Every month every woman of childbearing age begins bloody issues- menstruation, indicating that her health is fine and she is able to conceive a child. However, there are often cases when menstruation does not come on time. There can be many reasons for this, besides pregnancy.

Reasons why your periods don't come

Diagram of the menstrual cycle.

Each woman's menstrual cycle is individual and can range from 21 to 35 days.

The cycle is counted from the first day of menstruation. If there is a prolonged absence or delay of menstruation, this condition is called amenorrhea .

Except pregnancy

It's no secret that a delay in menstruation in most cases is associated with pregnancy, but if it is excluded from the list of possible causes, then the following remain:

  1. Severe stressful situations . One of the most common reasons for delayed menstruation is any mental shock, be it exams, troubles at work, or chronic fatigue and lack of sleep. To normalize the situation, it is enough to have a good rest, try not to be nervous, and, if necessary, talk to a psychologist.

    Stress can cause your period to be late.

  2. Sudden weight fluctuations . In the regulation of complex biochemical processes female body fat cells take an active part. With a sharp increase in body weight, as well as with a critical decrease, a disruption occurs in the menstrual cycle.
    3. . Heavy physical work, as well as intense training in professional athletes, can cause a delay in menstruation.
  3. Diseases of the pancreas and thyroid gland , most diseases of the genital area in acute or chronic form, genitourinary infections, changes correct location intrauterine device.
  4. Complication of drug treatment . Long-term use of certain medicines(diuretics and psychotropic drugs, corticosteroids, etc.).

    Taking medications in violation of instructions or bypassing doctor's orders can harm the body. And cause a delay in menstruation.

  5. Long-term poisoning of the body . This could be anything: taking drugs or alcohol in large quantities, smoking or harmful conditions labor at work.

    Long-term drinking of alcohol can cause poisoning and delay of menstruation.

  6. Emergency contraception . If a method of post-coital protection from unwanted pregnancy was chosen, applied immediately after unprotected intercourse, this can disrupt the hormonal balance in the female body and thereby lead to a delay in menstruation. This method of contraception has many side effects and contraindications, and should be used only in the most extreme cases.
  7. Stopping taking hormonal contraceptives . With prolonged use, the hormonal functioning of the female body eliminates the function of the ovaries, and even after taking synthetic hormones has been stopped, the body will need some time to readjust itself again.
  8. Genetic predisposition . In rare cases, a delay in menstruation can be caused by heredity, and can be passed down through the female line from mother to daughter.
  9. Abrupt change in climate zone . Changes in time zones, climate, and long-distance airplane flights lead to changes in the rhythm of life and, accordingly, to changes in the menstrual cycle.
  10. Menopause. After 45 years, most women experience a decline in reproductive function, resulting in a delay in menstruation. This is an absolutely natural process that should be treated calmly.

    A woman experiences difficulties due to menopause. Menstruation stops.

How to control your menstrual cycle

Every woman should have a calendar in which to mark the beginning of each cycle. Thanks to this, you can easily control deviations, which normally amount to no more than three days.

If your period is late, you should take a pregnancy test. In the photo: a faint second line on a pregnancy test.

Otherwise, the first thing you should do is take a pregnancy test, which can be purchased at any pharmacy.

If the test shows a negative result and there is no general deterioration in health, you can wait about ten more days.

conclusions

If a delay in menstruation is accompanied by an increase in body temperature, the appearance of strange discharge, or pain in the abdominal area, you need to see a gynecologist as soon as possible.

Violation of the monthly cycle happens to every woman. Brown spotting instead of menstruation makes you worry about your own health. But is it all that serious? Why do my periods smear but not start?

All processes of the menstrual cycle are influenced by hormones. Balance is very important for normal functioning reproductive system and women's health in general. With a high amount of estrogen and or go in a strange way, namely, there is a brown spot. At the same time, an insufficient amount of estrogen in the first phase of the cycle interferes with the normal functioning of the genital organs. Therefore, a new egg does not develop and ovulation does not occur. The endometrial layer in the uterus does not thicken. When the time comes for the next menstruation, there is simply nothing to reject. Instead of the usual discharge, there is a brown daub. To restore a full menstrual cycle, it is necessary to adjust the balance of hormones. Moreover, in case of serious violations, it is very difficult to do this on your own. You need to know which hormone is missing, in what dose to take and for how long. There are many factors that cause hormone imbalance. And people call them reasons.

At the same time, there are situations when hormonal imbalance occurs deliberately, and brown spotting instead of menstruation is the norm.

Scanty brown discharge while taking contraceptives

Their main task of birth control pills is to prevent ovulation. Insufficient estrogen interferes with the birth and development of the egg. There is simply no ovulation. In addition, low estrogen levels in the first half of the cycle prevent the development of the endometrial layer in the uterus. Then, instead of menstruation, scanty menstruation appears brown discharge. It takes three months to get used to the new living conditions. Bloody discharge occurs throughout the entire menstrual cycle. They can appear any day. Doctors regard this situation as normal. But if brown discharge continues to appear instead of menstruation for longer than 3 months, the question arises of replacing the drug.

Spotting due to pregnancy

A missed period is considered the main sign of pregnancy. But this is not always the case. Due to the individual characteristics of a woman’s body and the influence of various factors, ovulation may not occur in the middle of the cycle, as is customary, but closer to the end. Then the hormonal background does not have time to adjust. At first there is a slight delay, then scanty brown discharge. Progesterone is responsible for the successful development of pregnancy during the first 3 months. It is its deficiency that causes brown discharge instead of menstruation when conception occurs. The further fate of the fertilized egg depends on how much it can increase. High probability of failure. In case of an unsuccessful pregnancy, the test results may turn out to be false. In the first 2 weeks, one line will appear if there are tangible signs of pregnancy. If a woman wants to keep the child, she should seek help from a doctor.

Bloody discharge may smear even if there is ectopic pregnancy. Then, in addition to strange discharges Brown present general weakness, dizziness, severe pain in the lower back, lower abdomen. The situation becomes life-threatening if the scanty brown discharge turns into severe bleeding.

If your monthly cycle is disrupted with unusual discharge, you should visit a gynecologist instead of menstruation. Better to play it safe.

Severe nervous exhaustion

Menses are smeared brown instead of normal discharge due to nervous tension. Especially when it comes to stress. The nervous system is not given much importance, but it is the one that is involved in the production of hormones. The part of the brain that regulates processes is the hypothalamus. It is connected to the central nervous system, and it, in turn, gives instructions internal organs and systems about the required hormones. Severe tension, or, as they say, overload, leads to negative processes in the body. The monthly cycle is disrupted, brown discharge appears. Menstruation is coming but not coming. Moreover, short-term stress leads to heavy bleeding, and long-term stress leads to the absence of normal menstruation.

Constant nervous exhaustion causes hormone imbalance. Spotting instead of full periods is observed at first, then menstruation does not come at all. You should pay special attention to your psycho-emotional state.

Brown discharge after antibiotics

Taking some medications has a mediocre effect on the monthly cycle. These drugs include strong antibiotics. It is a misconception that antibiotics only affect the intestinal microflora, cause dysbiosis and nothing more. Modern medicine has proven the connection between these medications and cycle disorders. Antibiotics affect the liver and pancreas, which, in turn, can lead to changes in hormonal levels. In addition, antibiotics affect the nervous system. . At the same time, very often the periods are smeared brown, but do not come fully. After prolonged use of antibiotics. Especially in the form of injections, the menstrual cycle definitely gets disrupted. In other cases it can be done without it.

Gynecological diseases

Menstrual irregularities in women are caused by venereal diseases- chlamydia, gonorrhea, syphilis, trichomoniasis, etc. The woman experiences increased discharge with an unpleasant odor. During menstruation there is bleeding. If you miss your period for more than one cycle, the disease has become chronic. In addition to brown discharge, pain in the lower abdomen, weakness, general deterioration in well-being, and fever are disturbing.

Hormonal imbalance in a woman’s body provokes various gynecological diseases. Protective functions decrease, immunity decreases, the number of pathogenic microorganisms and altered cells increases. Pain in the lower abdomen, spotting instead of menstruation may be a sign of:


All diseases are diagnosed in a doctor's office; it is impossible to make a correct diagnosis on your own at home. And delaying a visit to the doctor can result in serious health problems.

The cycle is disrupted due to inflammatory processes in the genital organs. Then, for a month, the woman has clear discharge in increased quantities, and instead of menstruation, bloody discharge or spotting begins. In addition, there is pain in the lower abdomen, lower back, intestinal upset, and sometimes the temperature rises.

Brown discharge instead of menstruation should alert you; if it lasts for several days, full menstruation does not begin. Otherwise we're talking about about a slight hormonal imbalance, when the uterus is not yet ready to shed the endometrial layer, droplets of blood are released gradually. Under the influence of the acidic environment of the vagina and oxygen, it turns into brown discharge. The same situation may be present when after menstruation the smear continues for several days. There is nothing dangerous in this, but you can reconsider your lifestyle.

Women sometimes experience menstrual irregularities. If your period does not come, first of all, you should consult a gynecologist. Hormonal medications may be used to treat this problem and must be prescribed by a qualified physician. In addition to these drugs, a variety of physiotherapeutic complexes can be used, aimed at increasing the body's performance.

A functional cycle disorder can be successfully restored with the help of a course of phonation, which is carried out in order to establish a complete blood supply to the pelvic organs, including the ovaries and, of course, the nerve pathways.

There can be many factors as reasons why menstruation does not occur. Let's look at them.

Pregnancy

When pregnancy occurs, the absence of menstruation is not a violation, but is a completely natural phenomenon. This is because menstruation indicates that a woman's body is ready to conceive. According to practice, the most common reason why menstruation does not occur is pregnancy. You can check whether pregnancy has occurred using special tests. If the result is negative, you should not immediately exclude the possibility of pregnancy, but you should consult a gynecologist.

Ovulatory abnormalities

If pregnancy is excluded, the reason why menstruation does not occur is amenorrhea, which is a disease characterized by delayed menstruation. If ovulation is disrupted, the egg may mature late or not mature at all in a given menstrual cycle. Such anomalies can arise due to the presence of acute inflammatory processes in the female genital organs and the woman’s body as a whole; infectious and somatic diseases (rheumatism, tuberculosis, liver disease, heart disease); nervous breakdowns, stress, severe fatigue; hormonal imbalance. These factors are often interrelated.

Hormonal drugs

Taking hormonal medications may be the reason why your periods are not regular. Hormonal medications include estrogens, contraceptives, and postcoital pills. Absence of menstruation may occur if these medications are abruptly stopped.

LUF syndrome

Another reason why menstruation does not come for a month is the presence of a follicular ovarian cyst or corpus luteum cyst. LFU syndrome refers to the maturation of a dominant follicle without its subsequent rupture. The case may be isolated or periodically recurring, but if it becomes regular, it can be one of the causes of infertility. The diagnosis is made based on the results of ultrasound and hormone tests.

Primary amenorrhea

Primary amenorrhea is the reason why a girl does not get her period the first time. This phenomenon is caused by delayed sexual development, which is associated with genetic pathology. The pathology has striking manifestations against the background of serious infectious diseases, negative influence environment, intoxication of the body.

Stress

Your periods may not be regular due to stress. This disorder is quite serious if menstruation is absent for a long time. If you have been under severe stress, your periods may stop indefinitely, so you should be careful with stressful situations.

I'm not getting my period and my stomach hurts

If a woman experiences abdominal pain outside of menstruation, this is an alarming symptom that should not be ignored. The occurrence of such pain is not always associated with the presence of some pathologies, but still, when similar symptoms It is recommended to consult a gynecologist. The most harmless thing that you may experience if your period does not come and your stomach hurts is the appearance of ovulatory pain, which about 20% of women regularly experience. Their appearance may be associated with the establishment of a cycle, and after that the woman may not feel them. In some cases, the opposite situation occurs.

As a rule, ovulatory pain appears 2 weeks before the start of menstruation. Some women experience pain in the lower abdomen throughout the day, which is aching in nature. Most often, ovulatory pain occurs on the right or left, on the side where the egg is located. Ovulatory pain is associated with rupture of the follicle and slight bleeding from the ovary. This bleeding irritates the abdominal wall and as a result, the woman experiences pain. Ovulatory pain is not a pathology; rather, it refers to a peculiarity of the female body, but to exclude other diseases, you should consult a gynecologist.

When your periods don't come on schedule, this is, of course, a problem. No, doctors allow plus or minus a couple of days in the cycle, but there should not be long delays. If you are not pregnant and still haven’t gotten your period, pay attention to the following reasons.

Important: a delay is considered to be the absence of menstruation for 5 days or more from the day when they should begin.

Why no periods: gynecological diseases

Problems with the ovaries (in particular, cysts and polycystic disease) can cause cycle disruption. The thing is that cysts on the ovaries produce progesterone, which leads to hormonal imbalance.

And, as a result, there are no periods. Also, the cause of the delay may be an inflammatory process in the uterus.

Sudden weight change

If you have recently lost 10 kilograms or more (or, conversely, gained), you may experience cycle irregularities.

In case of weight loss, the body simply does not have enough necessary vitamins and other essential substances, so it cannot function normally. When you gain weight, your hormonal levels are immediately disrupted.

Why your period doesn't come: climate change and stress

If you like to fly from winter to summer, your period may not start on time in this cycle. And that's okay.

Also, menstruation may not occur after severe stress or shock. Since stress automatically knocks the hormonal system out of normal operation.

Working out in the gym

No matter what anyone says, the female body is not designed to carry heavy weights or exhaust itself with strength training.

So if you love Gym and if you use heavy weights there, problems may begin with the cycle. In addition, the reason for the absence of menstruation can be the low percentage of body fat that athletes strive for.

Why you don't get your period: not taking birth control pills

If you took birth control pills, and then decided to cancel them, I may not have my period for up to six months. This phenomenon is called “ovarian hyperinhibition syndrome.”

If your period has not returned after 6 months, you need to urgently go to the doctor so that he can prescribe pills to restore your cycle.

If the “red days of the calendar” suddenly do not come on time, the first thought that comes to our mind is, of course, about pregnancy. But the reasons for delayed periods are very diverse. A delay in menstruation for a period of 2, 3 or even 4 or 5 days should not be a cause of special concern; this is a completely normal occurrence for every woman. True, if menstruation is delayed even longer, this is evidence of some kind of process.

The menstrual cycle is regulated not only by the genitals (ovaries and uterus), but also by the endocrine and nervous systems, and more specifically, the endocrine glands (hypothalamus and pituitary gland) and the cerebral cortex. Any disruption in the functioning of these parts of the female body can lead to a delay in menstruation. The “European standard” for the menstrual cycle is a period of 28 days plus or minus 5 days, it is calculated from the first day of one period to the day the next begins. Menstruation should be moderate, lasting an average of 3-7 days, and also be acceptably painful (pain usually coincides with the first, heaviest menstrual days). The same goes for chest pain. Therefore, if every time it pours out of you like a bucket, bends you in half, and then storms from wild weakness, this is a convincing reason to consult a doctor.

So, here it is, a delay in menstruation - why could it be? Luckily, the most common cause is pregnancy, so if your test shows two lines, congratulations! If not, then here are the main reasons for the non-arrival of monthly “holidays”.

  • Various gynecological diseases can cause delay
    For example, uterine fibroids (benign tumor of the uterus), inflammation of the uterine appendages (salpingoophoritis), they can be identified by bleeding that appears outside of menstruation. Delayed menstruation is also characteristic of a disease such as polycystic ovary syndrome. This is a series of pathological processes in which the production of hormones is disrupted and ovulation does not occur in the body. Common symptoms of polycystic disease include excess body hair growth, enlarged ovaries and obesity. The disease can manifest itself in different ways, depending on the causes of its occurrence, and comprehensive studies are required to establish an accurate diagnosis. Treat the disease or hormonal drugs, reducing the level of male sex hormones in the body, or surgical methods.
  • Taking oral contraceptives is another possible cause of missed periods
    Hormonal contraceptives reduce the “productivity” of the ovaries, as a result of which the so-called hyperinhibition syndrome sometimes develops. When diagnosing it, the doctor cancels contraceptives, and, within a maximum of 6 months, menstruation returns spontaneously. If this does not happen, drugs are prescribed that stimulate the pituitary gland or stimulate the maturation of the egg.
  • Abortion can affect your cycle. When pregnancy is terminated, a severe hormonal imbalance occurs. During medical curettage of the uterus, too much “needed” tissue may be removed, as well as the inner layer of cells, which usually comes out along with menstrual blood. It takes longer to recover, and your period may not come in 28 days, but, for example, in 45. This is not normal, and is also a reason to see a doctor.
  • Stress is a common cause of delayed menstruation
    Another common cause of delayed periods is stress, one of the powerful enemies of the human body. A short stressful situation is enough to disrupt the functioning of that part of the cerebral cortex that is responsible for the normal menstrual cycle. Depending on the severity of the stress, your period may not come for years. For example, during the war, due to strong experiences, women could completely stop menstruation.
  • Rapid and significant weight loss can lead to a delay in menstruation
    Doctors have a concept of “critical menstrual weight” - the minimum weight at which teenage girls can begin menstruation. This is 45-47 kilograms. If you lose weight dramatically, you can not only achieve your goal of losing excess weight, but also lose your regular cycle. Most often this happens with manifestations of anorexia nervosa, when a woman has a disordered eating behavior and almost completely refuses to eat.

Modern way of treatment

Many women try to restore their menstrual cycle with the help of synthetic hormones, which have a lot of side effects. Therefore, doctors recommend the use of natural drugs that can completely normalize the cycle without harm to the body in a fairly short time. For example, the combined drug “Time Factor”, which combines plant extracts with phytohormonal action, vitamins and microelements, not only delicately normalizes the various phases of the menstrual cycle, but also improves mood, alleviates PMS symptoms and maintains good mood and performance.