I have stomach pain before my period but it never comes

Many people have regular menstruation, but some people do not have their menstruation, and instead have severe abdominal pain. If the menstruation is delayed for ten days, you must go for a check-up, as the risk of pregnancy cannot be ruled out. In addition, irregular menstruation may also be caused by drug stimulation or surgery, so you need to go for a check-up in time and make a reasonable diagnosis.

Causes

1. Pregnancy

After the menstruation is delayed for 10 days, you can go to the hospital for a urine pregnancy test. If the result is positive, you are very likely pregnant. There are also other symptoms of pregnancy, such as chills, dizziness, fatigue, nausea, vomiting, etc.

2. Medication

Taking progestin-containing drugs, such as progesterone, emergency contraceptive pills, etc., can prolong the luteal phase and cause delayed menstruation. Newer generation gastrokinetic drugs may also cause delayed menstruation.

3. Caused by surgery

For example, uterine surgery may cause adhesions in the uterine cavity or cervix, which may prevent menstrual blood from being discharged, thereby delaying menstruation.

4. Endocrine disorders

Obesity, excessive dieting, irregular living habits, premature ovarian failure, polycystic ovary syndrome, etc. can all cause endocrine disorders in women and lead to delayed menstruation.

5. Chronic diseases

Chronic hepatitis, tuberculosis, tumors, hypothyroidism, severe anemia, vitamin E deficiency, etc. often cause delayed menstruation.

6. Mental factors

Psychological factors such as mental tension, stress, environmental changes, etc. can cause delayed menstruation.

Clinical manifestations

1. Delayed menstruation

The menstrual cycle is delayed for more than 8 to 9 days, or even occurs every 40 to 50 days. If the delay does not exceed 7 days and there are no other symptoms, it is not considered as this disease.

2. Accompanying symptoms and signs

(1) Pregnancy: If pregnancy causes delayed menstruation, it may be accompanied by symptoms such as fatigue, drowsiness, nausea, and vomiting;

(2) Symptoms and signs of various primary diseases are often present. Polycystic ovary syndrome may present with obesity, hirsutism, acne, and infertility; hypothyroidism is often accompanied by apathy, memory loss, slow reaction, non-pitting edema, anorexia, abdominal distension, constipation, etc.

examine

It is normal for menstruation to be delayed by about a week. If you have sexual intercourse, use condoms for contraception, and the condom does not break or leak fluid, the possibility of pregnancy is low. The self-test rate of early pregnancy test strips is also low. Close observation is recommended. If the menstruation is delayed for about 10 days, you can go to the hospital for a blood HCG test to determine whether you are pregnant.

After excluding pregnancy, necessary laboratory and auxiliary examination methods should be selected according to the specific condition: ① Ovarian function test. ②Pituitary function test. ⑤Ultrasound examination is used to check whether there are polycystic changes in the ovaries. ⑦ Magnetic resonance imaging examination of pituitary microadenoma. ③CT examination of the sella turcica to determine whether there is a pituitary adenoma.