The reasons for the delay menstruation
Obstetrics And Gynecology / / April 22, 2016
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menstrual cycle of normal duration of the menstrual cycle is a period of 21-35 days (usually 28 days).If the menstrual cycle is longer, then it is considered to be a delay.It is important to know how to calculate the cycle length, oddly enough, a lot of women doing it wrong.They expect it to last day of menstruation to the first day of the next menstruation.So it is not correct - the menstrual cycle length is calculated from the first day of the current menstruation to the first day of the next menstruation.
All causes delayed menstruation can be divided into natural physiological and pathological.
Natural causes a delay monthly
This is one of the main reasons for the delay menstruation.Typically, these delays are accompanied by worsening of taste sensations, vomiting vomiting, changes in skin coverings, and an increase in breast tenderness.In modern conditions to eliminate this cause quite easy enough to buy a
in lactation in women is increased production of the hormone prolactin, which blocks ovulation.After the cessation of breastfeeding menstruation usually recover within one to two months.
During sexual maturation delay menstruation is a physiological norm and did not require any treatment.Typically, such failures occur within two years after the first menstrual period, however, if the normal cycle not be established after a 2-year period, then it is a serious reason to get tested.
In women older than 45 years of delay menstruation is often a consequence of approaching menopause (perimenopause).All this is a natural process for the female organism.Each time, the delay will be more and more persistent until it stops completely.Quite often, women in perimenopause feel mood changes, decreased sexual desire, hot flashes.
Pathological reasons for the delay menstruation
endocrine and gynecological diseases
delay menstruation is most often cause the following diseases:
polycystic ovary syndrome.In this disease, impaired production of female hormones and increases the synthesis of male hormones.Due to the large number of male hormones in the middle of the cycle and ovulation occurs the egg is not coming out of the follicle.Women suffering from this disease there is hair growth on male type, acne on the face, greasy hair and weight gain.The disease leads to infertility.
polycystic ovary syndrome may be caused by the following factors - a violation of the pituitary gland, hypothalamus, thyroid, adrenal glands and the ovaries themselves.
adnexitis (inflammation of the uterus).When the process is broken adnexitis hormone responsible for the regulation of the menstrual cycle.
benign uterine tumors (uterine fibroids) and endometriosis.These diseases can be a cause of uterine bleeding, and the reason for the delay menstruation
also cause menstrual delay can be:
- cervical or uterine cancer,
- respiratory diseases (SARS, influenza),
- chronic gastritis,
- thyroid dysfunction,
- kidney disease,
- incorrect positioning of an intrauterine device,
- internal defects in the ovary,
-sunburn,- infections of urogenital organs (. thrush, etc.)
Abortion is always a cause hormonal imbalance in the body.But this is not the only cause - abortion excessive amount of uterine tissue can be removed, which normally is released in the form of blood during menstruation.To restore this layer takes time, so the 2-3 week delay may occur after an abortion, if it does not, it is a chance to see a doctor.
month delay is also observed after medical abortion, in particular after the use of drugs and eskapel Postinor.
- Female infertility: causes, diagnosis and treatment
- Male Infertility: Causes, Diagnosis and Treatment
- Polycystic Ovarian
- Violation of the menstrual cycle disorder rhythm monthly
- uterine fibroids: types, symptoms, diagnosis, treatment
- polyps in the uterus: endometrial polyps and polyps of the cervix
- cervical dysplasia
Cancel contraceptive hormonal methods
during the reception orafter the abolition of oral contraceptives may be observed gipertormozheniya ovary syndrome.This cider is characterized by the absence of menstruation for several months.As a rule after 2-4 months of menstruation are normalized, if this does not happen then prescribe drugs stimulate the maturation of the egg (human chorionic gonadotropin, pergonal) or means of stimulating the pituitary gland (clomiphene).Contraceptives caused disorder of ovarian function is not assigned in the future.
Quite often the reason for the delay menstruation are drugs.So detain periods may cause:
- anabolic hormones,
- corticosteroid hormones,
- anti-ulcer agents,
- cytostatic drugs,
- combined hormonal contraceptives,
- drugs for the treatment of endometriosis (Diferelin, Buserelin, Dekapeptil, Zoladex, etc.) 2-3 months after the abolition of these drugs menstrual cycle is usually restored.
In obesity there is a transformation of the hormone estrogen in the androgen and without enough of this hormone menstruation is almost impossible.Obese people often develops hyperandrogenism, which causes problems with ovulation and menstruation delay.
Excessive exercise deplete a woman's body, in response, the body releases hormones that inhibit the flow of blood.This is a normal protective reaction of the organism, as the loss of blood further weaken the body.Therefore, if on a background of excessive surge there is a delay of menstruation, it signals the body that it forces to the limit.After the decline of physical activity, delays rather quickly terminated.
Dystrophy and malnutrition
reason for the delay menstruation dystrophy similar to the cause occurs when physical overstrain - the body does not allow the loss of blood that could further weaken it.Even there is such a thing as critical menstrual weight - about 45-47 kg.If a woman weighs less, the risk of having a long delay menstruation is very high.
Stress, change of scenery, a change of climate
Any change of scenery, whether it be a trip to the sea, moving to another city, the new work almost always stress to the body, and of course the body is mobilized to combat this.As a result of impaired secretion of hormones responsible for the processes in the ovary and uterus, and menstruation ceases.An obvious example of such disorders is amenorrhea wartime when women stop menstruating.
constant abuse of alcohol, nicotine and the more drug weakens the immune system of women that eventually leads to hormonal disruptions.
Some doctors as one reason for the delay and indicate the monthly heredity, but this is the wrong approach.Most likely the woman inherited for a disease that is the cause of the delays.In this case, you need to find out what the disease is, and not to write off all the bad heredity.
delay treatment monthly
delay menstruation treatment comes down to treating the disease, which caused this deviation.It makes no sense to look for any medication that would cause it - it does not solve the problem, because the cause is corrected.Addressing the causes of the delay caused very quickly leads to the normalization cycle.
should be noted that there are no medicines to treat only created a delay and stimulate menstruation.There are medications that can cause menstruation (mifepristone, dinoprost, etc.) But they are used exclusively for abortion provocation.The use of these drugs is only disrupt hormones, which further aggravate the situation even more.
There are integrated tools designed for the treatment of premenstrual syndrome and restore hormonal levels.In the treatment of premenstrual syndrome and painful, irregular, scanty menses can be used Dysmenorm.Before the drug noted that it helps to normalize hormonal levels, has a calming effect and helps to restore the cycle with the occasional, rare and weak menstruation.The drug is also used to solve problems with conception, related to corpus luteum insufficiency due to transient hyperprolactinemia (or due to insufficient luteal phase).Dysmenorm at infringement of reproductive function helps restore ovulation and full luteal phase, reduces psycho-emotional voltage, and reduces PMS symptoms such as bloating and breast tenderness, bloating, swelling, increased irritability, tearfulness, and fatigue.
should also be noted that women suffering from delayed menses contraindicated IUD.
surveys at a delay of menstruation
To clarify the reasons for the delay menstruation following studies are appointed:
- pelvic ultrasound, thyroid and adrenal glands.This study was performed to exclude pregnancy, tumors, gynecological and endocrine diseases.
- Screening for sexually transmitted diseases (gonorrhea, chlamydia, trichomoniasis, mycoplasmosis, ureaplasmosis et al.).
- Hormonal studies.Determine the level of estrogen, progesterone, FSH, LH, PRL, as well as verification of thyroid hormones and the adrenal glands.
- pituitary study (X-ray, magnetic resonance imaging, computed tomography, electroencephalography).pituitary disease is quite often the reason for the delay menstruation
- Scraping the inner layer of the uterus and its subsequent histological examination.Scraping is carried from the cavity and cervical canal.