Menstruation is delayed for eight days and there is lower abdominal pain

Menstruation is very important for women. If there are abnormal phenomena in menstruation, it may also indicate that there are some problems with human health. Many women have problems with menstruation being delayed by eight days and having lower abdominal pain. This problem may be caused by pregnancy, or it may be caused by side effects of medication, surgery, or endocrine disorders. Here we will introduce these situations in detail!

1. Pregnancy

For women of childbearing age who have had sexual life, when their menstruation is delayed, they often doubt whether it is menstruation abnormality or they are pregnant. This problem is a very common phenomenon in daily life. How to rule out pregnancy and how to determine whether it is a menstrual disease are the first issues that need to be clarified. First, determine whether you are pregnant. If your menstrual cycle has always been normal, with no signs of delay, and there are some signs of pregnancy, you should test your urine with an early pregnancy test strip on the fifth day after your delayed period (or the fifth day calculated from the start of your period). If the test result is positive, you should undergo a gynecological pelvic examination. If the cervix changes to purple-blue, the uterus is full or enlarged, and there may be accompanying symptoms such as breast tenderness and nausea, you can be diagnosed with pregnancy. Of course, B-ultrasound can also quickly determine whether you are pregnant.

2. Side effects of drugs

For example, endocrine disorders after long-term use of contraceptives can also cause delayed menstruation. Doctors also found, based on patient feedback, that a new generation of gastric motility drug, metoclopramide, also known as domperidone, may also cause this condition. Since metoclopramide does not easily cross the blood-brain barrier, it is believed that it has no inhibitory effect on central dopamine receptors. Central dopamine receptors are inhibited, resulting in a decrease in the amount of hypothalamic release factors entering the anterior pituitary. As a result, the anterior pituitary secretes less gonadotropin and corticotropin, leading to amenorrhea and delayed ovulation.

3. Surgery

1. Menstruation after surgical or medical abortion is determined by the degree of recovery of the endometrial wall, which may cause delayed menstruation to a large extent.

2. Uterine surgery can cause cervical adhesions and lead to menstrual blood stasis, thus delaying menstruation.

4. Endocrine disorders

Endocrine reasons such as polycystic ovary syndrome and premature ovarian failure can also lead to delayed menstruation. Timely examination should be carried out and treatment should be started as soon as abnormalities are found.