem.

Ectopic pregnancy

Ectopic (ectopic) pregnancy is a serious, life-threatening pathology. In this case, the fertilized egg is not located in the uterine cavity, as is normal, but in the fallopian tube. A tubal pregnancy is terminated in two ways. In some situations, the fertilized egg grows, causing rupture of the tube and bleeding, in others it separates from the walls of the tube and moves towards the abdominal cavity. The danger of this condition is the development of severe bleeding.

Ectopic (tubal) pregnancy

Symptoms of tubal pregnancy: nagging pain in the lower abdomen (pain intensity varies), there may be brown spotting or bloody discharge or absence of menstruation, a positive pregnancy test.

If an ectopic pregnancy is suspected, a woman should be urgently taken to a medical facility.

Risk of miscarriage

If a woman feels nauseous, has a tightness in her lower abdomen, and does not have her period—these are symptoms of a threatening miscarriage. The diagnosis is confirmed by a positive pregnancy test, ultrasound signs of a threatened termination of intrauterine pregnancy, which include retrochorial hematoma (accumulation of blood between the wall of the uterus and the fertilized egg as a result of partial detachment) and increased uterine tone.

In this situation, a pregnant woman is hospitalized in the gynecological department, an appropriate medical and protective regimen and therapy are prescribed, aimed at preserving the pregnancy and prolonging it to full term.

https://youtu.be/ffQpsba26CI

Non-physiological causes of delay

If a woman experiences a delay of one day, a tightening in the lower abdomen, and white discharge is observed, then it is too early to panic, because such symptoms may indicate the development of classic PMS.

But there are a number of factors that can lead to a delay of more than one day. It is worth considering them in more detail:

1. Emotional exhaustion of the body can provoke the most unexpected phenomena. It is noteworthy that delayed bleeding can occur with both negative and positive emotions. Whether the woman was worried all month or experienced stress on the third day before the start of menstruation does not matter. In any case, the psychosomatic mode is activated, in which emotions affect the physical body. The lady often feels hot or nauseous, shivering or has a tightness in her lower abdomen, body temperature rises or her stomach cramps.
2. Sudden climate change. Even if a woman does not travel around the world, but spends a day in another city, this can significantly affect her menstrual cycle. This is because changes in air pressure and humidity can slow down bleeding.
3. Active physical activity is the cause of delayed menstruation and abdominal pain for several days. Dancers, figure skaters and all athletes are familiar with the phenomenon of delay and white discharge in the second half of the cycle.
4. Mental workload. For example, a session in an educational institution or a quarterly response in any organization can provoke a disruption of menstruation and a delay of several days.
5. Exhaustive dieting and weight problems are common causes of delay with negative pregnancy tests.
6. Treatment with medications. Organisms are individual, so drug therapy can have negative consequences for the menstrual cycle. The lower abdomen often feels tight throughout the day for this very reason.

It also happens that the bottom pulls during a delay due to a shift in the cycle. This is a natural process, so there is no reason to worry.

The woman should wait a few days, and if white and bloody discharge does not appear, she should consult a gynecologist.

Other reasons

In other cases, a woman does not keep a menstrual calendar, in which it is necessary to note the onset and duration of menstruation, which means that the estimated day of the next menstruation may be erroneous. With an irregular cycle, it is difficult to predict the onset of the next menstrual bleeding.

In a nursing woman, the absence of menstruation is associated with the process of lactation, and nagging pain in the lower abdomen is most often caused by contractions of the uterus. In any of the above cases, you must take a pregnancy test.

Discomfort in the lower abdomen and pain may be associated with bowel or bladder dysfunction. Women often mistake them for premenstrual pain.

In each of these cases, a timely visit to the doctor will prevent unpleasant consequences.

The situation when the lower abdomen is tight, but there are no periods, can cause anxiety in a large number of women.

The reasons are different: from pregnancy to dangerous diseases of the reproductive system. Therefore, if the menstrual cycle is delayed by more than 5 days, it is recommended to consult a doctor.

What is the monthly cycle

Bloody discharge, which regularly occurs in the fair sex, is aimed at preparing them for the process of bearing a child.

The onset of the first menstruation is observed at the age of 12-15 years, but this can also occur in 10-year-old girls, depending on the characteristics of the body.

Cases of menarche were diagnosed at 17 years of age. Menstruation ends by the age of 45-50, when a woman is no longer capable of bearing children.

The beginning of the whole cycle is considered to be the day when menstruation began. The discharge lasts about 3-7 days and occurs every 28-32 days.

During this period, a woman loses from 50 to 150 milliliters of blood, mucus and endometrial particles. Menstrual blood is somewhat darker than venous blood. Its initial manifestations are lighter than the final ones.

The monthly cycle is associated with the cerebral cortex, hypothalamus, pituitary gland, ovaries and uterus.

When a woman has a delay in her menstruation and has pain in her lower abdomen, the problem may lie in the improper functioning of any of these systems: a hormonal imbalance produced by the ovaries or pathology of the reproductive system.

Pulls in the stomach in the absence of menstruation

If the menstrual cycle is delayed for several days, then the most common symptom will be pain in the lower abdomen.

Painful discomfort is complemented by a negative pregnancy test result. In addition, hormonal disorders are indicated by diseases of the genitourinary system.

When, during a delay in menstruation, unpleasant sensations are observed not only in the abdominal cavity, but also in the mammary glands, the reason probably lies in malfunctions associated with the production and release of hormones by the endocrine glands.

This is due to the fact that hormonal disorders are often the main factor that affects the timing of the appearance of menstruation.

Chest pain in the absence of menstruation

Often, a delay in menstruation may be accompanied by other symptoms: white discharge, chest pain. In addition, the woman’s lower abdomen feels tight.

Many ladies attribute sensations in the chest to signs of pregnancy, but to confirm this good news, you should visit a doctor and undergo a series of examinations.

Sometimes chest pain indicates that spotting will appear in a couple of days. The symptom in question indicates that the girl’s diet is incorrect and there is a lack of useful microelements in her body.

If menstruation does not appear on the specified day of the due date, then mastopathy can be suspected. This disease manifests itself as small nodular seals in the mammary glands.

In this case, you need to seek the help of doctors to make a correct diagnosis and prescribe adequate treatment.

From all that is written above, we can conclude: you should not take your health lightly. If a woman feels that her lower abdomen hurts on any day of the cycle, then she should go to the hospital.

In order to determine the causes of pain throughout the day, it is worth undergoing an examination by a gynecologist, donating blood and urine tests, and performing an ultrasound examination of the genitals and abdominal cavity.

Such diagnostics will help to exclude serious pathological processes in the body and prevent complications dangerous to health.

Causes

The most likely cause is pregnancy. To test this version, a test is carried out at home from 3–4 days in the absence of a menstrual cycle.

It is available for purchase in pharmacies. When the result is positive, the question of why the lower abdomen is pulling will disappear on its own.

But if the test results are negative, then the reasons for the delay and discomfort before the onset of menstruation will be more difficult to identify.

In this case, it is necessary to carry out appropriate diagnostics. Based on the results of the study, the specialist will prescribe the correct treatment.

Conceiving a child

Many people wonder why the stomach feels tight in the lower part if the results of a pregnancy test at home are negative. The provoking factor in some cases is conception.

At this time, the stomach begins to ache as during menstruation, but there are no menstruation and there is no pregnancy. A similar situation can occur due to:

• Short term (delay no more than 4 days).
• Ectopic pregnancy.

Before ruling out the possibility of conception, you need to do a blood test for hCG, as well as an ultrasound.

Diagnosis of pregnancy

To distinguish the signs of pregnancy from PMS and finally confirm your assumptions, you can use the following methods:

• Measuring basal temperature - the method is effective only if temperature charts are regularly compiled over several months. With a single measurement of basal temperature, you will not be able to draw any conclusions;
• Keeping a calendar of menstruation - this method will only allow you to determine the fact of a delay in menstruation.

Studying the level of human chorionic gonadotropin (hCG), a hormone that begins to be produced after implantation of the fertilized egg into the uterine cavity. Offers 2 options:

• Using a pregnancy test is a quick and convenient method that tests urine. During pregnancy, a certain hormone will be detected in it. Every day the concentration of the hormone increases and along with it the reliability of the test increases. For a true result, it is better to do the test no earlier than the first day of the delay.
• Taking a blood test - this method is identical in meaning to the previous one, only in this case the blood is examined. A blood test can show earlier whether conception has occurred, since the level of the hormone rises in the blood earlier than in the urine.

Examination by a gynecologist - the doctor examines the internal genital organs using palpation. In pregnant women, the size, shape and tone of the uterus changes. An experienced gynecologist will be able to determine this. Doctors are never limited to a routine examination; if pregnancy is suspected, you will definitely be referred for additional tests (laboratory, ultrasound).

Ultrasound examination (ultrasound) is a method in which the pelvic organs are examined using ultrasound. In the early stages of pregnancy, a transvaginal version of ultrasound is used, that is, a sensor is inserted into the vagina. It is possible to determine the presence of pregnancy with this method as early as 3 weeks after conception.

Ectopic pregnancy

When there is pain in the lower abdomen, as during menstruation, and a blood test for hCG reveals the presence of the hormone inside the body, it is necessary to do an ultrasound as directed by a specialist.

If the fetus is not implanted in the uterus, a test at home often shows negative results.

During the onset of an ectopic pregnancy, the hCG content in urine is lower and standard methods do not in all cases determine the developing conception.

Sometimes there is spotting of a dark shade, different from menstruation. There are symptoms of internal bleeding. Painful sensations increase, become sharper and more intense.

Ultrasound makes it possible to detect the attachment of the fetus outside the uterus. It is necessary to interrupt this condition promptly as soon as possible.

Otherwise, this can lead to dangerous consequences for the woman’s health and the risk of death.

Pregnancy with a negative test

Initially, we will give the laurels of primacy to such a reason as pregnancy. In any case, the first thought that always comes to mind when there is a delay in the beginning of menstruation is the birth of a new life.

If the test is negative on day 3 or 4, this does not mean that there is no pregnancy. In fact, there are many reasons for this situation. Of course, a pregnancy test is an accessible and quick way to find out about an interesting situation, but it also has the right to error.

There are many reasons for such situations, let’s consider the main ones:

• The rapid test was past its expiration date. When buying such things, you should definitely pay attention to such “little things”;
• All conditions for storing the goods were not met. Often, improper conditions lead to unusability of the finished material;
• It is better to give preference to more expensive tests. A cheap product has a low quality control strip. It happens that after the test gets wet, the control strip “crawls” onto the pregnant strip and the result is taken as a positive answer;
• The rules for conducting the rapid test are written on the packaging. They must be strictly observed. If one of the points was not fulfilled, the test result may be false.

There are other cases when the test chosen is of high quality, all instructions are followed, but the answer is still exactly wrong. It turns out that this can happen.

Reasons why the test did not detect pregnancy:

• Most often, the cause is early diagnosis of the female body. For a weak second stripe to appear, at least 10 days must pass from conception, when the hCG level reaches about 20-25 MmU/ml. “But how come, the delay is already five days, has the hCG really not increased to the required amount yet?” - some girl will exclaim. And she will only be half right. It's all about ovulation. In a normal situation, it should fall in the middle of the cycle. But, having an irregular cycle, ovulation may happen much later. Then the concentration of hCG will be negligible. This also often occurs in girls with a long monthly cycle; for them this is the norm - late ovulation.
• Some diseases can cause rapid tests to mislead. For example: diseases of the cardiovascular system, kidneys - they prevent the growth of hCG in the body of a pregnant woman.
• The test may be affected by drinking a lot of liquid before the actual test;
• Frozen pregnancy.

Another reason for a negative test when menstrual bleeding is delayed by 5 days plus abdominal pain can be an ectopic pregnancy. This is a pathological pregnancy that develops outside the uterus, in other places: fallopian tubes, abdominal cavity, ovaries, etc.

In addition to a negative result, a girl may experience additional symptoms of an ectopic pregnancy:

• There are no periods, but there is spotting;
• Increasing pain in the lower abdomen;
• Nausea, vomiting;
• A state close to loss of consciousness;
• General weakness, malaise.

If a woman suspects she has an ectopic pregnancy, she should urgently seek help from a doctor. The sooner you clean, the safer it is for a woman’s health.

The lower abdomen is tight, there is no period, but the test is negative - this can happen due to the individuality of the female body. Well, the pregnancy test does not respond in this particular case. There are few such miracle stories, but none exist.

As you can see, you should not always trust express tests. There are more reliable ways to clarify your interesting position. This is an ultrasound or donating blood for hCG. But since an ultrasound will not immediately determine pregnancy, it is better to seek help from a blood test.

Blood testing for hCG is done in many laboratories. What a girl should do is come to the laboratory on an empty stomach and donate blood. And the very next day, and in many laboratories on the same day, she will know the result reliably.

The only thing is that if a woman is taking hormonal medications, she needs to tell the laboratory assistant about it. Such pharmaceuticals can increase the level of hCG in the blood even in a non-pregnant woman.

Cycle disorders

When menstruation has not begun, psycho-emotional shocks can provoke such a state. Excessive negative and positive experiences can affect the cycle.

At this time, in the lower abdomen for 4-5 days, the woman feels a painful discomfort of a pulling nature, as before the onset of the menstrual cycle.

Disturbances can provoke changes in climatic conditions. Even changing time zones sometimes causes a slight delay. Before they begin, there is also a tugging in the abdominal cavity.

An unstable cycle is also observed during intense physical and mental stress and depression.

After the psycho-emotional state returns to normal, the functioning of the body will improve again.

Pathologies of the kidneys and urinary tract

Since the structure of the female body requires the location of the urinary system in extreme proximity to the genitals, any kidney infections can penetrate the uterus and ovaries, provoking an extensive inflammatory process. A urinary tract infection itself cannot cause amenorrhea, but it can penetrate the genitals, adversely affecting their performance.

The most common are:

1. Cystitis is an inflammation of the bladder that has ascending and descending origin and distribution.
2. Pyelonephritis is an inflammation of the kidneys with damage to the pelvis.
3. Glomerulonephritis is a deep infection of the kidney, as a result of which it loses its filtration properties.

Type of pain The pain is sharp, cutting, restricting movement.

Localization The source of pain is the lower abdomen and lower back. Diagnostics To identify pathologies of the kidneys and urinary tract, use:

1. Analysis of urine.
2. Ultrasound of the kidneys and pelvic organs.
3. Blood test: biochemical and detailed.
4. Palpation of the kidney area.

Treatment Special antibacterial therapy is selected, using diuretics that accelerate the elimination of microbes along with urine.

If discomfort occurs, there is no menstruation for more than 10 days, but the test does not show results, the reason may be a pathology of the kidneys or urinary system. Such diseases include cystitis, pyelonephritis and other inflammations. In this case, you often feel a nagging discomfort in the abdomen, which radiates to the lower back. During inflammation, there are no periods for 3-4 days, but sometimes this period reaches 10 days.

• abdominal discomfort;
• increase in temperature;
• burning and itching in the labia area.

The absence of menstruation for up to 10 days and pain in the lower back do not always indicate pregnancy. If a woman has pain in her chest or lower abdomen, but the test shows negative results, this may indicate the development of inflammation or a gynecological disease. To establish the causes of this condition, a detailed examination of the body should be carried out.

Gynecological diseases

If the lower abdomen pulls, as during menstruation, but it does not begin, then this can be caused by dangerous gynecological diseases.

The most common factors that provoke a delay in the menstrual cycle include the following diseases:

• Vaginitis.
• Adnexitis.
• Endometritis.
• Uterine fibroids, ovarian cyst.
• Infectious lesions that are transmitted through sexual intercourse.

In order to determine the cause of the absence of menstruation, you should consult with a specialist who will prescribe the necessary diagnostics.

What pathological signs may there be?

Pain in the lower abdomen occurs not only for physiological reasons. A woman most often cannot determine the cause of discomfort, so it is recommended to consult a doctor. Pathological causes of pain and delay include:

• infection;
• tumors;
• diseases of the stomach and intestines;
• diseases of the urinary system.

Pain may be due to inflammation in the genitourinary system.
Diseases of the reproductive system include:

1. Vaginitis is inflammation of the vaginal walls. Accompanied by a feeling of discomfort and discharge.
2. Adnexitis is an inflammatory process in the fallopian tubes and appendages. In addition to heaviness, there is pain when emptying the bladder and uncharacteristic vaginal discharge.
3. Endometritis is an inflammatory process of the uterine mucosa. Body temperature rises, chills and discharge with an unpleasant odor appear;
4. Uterine fibroids.
5. Ovarian cyst.

Tumor processes

Pain in the abdomen can occur due to a tumor in the body. In this case, the prognosis depends on the type of tumor and stage of development. The timing of a woman's visit to a doctor plays an important role, so symptoms should not be ignored.

Cancer can also cause pain

Pain in the lower abdomen without menstruation can appear due to diseases of the kidneys, bladder, and ureters. For example, the bladder and the uterus are located close, so it is impossible to immediately determine which organ is the source of sensations. Discomfort may be associated with:

• inflammatory or infectious process:
• presence of stones;
• injury;
• tumor.

The absence of menstruation occurs together with an unpleasant sensation in the lower back.

Rarely, the appearance of heaviness in the lower abdomen is associated with gastrointestinal diseases. Most often diagnosed:

• Adhesions in the intestines - digestion is disrupted, stool changes. The condition is treated by adjusting the diet. In rare cases, surgery is performed laparoscopically.
• Inflammation in the intestines. May appear due to parasites. It is treated by using medications and following nutritional rules.

With appendicitis, there may also be pain in the side

• Tumor. The severity may be associated with a neoplasm. The treatment is surgery.
• Appendicitis is an inflammation of the appendix. Treatment is carried out surgically.

Kidney or bladder diseases

Before drawing conclusions about the provoking factors of painful discomfort in the lower abdomen, a qualified doctor conducts a comprehensive diagnosis.

Probably, discomfort in the abdominal cavity before the onset of menstruation may appear due to inflammation in the kidneys or bladder.

It is possible to differentiate such a pathology on your own and at home.

Such diseases are usually associated with pain during urination. The inflammatory process is manifested by increased temperature.

These diseases can greatly affect the female genitourinary system. Therefore, they need immediate, high-quality therapy.

What are the physiological causes of pain and delay?

The feeling of pain in the lower abdomen in the absence of menstruation is a reason to pay attention to your health. Possible physiological causes are indicated in the table.

Gastrointestinal diseases

Diseases of the digestive tract sometimes lead to disruptions in the menstrual cycle. The most commonly diagnosed pathologies include:

• Adhesions or intestinal hernia.
• Inflammatory process inside the intestines.
• Tumors in the digestive tract.
• Appendicitis.

The impact of such diseases is indirect. They can interfere with proper functioning within the body. Poor health leads to malfunctions in the genitals.

If your lower abdomen aches and you still don’t have menstruation, you need to visit a gynecologist. He will be able to differentiate the circumstances that provoked the violations. Failures can be insignificant and quite dangerous.

Features of the female body

The absence of menstrual flow, which is accompanied by pain in the lower abdomen, can also be caused by the following factors:

• during prolonged use of antibacterial drugs;
• as a result of menopause, which occurs in every female body at a certain period of time;
• as a result of taking medications intended for emergency contraception;
• during the period of adaptation to a new oral contraceptive or as a result of its cancellation;
• after curettage or as a result of the development of various kinds of complications after forced or natural termination of pregnancy;
• during treatment of cervical erosion;
• after hysteroscopy or colonoscopy.

Even more interesting:

Causes of sores on the labia

Yarina with folic acid

A disruption in the menstrual cycle, which is accompanied by pain in the lower abdomen, may also confirm developing problems with the endocrine system.

Among other things, various chronic diseases can lead to a delay in menstruation. That is why it is best not to ignore these types of signs and not to put off visiting a doctor. Since only timely diagnosis and effective treatment will help to avoid the development of serious pathological processes and complications that can lead not only to health problems, but also death.

https://youtu.be/_Yd8ZMg8lDM

A timely and qualified examination, as well as a correct diagnosis as a result of diagnostic procedures prescribed by a specialist, and effective treatment will allow you to maintain health and get rid of the disease without any consequences.

Measures during this pathology

Initially, during this discomfort in the lower peritoneum and when menstruation is not observed, a pregnancy test is required.

If the answer is positive, then you should find out the doctor’s recommendations and find out whether the pregnancy is proceeding without pathologies, and whether there is a possibility of termination.

When the test was negative and pregnancy is not confirmed, then blood and urine tests for hCG are required, probably the timing is still extremely short, and accurate results were not obtained at home.

However, when fertilization has not followed, and there are no periods, and there is pain in the abdominal cavity, this is a significant reason for alarm. A visit to the gynecologist cannot be delayed. He must conduct an examination and other diagnostic measures.

Using an ultrasound, it is necessary to determine whether there is an ectopic pregnancy or differences in pathological processes in the organs of the female reproductive system.

Only by excluding the above circumstances can one suspect a hormonal imbalance in this case. For these purposes, it is necessary to take tests for hormones and all kinds of sexually transmitted diseases.

In any situation, a medical examination is needed to correctly determine the causes and make the correct diagnosis.

Pregnancy

The first thing that comes to mind for any woman who discovers even a slight delay of 3-4 days is pregnancy. But the test performed showed a negative result, reassuring me, or, conversely, upsetting me about the delayed birth of the child. So, is it worth putting this version aside and looking for the reason in something else? No, not yet.

A negative test is clearly not the last “resort” in determining a woman’s condition. A modern pregnancy test, of course, gives fairly clear readings; there are even hypersensitive samples that give an accurate answer even on 1, and not on 3-4 days of delay. But even the best test can be wrong. The only way to know for sure about the onset or absence of pregnancy is to undergo an examination by a gynecologist - he will give you a referral for a test for the hCG hormone.

If the delay exceeds 5-6 days, the test was negative, but the hCG test, on the contrary, gave a positive result, which means there is a danger of ectopic pregnancy. In such cases, the fetus is attached not to the epithelial layer inside the uterus, but outside it - in the ovaries, peritoneum and other cavities adjacent to the uterus. On the 3-4th day of the delay, when the formation of the embryo has already begun, its first symptoms appear: a pull in the lower abdomen, perhaps a slight nausea, weakness, dizziness, which the woman attributes to premenstrual syndrome, because the test is negative!

But, as it turns out, a negative test is by no means an indicator, because an ectopic pregnancy does not provide sufficient “material” for it to confirm fertilization. A simple home test will not diagnose it; the test must be taken at a medical facility.

An ectopic pregnancy is also suspected if there are other signs other than a 5-6-day delay, namely:

• Nausea, dizziness;
• The lower abdomen pulls, a feeling of sometimes worsening dull pain occurs, and the lower back hurts.
• Instead of menstruation, on the 3-4th day of the delay, bloody or brown spotting appears, which does not look like menstruation.

With such a set of symptoms, you need to go to the doctor as soon as possible.

Prevention

To avoid difficulties with menstruation and the occurrence of pain, you need to follow simple instructions:

• Avoid smoking, caffeinated and alcoholic drinks.
• Balance your own menu.
• Spend more time in the fresh air and lead an active lifestyle.
• Carry out physical activity.
• Eliminate psycho-emotional experiences.
• Bring your sleep schedule back to normal.

Moderate pain before menstruation is considered a normal and natural condition.

However, when they are intense and cannot be tolerated, this indicates a dangerous pathological process that requires therapy.

Before menstruation appears, most females may experience pain in the lower abdomen. Many people wonder what happens when they miss their periods and the painful discomfort continues.

There are various reasons for this condition. In any situation, when there is pain in the lower part of the abdominal cavity, but there are no periods, this indicates dangerous pathological processes that require special attention.

Therefore, it is necessary to carefully study adjacent sensations when they are observed.

All these signs may indicate a menstrual disorder. In this case, you should immediately contact a specialist.

What are the preventive measures?

In order to normalize the menstrual cycle, it is recommended to follow the following rules:

• give up alcoholic drinks and smoking;
• adhere to the principle of proper nutrition and exclude fried, salted, smoked and other unhealthy foods;
• increase rest time;
• sleep more than 7 hours a day;
• walk more in the fresh air;

Rest and sleep are very important

• avoid stressful situations, since emotions can cause depression and mental disorders;
• devote time to sports and regularly do exercises, run, ride a bike, and so on.

The appearance of heaviness in the lower abdomen in the absence of menstruation may indicate the presence of serious diseases in the body. It is impossible to make a correct diagnosis at home, so you must immediately visit a gynecologist who will examine the body, make the correct diagnosis and prescribe treatment.

Useful video

For many women, pulling sensations in the lower abdomen are a harbinger of menstruation. But it happens that discomfort is present, but bleeding does not begin on time.

A woman begins to worry about a delay in her period, takes a test and sees a negative result, but the lower abdomen constantly pulls and fear arises - what if a serious illness develops? This concern is justified, because through pain the body signals problems in its functioning.

Cycle failure

Sometimes every woman has a delay of menstruation for a period of 2-4 days, this does not mean absolutely nothing bad. The cycle has the ability to change, this is not an axiom, it is very rare for a woman to have a body that works like a clock. For example, let’s take 10 completely healthy women, and only 3 will be able to say with certainty that their periods are regular, that is, there are no disruptions.

If a woman has a delay in menstruation that lasts 5 days, then this is considered normal, but only if no other symptoms, suspicious discharge or acute pain are observed. Women need to remember that with such malfunctions, mild pain in the lower abdomen almost always occurs, the mood worsens, this means waiting for the first signs of premenstrual syndrome.

Why does my stomach hurt without menstruation?

Nagging pain in the abdomen and a delay in menstruation for several days with negative test readings are a clear reason to think about your health. In the absence of plans for pregnancy, such symptoms may indicate various abnormalities, for example:

• Ectopic pregnancy or first days of gestation. The stomach hurts, as before menstruation, irritability occurs, and engorgement of the mammary glands is observed. A brown spot is discharged from the genital tract. All this is reminiscent of the beginning of menstruation. However, in this case, the pulling sensations are associated with stretching of the muscles of the uterus. The pain should not be severe. Their acceptable duration is more than a week. Mild pain is characteristic of an ectopic pregnancy with a significant narrowing of the lumen of the tubes.
• Risk of miscarriage. In the early stages of pregnancy, a woman may not be aware of conception. If fertilization has taken place, but the egg is unable to implant in the uterus, the endometrium begins to tear away the unnecessary layer and provokes menstrual bleeding. It turns out that the person in question only speaks about the approach of menstruation. If a woman plans to have children and knows about her pregnancy, she should urgently contact a gynecologist with any negative sensations. If you ignore the increased tone of the uterus, a miscarriage will occur.
• Infection of the genitourinary system. When you feel pain in your lower abdomen and you don’t have your period, you should undergo an examination to identify an infection in the genitourinary tract. In some cases, the pathological process is caused by pathogens of sexually transmitted diseases.
• Inflammation. The pain is nagging or aching in nature, radiates to the lower back and intensifies if the situation is advanced.
• Hormonal imbalances. With the correct balance of hormones, women do not experience discomfort similar to the approach of menstruation on any day of the cycle. If soreness is present, prostaglandins may be the culprit. Excessive amounts of substances affect the contractile function of the uterus and make menstrual periods painful. The pain goes away on its own at the end of menstruation. An overactive thyroid gland can also be a provoking factor. In this case, pulling sensations in the lower abdomen will be accompanied by weight changes and insomnia. Fluctuations in body weight may be associated with the synthesis of estrogen in adipose tissue.
• Depletion of the body by diets. A diet depleted of vitamins and microelements does not allow the body to receive energy replenishment. As a result, all organs and systems suffer.
• Stress and psycho-emotional shocks. Experiences affect the immune system and lead to improper functioning of the body. Ovulation occurs later, the cycle is disrupted and menstruation comes with a delay of even 2 months.

The most harmless cause of pain in the lower abdomen is a sudden change in climate. Moving to a new place of residence, vacationing at sea or abroad, magnetic storms undermine the stability of the menstrual cycle.

Gynecological pathologies

There is a list of diseases that lead to a woman having a delay in which the lower abdomen pulls. It is worth considering them in more detail:

1. Hormonal disbalance. This problem often leads to the absence of menstruation and a pulling sensation in the abdomen. This condition can occur for one day or for several months. Why the pathology in question occurs can only be determined by a doctor. It is worth considering that a pregnancy test will show a negative result.
2. Polycystic ovary syndrome is one of the most common causes of delay, which is provoked by hormonal changes in the body. The girl's lower abdomen feels tight throughout the day, her hair and skin become oily, and body hair growth accelerates.
3. Adnexitis is inflammation of the ovary. Pathology can lead to either the absence of menstruation or its premature onset. This is explained by the fact that it is this organ that takes part in the formation of hormonal balance from the very first day of the cycle.
4. Adenomyosis is a process during which the lining of the uterus grows abnormally. The pathology provokes a painful stomach and a delay in menstruation with a negative pregnancy test.
5. Inflammatory process of the genitourinary system. This may include the appearance of cystitis or pyelonephritis. Kidney disease is characterized by a lack of a hormone such as progesterone, which the adrenal glands are capable of producing. With cystitis, a woman’s body has an infection that can spread to the ovaries. This process leads to improper functioning of organs, abnormal release of hormones and delay of menstruation.
6. Problems with the digestive system often provoke phenomena such as a delay in menstruation for one or two days and nagging abdominal pain. Adhesions or hernias, neoplasms, or appendicitis may form in the gastrointestinal tract. With such pathologies, a woman begins to experience severe abdominal pain, nausea and vomiting, and problematic bowel movements or diarrhea. Such symptoms may continue for more than a day.
7. Oncological neoplasms in the genital organs. This life-threatening disease is often accompanied by cycle failure and nagging abdominal pain. In this case, it is very important to promptly seek the help of a specialist and begin long and difficult treatment of the pathology.
8. Acute appendicitis. Delayed menstruation can sometimes indicate the pathology in question. With appendicitis, a woman experiences pain in her lower abdomen, white discharge and diffuse and intense pain. During an attack of appendicitis, a woman lies on her left side and draws her knees to her chest.
9. Sexual infection. Most often, a delay in menstruation in both girls and older women is associated with manifestations of thrush. In addition, any infection that is sexually transmitted can cause nagging abdominal pain and other symptoms that are hard to miss.
10. An ectopic pregnancy very often leads to a delay of menstruation by two to three months. In this case, the pregnancy test gives positive results even when the fertilized egg is in the fallopian tube.

But it also happens that such diagnostics are confused and indicate a false negative result.

The pathology in question is quite dangerous, because it provokes rupture of the fallopian tubes and heavy internal bleeding.

In order to avoid life-threatening complications for the patient, the symptoms of the disease should be studied: the woman has a tightening in the lower abdomen, stabbing pain appears in the lower back, body temperature rises, nausea or vomiting occurs, loss of appetite and cold sweat.

If the lady is not provided with qualified assistance, then everything can end in death.

All of these factors indicate that signs such as delayed menstruation and nagging abdominal pain should not be ignored.

If you go to the hospital in time, the risk of developing dangerous consequences of any pathology is minimized.

Internal problems of the body

If the lower abdomen hurts but menstruation does not begin, and the woman understands that the above reasons do not suit her, it is necessary to undergo a thorough examination and identify gastrointestinal diseases, gynecological disorders and dysfunction of the kidneys and bladder.

Timely identification of the exact cause will help to properly carry out treatment and get rid of the disease without negative consequences.

Diseases of the urinary organs

When your stomach hurts badly, but there is no bloody discharge from the genital tract on the expected day, you will need to undergo a comprehensive diagnosis. Inflammatory processes in the kidneys and bladder can delay menstruation and cause pain.

A woman herself can determine problems in the urinary system, since inflammatory diseases occur with an increase in body temperature and pain when urinating.

Diseases of the gastrointestinal tract

When a patient complains of pain in the lower abdomen in the absence of timely periods, the possible development of diseases of the digestive system cannot be ruled out. A woman may develop appendicitis or develop inflammation in the intestines; tumors, adhesions and hernias may form.

The influence of gastrointestinal diseases is indirect, but they disrupt the proper functioning of the body, worsen overall well-being and provoke disruptions in the reproductive system.

Gynecological diseases

Symptoms of approaching menstruation without bleeding may be associated with various gynecological abnormalities:

1. Myoma.
2. Ovarian cyst.
3. Endometritis is inflammation of the intrauterine tissue.
4. Adnexitis is an inflammatory process that occurs in the appendages and fallopian tubes.
5. Vaginitis – inflammation develops on the vaginal mucosa.
6. Sexually transmitted infections.

To confirm the diagnosis, you will need to take a smear, blood and urine tests, and undergo an ultrasound of the abdominal cavity.

Inflammatory diseases of the gynecological sphere are characterized by clear discharge in the middle of the cycle, pain in the lower abdomen with a return to the lower back. Subsequently, the discharge becomes bloody, but the real menstruation never comes. The next month, the pain intensifies, nausea, rumbling in the stomach and stool disturbances occur. The woman's general condition is deteriorating.

Oncological diseases are the most dangerous cause of menstrual instability. A feeling of tightness in the bladder area, constant fatigue, swelling of the extremities and a putrid odor from the vagina should be a reason to urgently consult a doctor. The earlier the disease is detected, the faster and more effective its treatment. Take care of your health!

Surgical intervention

An abortion performed in the previous month, taking hormonal drugs or operations performed on the genitals can cause discomfort in the abdomen and disrupt the menstrual cycle.

Reasons in the video:

Gynecological diseases

Sometimes there are unforeseen circumstances when a harmless delay in menstruation, lasting about 4-5 days, is the first signal that a woman’s body is undergoing dangerous disorders, these could be gynecological diseases. The first symptoms of this disorder have their own additional characteristics; of course, they are easy to recognize, but it is possible even if the woman does not visit her doctor.

In the first days, there is severe pain in the abdomen or lower back for each woman, this is individual. Also, the pain in the abdominal area becomes very acute, which is impossible to tolerate. A gynecological disease can cause abnormal discharge that is brown or bloody in color and has a very unpleasant odor. After a couple of days, severe itching appears in the labia area, and unexpected discomfort is felt when a woman has sexual intercourse or when urinating.

Almost all women wonder what factors can provoke such a pathology. Doctors, conducting long studies, established two factors. Which are causative agents of the inflammatory process, they can manifest themselves due to hypothermia or infection. If such a pathology has arisen, then the woman needs to prepare for the fact that the treatment will be very long, and there may be some complications.

What to do if you don’t have your period but have pain in the lower abdomen

As soon as a situation arises that there are no periods and pain in the lower abdomen is bothering them, some girls try to self-medicate by taking pharmaceutical analgesics or folk remedies. But drug therapy is not always needed to solve the problem.

If the delay and discomfort are not associated with pregnancy, it is necessary first to undergo diagnostic procedures and establish the cause of the disorder.

A sudden lengthening of the cycle is always a consequence of improper functioning of the body. Based on the diagnostic results, the doctor will choose the appropriate treatment tactics. For example, hormonal imbalances will be corrected with hormonal drugs.

To normalize the menstrual cycle, the patient is given recommendations on nutrition and lifestyle in general:

• Quitting bad habits and abuse of caffeine-containing products (including coffee).
• Organize your diet, avoiding on-the-go snacks, fast foods and strict diets.
• Review your daily routine and increase your rest time. If possible, spend more time in the fresh air and organize leisure time in nature.
• Increased stress resistance. Avoid conflicts and situations that provoke depression, stress and frustration. Try not to perceive the negativity around you.
• Physical education and sports. Light but regular physical activity should become a habit.

PS Remember that moderate pain on the eve of your period is normal and natural. Severe discomfort in combination with other symptoms signal the development of pathology and the need to go to the clinic.

Fluctuations in the menstrual cycle are permissible only during menopause and during the period when ovulatory processes are fading or just getting better. In other cases, the absence of regular bleeding when you feel unwell always indicates that the body is not functioning properly.

When you don’t have your period at the right time, when your lower abdomen and lower back are tight, pregnancy is the first thing that comes to mind. But in some situations, these symptoms indicate health problems.

Pain in the lower abdomen during termination of an ectopic and normal (uterine) pregnancy

If you experience acute pain in the lower abdomen with delayed menstruation, you should first rule out ectopic pregnancy, a life-threatening pathology that is the main cause of internal bleeding in women of reproductive age.
Many authors, both domestic and foreign, note a trend towards an increase in the number of cases of ectopic pregnancy in recent decades. You should be especially careful if there are factors that increase the likelihood of developing this pathology, such as:

• previous infectious and inflammatory diseases of the uterus and appendages (adnexitis, salpingoopharitis, endometritis);
• previous ectopic pregnancy;
• history of abortion;
• previous appendicitis;

An ectopic pregnancy is the abnormal implantation of a fertilized egg outside the uterine cavity (in the vast majority of cases in the fallopian tube).
Of course, such a pregnancy cannot develop normally and is therefore terminated. Termination of an ectopic pregnancy can occur as a result of a ruptured tube or the release of a fertilized egg into the abdominal cavity (tubal abortion). In both cases, heavy internal bleeding develops. Pain when the fallopian tube ruptures occurs acutely, for no apparent reason, is localized to the right or left in the lower abdomen, radiates to the rectum, under the scapula, in the hypochondrium, as well as to the sub- and supraclavicular areas on the corresponding side. Excruciating pain is accompanied by nausea and vomiting, which does not bring relief. Loose stools with frequent urge to defecate are common.

With the development of pain, the general condition progressively worsens, headache and dizziness appear, up to a semi-fainting state. As a rule, symptoms of internal bleeding develop quite quickly (pallor of the skin, rapid pulse, low blood pressure).

Unlike the almost instantaneous termination of an ectopic pregnancy with a ruptured fallopian tube, the gradual detachment of the fertilized egg and its expulsion from the tube during a tubal abortion can take days or even weeks. This process is accompanied by increasing and decreasing pain in the lower abdomen on the corresponding side. In this case, the pain can be pulling, cutting or cramping in nature.

Often, but not always, the process is accompanied by spotting vaginal discharge. At any time, a tubal abortion can be complicated by massive internal bleeding. Therefore, unilateral pain in the lower abdomen due to delayed menstruation always requires a thorough examination.

Pain in the lower abdomen during spontaneous termination of intrauterine pregnancy in the early stages occurs as suddenly as in the case of ectopic pregnancy. If there is a threat of self-abortion, the pain is aching or pulling in nature and is localized in the lower abdomen and/or in the sacral area. When the pain becomes cramping and spotting appears, an abortion is said to have begun. In such cases, you should immediately seek emergency medical help (call an ambulance).

At the stage of an abortion, with timely and adequate medical care, it is often possible to maintain a pregnancy. Even in cases where a woman is not interested in continuing the pregnancy, if symptoms of self-abortion appear, she should immediately consult a doctor, since this pathology can be complicated by massive life-threatening bleeding or lead to the development of severe infectious complications (so-called septic abortion).

Reasons for delayed menstruation if the lower abdomen and lower back are tight

When bleeding does not begin on time, conception is more likely to occur, especially if unprotected intercourse was performed at the time the egg was released. In this case, it is enough to simply make a diagnosis yourself using the test. It is recommended to do it on the 5th day of absence of menstruation. It is at this time that the amount of hCG, which is produced by the fetal membrane, reaches the level readable by tests.

Severe pain

If, after a 3-4-day delay in menstruation, the test is negative, the lower abdomen and lower back are tight, bloody or brown discharge appears, and the day before there were signs of an “interesting situation”, such as nausea, weakness, dizziness, an ectopic pregnancy is possible. It is dangerous because the fertilized egg attaches outside the uterus, which causes internal bleeding. With such fixation of the fetus, hCG is produced in a very small amount and is not readable by the reagent during testing.

To confirm this terrible pathology, you must urgently go to the hospital, where they will do an ultrasound and blood test to establish an accurate diagnosis. If there is severe pain and bleeding, you need to call an ambulance without delay.

When there is a delay in menstruation, the lower abdomen and lower back are pulled, the reason may lie in a malfunction of the menstrual cycle. Painful sensations in this case are PMS. In the life of a woman who has not previously encountered irregular processes, disturbances are possible.

Shifting critical days to 5 days, if nothing else worries, can be caused by:

• Stressful condition, when excessive worries cause abnormalities in the functioning of the stomach, intestines, endocrine system, as well as reproductive function.
• Climate change, especially changes associated with flight, can not only delay menstruation, but also “make our lady happy” 3-4 days earlier.
• The heavy physical exertion that female athletes and dancers have also causes problems. Especially if, on the eve of the expected menstruation, intensive long-term training or unusually heavy physical work was observed.
• Hormonal changes if a girl takes oral contraceptives. Pills have a depressing effect on certain processes due to their effect on the production of hormones. Due to this, an imbalance occurs, which results in a disruption of the rhythm.

When brown secretion is a symptom of pathology

Of course, the first thought that arises in a woman during a delay is pregnancy.
Often, it can be determined by a regular test already on the third or fourth day of the delay, but there are still exceptions. To find out for sure whether pregnancy has occurred or not, you should consult a gynecologist. Based on the results of the initial examination, he can refer you for an ultrasound or for the donation of the hCG hormone, which can indicate the development of the embryo.

This is when the fetus is implanted not in the uterus, but outside it. For example, in the peritoneum, ovaries, etc. Usually, an ectopic pregnancy is difficult to diagnose, especially if the embryo is located somewhere in the peritoneum.

So, let's summarize. If you suspect an ectopic pregnancy, you should contact your doctor:

• dizziness and nausea are periodically observed;
• a dull nagging pain in the lower abdomen, which sometimes worsens, and the lower back also hurts;
• there are no periods, on the third or fourth day a small discharge (spotting or bloody) appears, which is not at all similar to normal menstruation.

Brown discharge during menstruation, appearing after a delay and a positive pregnancy test, may indicate a missed pregnancy. This pathology is most common in the second or third month.

This process cannot begin asymptomatically. Gynecologists urge you to be especially attentive to nagging pain in the lower abdomen, nausea and the presence of uncharacteristic leucorrhoea in the first trimester. If you diagnose yourself with a bloody smear and a sharp deterioration in your health, you should immediately go to a specialist who is observing the woman.

The doctor diagnoses the condition of the fetus and the woman in labor using special examinations that will help clarify the picture and identify the cause of the ailment that led to the appearance of brown spotting.

A delay of menstruation for more than ten days, accompanied by brown discharge and general malaise, most often signals the development of an ectopic pregnancy. Discharge resembling menstruation during an ectopic pregnancy can be scanty, intermittent and heavy.

This pathological process is characterized by the fixation of a fertilized egg outside the uterine cavity. It is necessary to immediately go to the doctor if a woman notices prolonged rejection of the ointment against the background of a positive pregnancy test result.

Hormonal imbalances

Thyroid dysfunction or pathological processes in the adrenal glands can cause delayed menstruation and the appearance of brown discharge. Such a deviation can begin almost asymptomatically, revealing itself solely as a feeling of constant fatigue.

The reason for this phenomenon can be many factors:

1. An abundance of stressful situations.
2. Eating disorder.
3. Introduction of a new oral contraceptive.
4. Change of climatic zones.

Treatment of this deviation is carried out comprehensively and combines therapeutic and gynecological intervention aimed at stabilizing hormonal levels. According to experts, to monitor your general condition, you should take tests for hormone levels at least two or three times a year.

Inflammation of the endometrium, cervix, appendages, or damage to the ovaries may be accompanied by scanty brown secretion that appears against the background of delayed menstruation. In this case, critical days may “linger” for a period exceeding several weeks, and their onset will be accompanied by severe pain in the lower abdomen and lower back.

The presence of greenish clots and a strong, nauseating odor in the secretion indicates that the disease is infectious. Some diseases of the genitourinary system are accompanied by the presence of a strong burning sensation during urination.

Diseases of the reproductive system, which are inflammatory in nature, manifest themselves not only by the absence of menstruation and the appearance of brown spotting. Pronounced symptoms of the process include:

• change in color pigmentation of mucous secretion;
• painful sensations during urination;
• sharp pain in the lower abdomen, spreading to the lumbar region;
• increase in body temperature.

Infectious diseases transmitted from partner to partner can often provoke copious discharge of brownish and sometimes brown secretion, which appears against the background of delayed menstruation.

Characteristic signs indicating the presence of an infectious disease in the organs of a woman’s reproductive system include:

1. Increased body temperature.
2. The presence of a putrid odor in the discharge.
3. Presence of itching in the perineum.
4. The appearance of blisters and abscesses in the groin area.
5. The presence of yellow and green inclusions in the mucous secretion.
6. Feeling pain during sexual intercourse.
7. Abundant rejection of secretions of a thick, viscous consistency.

Many factors can provoke rejection of brown secretion against the background of delayed menstruation. Among them there are both completely natural ones and those that can cause significant harm to a woman’s health.

A girl, faced with a delay in menstruation, accompanied by nausea and pain in the lower abdomen, first of all still suspects pregnancy and hurries to take a test. A negative result does not necessarily indicate the absence of a “position”.

1. The egg, emerging from the follicle on the 14th day of the cycle, meets the sperm and is fertilized.
2. The fertilized egg moves towards the uterus. Introduction into its wall often occurs only on the 7th day after fertilization.
3. The choreon (fetal membrane) begins to produce the hormone hCG.
4. Its level doubles almost every day.
5. The tests are impregnated with a reagent that shows the presence of hCG.

If the delay is accompanied by primary symptoms: nausea, lower back pain, increased appetite, frequent urination, then pregnancy is almost obvious. If, despite all the signs, the test remains negative, there is a risk of miscarriage or frozen pregnancy.

If the lower abdomen is tight and bloody discharge and clots appear, it is likely that there is detachment, improper attachment of the fetus, or even an ectopic pregnancy. In such a situation, hospitalization is urgently necessary, because surgical intervention is prescribed.

If, with a negative test, nausea is present, appetite increases, and urination becomes more frequent, you must urgently consult a doctor to refute the act of missed abortion.

As you can see, a delay in menstruation is often explained by completely harmless factors, and sometimes indicates the presence of a disease. When expecting pregnancy, a negative test on the 7th day of a missed period should raise concerns.

Since the symptoms in many of the situations considered are very similar, it is better to visit a specialist in order to promptly identify a problem or deviation, or to verify a normal failure that does not have consequences.

READ MORE: Odor with thrush in men and women

Delay as evidence of illness

If 5-8 days have passed and the critical days have not arrived, you need to visit a doctor and look for the problem that caused the disorder.

Inflammatory processes

One of them is called various gynecological diseases. Therefore, when the lower back hurts, the lower abdomen is pulled, menstruation is delayed, and there is also vaginal itching, bloody discharge with an unpleasant odor, pain when urinating, these may be inflammatory processes:

• Vaginitis: inflammation of the vaginal walls, characterized by pain comparable to contractions and extending to the lower back, a large amount of discharge, itching;
• Adnexitis: inflammation of the ovary. Sometimes the disease proceeds secretly and can cause a delay of 3-5 days, so you need to visit a doctor so as not to start it;
• Endometritis: inflammation of the lining of the uterus, characterized by pain and bleeding.

Gynecological diseases

When there is a delay in menstruation, there is tension in the lower abdomen and lower back, white discharge similar to a cheesy mass with a characteristic sour odor, irritation of the skin and vaginal mucosa occurs, this indicates the disease “thrush”. This disease is caused by the fungus Candida. In this case, you should not self-medicate; qualified assistance from a gynecologist will help you get rid of the disease faster.

Diseases of the reproductive system

Signs such as delayed menstruation, pulling in the lower abdomen and lower back, can also be observed in diseases of systems not related to the reproductive system, for example, the kidneys and bladder (cystitis, pyelonephritis). But here the temperature rises for 2-3 days, and a delay in menstruation is possible due to the close proximity of the urinary and genital organs. A problem in one of them affects the others.

Lesions of the gastrointestinal tract

Damage to the gastrointestinal tract can also cause pain: inflammation of the intestine (colitis), the formation of adhesions and hernias in it, appendicitis and other diseases can also delay the onset of menstruation by 3-4 days. Therefore, it is necessary to distinguish the nature of the pain, in this case:

• pain in the abdomen will be pulling, cutting, stabbing;
• may pull the lower back;
• bloating, diarrhea, or constipation;
• temperature increase.

Taking oral medications, menopause, puberty, etc. can delay periods. A delay in menstruation, when the lower abdomen and lower back are pulled, can be caused by various processes occurring in a woman’s body and outside it.

If you receive a negative response to testing, after making sure that there is no pregnancy, do not look for the cause of the deviation yourself, consult a doctor so that the examination and treatment can be carried out on time.

Physiological sources of delayed menstruation

There are two more reasons when you shouldn’t worry: if the test is negative, you don’t have your period and you have a nagging pain in your lower abdomen. Every woman also experiences such periods twice in her life.

Of course, pregnancy cannot be ruled out in any case, but a delay in menstruation or absence of menstruation for several months is quite normal. These are menarche (the formation of the monthly cycle) and the menopause period.

Delayed menstruation in a teenager

In our latitudes, most often the first critical days occur between the ages of 11 and 16. This period is characterized by puberty in girls. Starting from the first menstrual bleeding, the formation of the monthly cycle can last up to two years. It is in such a short period of time that irregular bleeding is observed and over time everything will be restored to systematicity and regularity.

The entire process is natural and natural, requiring no third-party intervention. When your stomach hurts and your period is 3-5 days late, or any other worrying symptoms, you should pay attention to your health and seek help from a specialist.

Delayed menstruation during premenopause

There is probably no person who has not heard about the terrible beast - menopause. But in fact, every woman has her own individual feelings about menopause, maybe you shouldn’t be afraid of it right away?

On average, menopause occurs between 45 and 55 years of age. But history knows cases of early menopause at 30 years of age. Most often, the cause is powerful acute stress, and gynecologists attribute this situation to pathological menopause.

It all starts with irregular periods, but each case progresses differently. Thus, there may be a lengthening of the intervals between cycles or the loss of one or two menstrual cycles, the lower abdomen pulls, as if during menstruation, but there is no menstruation. In this case, the test will be negative every time. Therefore, there is nothing strange if, during early menopause, a girl’s menstruation is delayed for more than 5 days.

Of course, like any other case of menopause, this situation requires confirmation from a doctor and his constant monitoring of the patient’s condition. After all, in essence, these are huge changes in the female body, which are serious stresses for a woman’s health.