Premenstrual symptoms but no menstruation

If your menstrual cycles were normal in the past, but you have abdominal pain instead of your period in January, you should first consider pregnancy and the possibility of ectopic pregnancy. You should do a urine pregnancy test to see if you are pregnant. If it is clear that you are pregnant, but you have abdominal pain but no period, it may be that your period is coming.

At this time, a comprehensive analysis is needed to see whether there is a whole process of weight gain. It is recommended to see a doctor for a pelvic ultrasound to check the thickness of the uterine wall. If necessary, blood can be drawn to check six sex hormones to see if there is a possibility of polycystic ovarian syndrome.

It is okay if your period is delayed by less than ten days. However, if your period is delayed by more than ten days, it is best to go to the hospital for a thorough check-up.

The menstrual cycle is generally 28 to 30 days. About ten days early or late is still within the normal range, and the length of the cycle varies from person to person. But if this time is exceeded, women with normal menstruation will definitely be worried. It can be divided into four situations:

1. Pregnancy

Ten days after the menstrual period is delayed, you can use the pregnancy test strip to test the urine. If it is positive, you are very likely to be pregnant. If it is negative, it is the opposite. But if you are pregnant, there are also other symptoms such as nausea, vomiting, breast pain, etc. The final method is to go to the hospital for B

Super inspection.

2. The efficacy of therapeutic drugs

If endocrine imbalance occurs after taking emergency contraception, it may also lead to delayed menstruation. Based on the patient's symptoms, the doctor also found that the new generation of gastric prokinetic drug metoclopramide, also known as domperidone, may also cause it. Because metoclopramide does not easily pass through the blood-brain barrier, it is believed to have no inhibitory effect on central nervous system dopamine receptors. The dopamine receptors in the nerve center are inhibited, resulting in a small amount of hypothalamic pituitary release factors entering the anterior pituitary. Therefore, the secretion of gonadotropin and corticosteroids by the anterior pituitary decreases, causing amenorrhea and delayed ovulation.

3. Caused by surgical treatment

For example, intrauterine surgical treatment may cause cervical adhesions, leading to menstrual blood congestion, thereby delaying menstruation.

4. Others

Such as psychological disorders such as tension and anxiety, too much pressure, changes in the natural environment, and some diseases that affect the endocrine system. Can cause delayed menstruation.

Experts remind: If menstruation is delayed only 1-2 times and there are no other accompanying symptoms, it does not belong to the level of menstrual disorders. When the interval between menstrual cycles is more than 35 days, it is called oligomenorrhea, and the cessation of menstruation for more than 3 menstrual cycles is called amenorrhea. Because there is no ovulation after menopause, it may also cause problems such as osteoporosis and endometrial hyperplasia, which must be taken seriously. It is recommended to go to the hospital for a physical examination and treatment.