Reason for lack of menstruation and negative test. Your period is late, but the test is negative: what to do? No period for 2 months, test negative

Reasons for absence of menstruation for more than 60 days, other than pregnancy. Without pathology and for gynecological diseases. Identifying the cause from a specialist.

The absence of menstruation does not alarm a woman only when she is planning to have children or is already pregnant.

In other situations, an irregular cycle signals illness, overwork, or a change in lifestyle in a direction that forces the body to adapt to new conditions. This does not make her feel any calmer, because every woman knows that her period should come monthly, or at least once every 35 days.

What should I do if I haven’t had my period for 2 months but I’m not pregnant, should I wait until my cycle recovers on its own or should I immediately go to the doctor? First of all, it is necessary to study the reasons for the absence of menstruation and draw appropriate conclusions.

When a delay in menstruation is not considered a pathology

There are many factors influencing a woman’s menstrual cycle. If there are no critical days for exactly 2 months, it is necessary to reconsider your lifestyle and remember events that could disrupt the stability of the discharge.

If you haven’t had your period for 2 months, but the test shows a negative answer – there is no pregnancy, the reasons may be the following:

• Diet. Changing eating habits and strict diets lead to starvation of the body and a decrease in fat mass. In order for menstruation to start on time, it is necessary that your body weight exceeds 45 kg. With less weight, the hormonal system does not produce estrogen. A sudden weight loss of 10 - 15 kilograms or more can lead to the cessation of menstrual bleeding.
• Genetic abnormalities. An inherited tendency to delay menstruation is fraught with cycle disruption and a complete absence of critical days.
• Taking oral contraceptives. If there has been a change in the contraceptive drug, bleeding may be delayed by 1.5 - 2 cycles.
• Menopause. Women aged 40–55 years periodically notice that menstruation does not start on time, and the discharge becomes heavier.
• Hormonal changes in a young body. Absence for 2 months should not worry parents. During puberty, the cycle is not established immediately. After menarche, girls may have a long pause in bleeding, then menstruation resumes and the cycle stabilizes over the next 2 years.
• First sex. The absence of menstruation on time in a young girl can be explained by her first sexual experience. A close relationship with a man makes a girl worry and creates stress. If the cycle has not yet been established, sexual activity may delay the onset of menstruation.
• Childbirth and breastfeeding. An adult woman who has recently become a mother may experience a situation where she does not have a period for 2 months after giving birth. If the newborn is transferred to artificial feeding, the cycle is restored within 8 to 10 weeks. The hormonal system will acquire its original status, because the glands will not synthesize excessive amounts of prolactin. But if a mother is breastfeeding, she may not have menstruation throughout the entire lactation period.
• Change of climate zone. After a vacation at sea or abroad, the menstrual cycle becomes disrupted because the body has to adapt to a new environment. For some girls, a 2-month delay in menstruation is associated with frequent visits to the solarium or prolonged exposure to direct sunlight.
• Abortion or miscarriage. After an abortion, a hormonal imbalance occurs, hence the delay of menstruation by 1 - 2 months. If your period does not resume on its own, you should consult a gynecologist.
• Navy. An incorrectly installed coil can disrupt the cyclicity and intensity of bleeding.

Intoxication of the body due to smoking, drug addiction and drinking alcoholic beverages does not have the best effect on the female reproductive system. Bad habits and antisocial behavior are among the reasons for delayed periods. The regularity of the cycle can also be affected by the dirty atmosphere of industrial regions.

And now an interesting video:

No periods 2 months without pregnancy: a sign of disease

If none of the above reasons is associated with a 2-month delay in menstruation in a particular case, the woman should consult a doctor and find out why the cycle is off. Often the culprits for the absence of critical days are serious gynecological diseases:

1. Cyst.
2. Endometritis.
3. Myoma.
4. Ovarian dysfunction.
5. Endometriosis.
6. Cervical cancer.
7. TORCH infection.
8. Polycystic ovary syndrome.
9. Ectopic pregnancy.
10. Inflammatory processes in the genitourinary system.
11. Oncological neoplasms in the uterus and appendages (a person’s life depends on the nature of the tumor, therefore, if your period is delayed by at least 4 weeks, you should go to the clinic and undergo an examination).

A two-month delay in menstruation can occur after an abortion in unsterile conditions, when the woman tried to get rid of the child secretly and on her own. Unsuccessful curettage of the uterine cavity subsequently turns into a surgical operation for the unfortunate mother.

Very often, modern women face inflammation of the appendages. The pathology is explained by a deficiency of hormones produced by the pituitary gland, adrenal glands, hypothalamus or thyroid gland. Improperly functioning ovaries disrupt the cyclicity of discharge, which is why periods are either delayed or come on time and are abundant. Pregnancies with chronic inflammation of the appendages end in miscarriages.

Ectopic pregnancy is the second common reason for missing menstruation as expected. The fertilized egg remains in the fallopian tube, grows and causes nagging pain in the lower abdomen.

The discomfort increases every day, the pain can be slightly dulled with analgesics, but the situation worsens - the woman feels unwell. Although everything is present in the first trimester (delayed menstruation, toxicosis, engorgement of the mammary glands, nausea in the morning).

As soon as the embryo stretches the tube to its limit, it bursts and bleeding begins. Delayed diagnosis is dangerous due to sudden bleeding, hemorrhagic shock and death. Therefore, you cannot hesitate to visit a doctor when you have not had your period for 2 months with a negative test.

To identify pathology with a long delay in menstruation, gynecologists issue a referral for ultrasound of the abdominal cavity and pelvis and hCG analysis. After treatment, as a preventative measure, patients receive recommendations on nutrition and a healthy lifestyle.

What to do with amenorrhea

Self-medication for amenorrhea is unacceptable. Being at a loss and not knowing what to do if she has not had her period for 2 months, a woman should go to the gynecologist and talk about the current situation. Perhaps the reason will be established quickly during the conversation.

But if a specialist insists on an examination, you cannot refuse, since the reasons for delayed menstruation are not harmless. Laboratory tests, a repeat pregnancy test and an ultrasound will help detect the trigger.

Amenorrhea can be eliminated with medications. Also, in consultation with your doctor, you can use folk remedies to restore the menstrual cycle. The following plants have stimulating properties:

• Parsley. A few days before the expected date of menstruation, start consuming raw greens or taking plant decoctions.
• Burdock. Fresh burdock juice normalizes hormonal levels and treats mastopathy. It is recommended to take it 1 tbsp. l. three times a day shortly before meals.
• Dandelion. A decoction of the roots is prepared over low heat. 1 tsp. raw materials are poured with a glass of boiling water and simmered on the stove for 5 minutes. The decoction is infused for 2 hours and drunk half a glass in the morning and evening.

Menstruation is an important physiological process, the correctness of which determines the overall health of a woman and her ability to procreate. The danger lies not in the fact of absence of menstruation itself, but in the reasons for the failure. Untimely treatment of amenorrhea is fraught with infertility and other serious diseases.

But even if an irregular cycle is not associated with pathological processes, it worsens a woman’s quality of life. Without knowing exactly when your period will start, it is impossible to plan proper rest or conception.

Long-term absence of menstruation can be caused by natural physiological processes. Then the situation is considered normal, there is no reason to worry. If you haven’t had your period for 2–4 months without any apparent reason, you need to visit a gynecologist.

Changes in hormonal levels are the main reason for delayed periods. All reasons are conventionally divided into several groups.

Whatever the reason for the delay in menstruation, you should treat your body carefully. If alarming symptoms occur, you should seek help from qualified professionals.

Delayed menstruation in a teenager

The first menstruation occurs at the age of 12–13 years. Sex hormones contribute to its appearance. The formation of hormonal levels is evidenced by the physical development of the girl. Secondary sexual characteristics appear - breast enlargement, hair growth in the groin area, armpits, waist formation. In this case, the girl’s weight plays an important role. If your body weight is less than 45 kg, menstruation will not begin. For this reason, periods for overweight teenagers begin earlier. For thin girls, menarche occurs at 14–16 years of age.

The onset of menstruation does not indicate a stable monthly cycle. The hormonal background is far from constant. There will be a delay in menstruation and their character will change. Moreover, a break of two months is considered normal. In general, a girl's menstrual cycle should become similar to her mother's. If everything was different for the mother, you can take the teenager for a consultation with a gynecologist. There may be pathological abnormalities.

Test negative for missed period

To get a true result, you need to choose high-quality products with high sensitivity and carry out the analysis correctly. Pregnancy is considered to have occurred from the moment the egg is implanted in the uterine cavity. Then the level of the pregnancy hormone, hCG, increases every day. In urine, the level of the hormone increases much more slowly than in the blood. In the early stages of pregnancy with a delay of up to 1 week, it is recommended to carry out the analysis with a morning urine sample. Then the hormone level is highest.

The operating principle of all tests is based on the reaction of the reagent. If its sensitivity is from 25 units, it will not be able to demonstrate pregnancy in the early stages. In addition, even a test with 10 sensitivity units can also misfire. When ovulation does not occur in the middle of the cycle, closer to the end, the body does not have time to quickly rebuild itself by the time menstruation begins. Then, if there is a delay of up to 1 week, the result may be false. The second gray stripe does not indicate pregnancy at all. This means that the reaction did not occur. Most likely, the test was kept in the urine for longer than 30 seconds.

If we are talking about a delay of menstruation by 2-4 months, a negative test is a clear confirmation of the absence of pregnancy. Cycle disruption occurs due to menopause, if age allows such conclusions, gynecological diseases, nervous pathologies, diseases of the endocrine system.

Late period but not pregnant – what to do

First of all, it is necessary to analyze the events of past months. If there are no obvious factors influencing the menstrual cycle, it is recommended to undergo an examination. Delayed periods are caused by gynecological diseases:

• uterine fibroids;
• chronic endometritis;
• inflammation of the uterus and appendages.

Thyroid dysfunction is directly related to the production of hormones. You will also have to visit an endocrinologist. A delay in menstruation can occur after taking antibiotics and some other medications. This should be written about in the instructions, and the attending physician must warn you.

It is very difficult to independently determine the cause of a missed period when you haven’t had one for several months. The most harmless cause may be a disorder of the nervous system. Then, after restoring rest, the menstrual cycle also normalizes. In other cases, long-term treatment and hormonal medications will be required.

How to call them

The absence of menstruation in women of reproductive age entails disruption of the functioning of other systems and internal organs. The question arises about their forced summons. In the absence of serious gynecological diseases, the situation is regulated quite quickly. The reason for this phenomenon is an insufficient amount of progesterone, the second phase hormone. It is replenished with synthetic analogues. The most common means for inducing menstruation during a long delay is Norkolut. If menstruation is delayed by several months, start taking pills any day.

The dose of the drug is determined by a specialist. Usually 1 tablet per day for 10 days. Or 2 tablets at a time for 5 days. Menstruation should occur during the treatment process. If the progesterone level was not so low. Or 1–3 days after completion of the course. goes on as usual.

People have several recipes for inducing menstruation. For example, a decoction of parsley, which causes increased contraction of the muscles of the uterus. But in such a long absence of menstruation, folk recipes will be ineffective. It is necessary to induce critical periods with the help of special medications prescribed by a doctor. The wrong dosage may not give the desired result or cause severe bleeding.

Lack of menstruation after 40 years

At this age, the reproductive functions of the body decline. Unstable hormonal levels lead to absence of menstruation for several months. Then the amount of estrogen gradually accumulates, ovulation occurs again, and after a few weeks spotting appears. Menopause lasts about 4 years. Ends with a complete absence of menstruation. However, if the situation is concerning, you should visit a gynecologist. During menopause, the risk of gynecological diseases associated with hormones increases.

Hormonal imbalance is always the main root cause. If your period is delayed by two months or more, then there is no time left for thinking; serious processes are occurring in the woman’s body. When the test is negative, other causes other than pregnancy should be looked for.

Why is there no menstruation?

When you consult a doctor with complaints about the absence of menstrual flow, a diagnosis of ovarian dysfunction is made. The patient should not be afraid of such words - this is simply a statement of fact in medical words, confirmation of the delay.

A woman may be healthy, but some events have happened in her life that have affected the production of hormones. The menstrual cycle is affected by the following factors:

• excessive physical activity. This is often encountered by athletes and women involved in very hard physical work;
• . Problems at home or at work often knock women out of their psychological balance. The body perceives stress as an inappropriate time for pregnancy, so ovulation does not occur. You will need the help of not only a gynecologist, but a psychologist and a neurologist;
• sudden climate change. This is also read by the brain as stress; the hormonal balance changes for some time. Usually health is restored without medical intervention. A long stay in the cold, sun or solarium is perceived as a change in climate;
• strict diet. Lack of nutrients in the body causes hormone imbalance. To normalize weight, you need to eat right, slightly limiting calories, but the diet should remain complete. Too much weight loss leads to huge health problems. You will have to regain weight to regain your health;
• overweight. This is the second extreme; excess fat in tissue leads to excessive accumulation of estrogen. This disrupts the cycle and provokes some diseases, including breast cancer;
• systemic diseases of the body. These include diabetes mellitus, diseases of the parathyroid or thyroid glands, adrenal glands;
• changes in a woman's hormonal status: adolescence, menopause, pregnancy.

Gynecological delay factors

A symptom of many diseases in gynecology is delay. Problems with cycle regularity are caused by the following reasons:

• myoma;
• genitourinary system infections;
• cervical oncology;
• complications or miscarriage;
• incorrectly installed spiral;
• withdrawal of hormonal pills.

Sometimes delay is the only symptom. In other cases, it is accompanied by additional symptoms: the nature of vaginal discharge and either the abdomen changes.

A woman may experience discomfort in the intestines and problems with bowel movements. If the patient recently underwent surgery, this is the reason for a long delay (up to four months).

Contraception often causes all sorts of sexual disorders. delays occur often, you just need to wait until the cycle is restored.

The spiral can disrupt the cycle, so you need to regularly see a gynecologist so that, if necessary, a foreign body is removed in a timely manner.

What to do if there is a delay

When menstruation does not occur within a week after the due date, then women who are sexually active need to follow the following algorithm of actions:

• if there is no pregnancy, consider other factors that could lead to a delay (physical and psychological stress, climate change, sudden weight loss, etc.);
• Contact your gynecologist with the test results.

If a girl is not sexually active, she needs to consult a gynecologist if there is a delay of three months.

A woman over 40 years old also needs to go to a gynecologist if there is a three-month delay. You need to act in the same way if you stop taking hormonal pills and a malfunction occurs in your body.

Delay in a teenager

On average, menstruation occurs at thirteen years of age, but there are deviations in both directions. For plump girls, menstruation begins earlier, and for thin girls it starts later. The first period is not a guarantee of a subsequent stable cycle.

A teenager's hormonal levels are unstable. Delays in adolescence occur frequently; if a girl under 18 is not sexually active, she has no need to worry.

For teenagers, two-month breaks are normal.. Subsequently, the cycle will be established, it will become like that of the mother. If a mother notices that her daughter’s situation is not going her way, she needs to go to a pediatric gynecologist.

There is no need to worry in advance, there is a possibility that there is no disease, the girl just inherited the genes of her grandmothers. But you definitely need to check with a doctor.

Delay after 40 years

During this period, reproductive functions begin to fade. The absence of menstruation becomes a common occurrence, then estrogens slowly accumulate, ovulation and menstruation occur again.

Then history repeats itself: delay, ovulation, menstruation. This continues for four years. At this time, it is advisable to visit a gynecologist every three months in order to promptly identify diseases caused by hormone fluctuations.

After 40 years, patients are often diagnosed with cysts and fibroids, which are often harmless, but require observation. Myomas never develop into cancer, but sometimes they cause uterine bleeding, in such cases the patient has to be operated on.

If a woman has sudden pain, her discharge has changed color, constant flatulence, constipation or diarrhea - this is a reason to get checked by a gynecologist.

Stomach ache

If a woman has a two-month delay in her period, accompanied by pain in the lower abdomen, this is a reason to worry. Most women begin to suspect pregnancy, are happy and do not go to the doctor - they have a desired child. This is only one of the possible scenarios, but such symptoms also occur for other reasons that require immediate medical attention:

• ectopic pregnancy;
• risk of miscarriage;
• false pregnancy;
• or other disease;
• cauterization of erosion.

False pregnancy occurs in women for psychological reasons. Such girls have been waiting for pregnancy for a long time. There are cases in history when a woman’s belly grew, her breasts became fuller, and contractions began, but not childbirth. Doctors, hoping to help the woman in labor, performed a caesarean section, but there was no fetus in the uterus. This happens rarely, much more often there are no periods for only a few months, which can provoke depression.

It should be taken into account that stress, excessive passion for losing weight, tanning or sports also leads to all sorts of disruptions in the body. It is especially dangerous for women in menopause to engage in aggressive weight loss; it is especially easy for them to cause a deterioration in the general condition of the body.

A sudden change of contraceptives, carried out without consulting a doctor, in 95% of cases leads to pain and other problems. - another good reason for delay. We should also not forget that taking antibiotics and other drugs sometimes causes hormonal problems.

There are so many reasons leading to delays that it is better not to guess which one is right for you, but to consult a gynecologist. He will conduct an examination and, if necessary, refer you for tests or instrumental examination. Only after this can you say for sure why your period was delayed by two months.

The female body is exposed to various types of threats. The reproductive system is fragile and sensitive to change. One of the manifestations of such disorders may be a violation of the monthly cycle. Irregularities in the frequency of the monthly cycle are one of the most common problems in our time. If there is no period for one month, then we can talk about hormonal imbalance. But what to do if you don’t have your period for 2 months in a row?

Long-term absence of menstruation may be the cause of hormonal imbalance

Reasons for menstruation every two months

Many people will think that they are pregnant. This still needs to be believed. First, check your intimate calendar for the possibility of unprotected contacts during the expected period. Everyone knows that children are not born without sex. If there were reasons for concern, then be sure to get tested afterwards. Maybe good news awaits you. After 2 months, the test should show the result. If you do not trust the tests, there is an alternative way to determine pregnancy that is absolutely harmless to your baby - an hCG (human chorionic gonadotropin) test. The presence of this garson in a woman’s blood indicates pregnancy.

What if the hCG test or test turns out to be negative. In this case, do not count on optimistic forecasts. Here we can talk about hormonal imbalance in the body.

Think carefully about possible events that could have happened in the last 2 months.

• Stress. A generalized, but still important reason for the absence of menstruation for two months. The loss of a loved one or a break in a relationship with a loved one, being fired, or have you become a victim of a crime? The reasons after which such changes occur vary from person to person. But it is precisely increased emotionality that can make it so that menstruation does not come for two cycles in a row.
• Consequences of surgery. Have you recently had surgery in your life? This kind of stressful situation will not pass without leaving a trace and without consequences for the body.
• Labor activity or possible consequences of pregnancy. The very fact of conception in a woman’s body already leads to internal restructuring. And if the mechanism is still running, then it cannot be restored immediately. In this case, it doesn’t matter at all whether you were pregnant for 2 weeks and had a medical abortion, or carried a healthy baby and gave birth to him. All these factors serve a long recovery of the female body and hormonal imbalance of the cycle is a normal symptom of such changes.
• Change of place of residence and time zone. They could move to another city or country. But if this place is radically different from your usual habitat, then rest assured that you have identified the cause of the disorder.
• Lack of vitamins. Is there a lack of certain substances in the body that helped trigger the body to produce secretions? It is recommended to take a course of vitamins and minerals. The reason is a reduced level of magnesium in the blood.
• Weight loss. Every part of the body feels a sharp decrease in weight. For the female body, there is a complication in the cardiovascular and genitourinary systems. Don't be surprised that you have a glitch. After losing your usual weight, the body needs time to adapt and recover. The best way to stop health problems after losing weight is to stop dieting and regain your health.
• Playing sports. There are many reasons, but after the female body is overloaded due to constant sports training, failures of this kind are possible.
• Hormonal disbalance. The absence of menstruation is in itself a hormonal imbalance; if you determine the lack of certain hormones in a woman’s blood, this will help determine the immediate cause - the “hotbed of fire” in the woman’s body. Having undergone appropriate hormonal tests, the result will help establish the correct diagnosis and treat in the right direction.
• Infection or inflammation. I would like to note that these are two important diagnoses in which there are disruptions in the menstrual cycle. If, in addition to menstrual irregularities, something has changed in your health, you should immediately consult a doctor. In 80% of cases, menstrual irregularities are a symptom of inflammation of the genitourinary organs or a consequence of inflammatory processes in them.
• Pathological changes in the body. The absence of menstruation may indicate anovulation (failure of eggs to leave the follicles). After this, the sperm that enter the woman’s body will be faced with the fact that there will be nothing to fertilize.

After determining the reason for the absence of menstruation for two months, you should consult a doctor to prescribe appropriate medications that regulate hormonal levels or help restore your body. Be careful when choosing a gynecologist. Sometimes incorrectly prescribed hormonal drugs cause menstrual irregularities for two cycles in a row.

Amenorrhea is a dangerous phenomenon associated with menstrual irregularities. This is a disease in women associated with the cessation of egg production in the ovaries. There are primary and secondary amenorrhea. All of them are considered pathological diseases and require immediate treatment. Let's look at each of them.

Sports should be moderate, then they will not harm the body

Primary amenorrhea: causes, features

It is generally accepted that young girls who have not started menstruating until the age of 16 should register with a gynecologist. This indicates that the reproductive mechanism has not started in the woman’s body. In many cases, it turns out that this is actually a genetic predisposition that is passed on from grandmother to mother and from mother to daughter. Less often from the mother of the girl's father. But this is a genetic error of your kind. There is no point in treating her. After menstruation, it will begin at a time characteristic for the family.

If relatives shrug their shoulders and the reason does not lie in the genetic code, you should immediately seek diagnosis at a medical institution. To determine the probable cause of the problem, undergo an examination of such organs and systems.

• Pituitary gland and hypothalamus. These are the two organs responsible for menstruation. They produce the necessary hormones for endometrial detachment at the required period of the monthly cycle. Disturbances in the functioning of these organs and their production of the corresponding hormones will provoke the absence of menstruation in a girl.
• Ovaries. They are responsible for the production of eggs in the female body. It is in this organ that the cherished female cells mature in the follicles, thanks to which we can become pregnant. Failures in the production of these cells lead to this disease.
• Thyroid. Disturbances in the functioning of this organ indicate a lack of hormones produced, which affects the possible cause of this disease. After passing the appropriate diagnostics, the violation is monitored.
• Adrenal glands. Adrenal hyperplasia means there will be no menstruation. In this case it will be congenital.
• Uterus. The body also experiences both inflammatory processes and infectious diseases. Passing through the uterine cavity, the consequences can be varied. One of the possible symptoms of this disease is menstrual irregularities.

After checking these organs for possible pathological diseases, begin treatment immediately. A two-month failure can be considered a specific manifestation of pathological changes. You need to have time to help the young body get into shape before irreversible consequences appear.

A woman's thyroid gland is responsible for producing hormones

Secondary amenorrhea: causes, features

The difference between this type of amenorrhea and the previous one is the sudden cessation of menstruation at a more mature age. Here we are not talking about the period of maturation of a woman who continues her family. Secondary amenorrhea often occurs in women after 40-55 years of age. At this age, a woman’s natural aging process begins.

The ability to produce eggs wanes and menstruation stops. You need to understand that there is a difference between the possible onset of menopause, whose symptoms were described above, and secondary amenorrhea.

Rest assured that if there are signs of a decline in feminine nature, these are signs of menopause. If you are not at that age and have ruled out any other accompanying symptoms, you should consult a doctor to receive appropriate advice and undergo an intensive course of treatment.

Every woman experiences fluctuations in her menstrual cycle to varying degrees. Some of them are physiological - in adolescents, during pregnancy, during breastfeeding, others are a sign of reproductive health disorders. If you have not had your period for 2 months, but pregnancy is excluded, you should consult a doctor and undergo an examination.

The absence of menstruation for 2 months in a non-pregnant woman is a signal to consult a doctor

Why have I not had my period for 2 months?

A normal cycle is considered to last 21–35 days. In the absence of menstruation for 2 months, the diagnosis of amenorrhea is not made; hormonal dysfunction is often assumed. But the onset of menstruation is also influenced by third-party factors.

Causes not related to reproductive function

These include:

1. Stressful situations– strong experiences, troubles at work or problems in personal life affect a woman’s reproductive function. This is a defense mechanism. The body believes that the time is inappropriate for reproduction.
2. Sudden change in body weight– both weight loss and weight gain. Estrogens, which regulate processes in the reproductive system, cease to be released when the weight is less than 45 kg. With a sudden weight gain, the body does not have time to readjust and produce hormones in large quantities.
3. Hypothyroidism– decreased production of thyroid hormones. This causes amenorrhea.
4. Recent surgery, infectious and bacterial infections. The body spends energy to restore vital functions. Maintaining the menstrual cycle is not one of them.
5. Hypopituitarism– various pathologies in which the production of hormones in the pituitary gland stops. The causes of this condition are varied - from the appearance of tumors in the brain to syphilis, head injuries, and meningitis.
6. Neoplasms of various origins in the brain, including prolactinoma. It provokes excess production of the hormone prolactin. It supports lactation, but at the same time inhibits ovulation and the onset of menstrual bleeding.

Severe stress negatively affects the reproductive function of the female body

Causes related to the reproductive system

Changes in the duration of the menstrual cycle can be physiological and pathological.

Natural causes:

1. In a teenage girl– in 30% of girls, the cycle stabilizes within 1–2 months after menarche. For everyone else - during the first year.
2. During the lactation period– at this time there is natural hyperprolactinemia. Excess prolactin, a hormone that stimulates milk production, suppresses ovulation and endometrial formation. Therefore, the test is negative, but menstruation does not occur.
3. After 40 years– this can be both a sign of a disease and a harbinger of menopause. During this period, estrogen production begins to decline. This manifests itself as a lack of menstruation.

During lactation, hormones suppress ovulation and the onset of menstruation.

Pathological reasons:

1. Polycystic ovary syndrome– benign growth of cysts inside the female reproductive glands. Occurs due to dysfunction of the hypothalamic-pituitary system, thyroid gland, and adrenal cortex. Accompanied by the appearance of acne, increased production of sebaceous glands, and weight gain.
2. Hyperprolactinemia unrelated to the birth of a child and the process of feeding him. At the same time, the production of the hormone prolactin increases, and ovulatory processes are inhibited.
3. Intrauterine synechiae– the appearance of adhesions in the uterine cavity. They develop after surgery or artificial termination of pregnancy. In difficult cases, complete fusion of the organ occurs. In this case, the epithelium lining the uterine cavity atrophies and is not rejected, causing menstrual bleeding. That's why I don't get my period.
4. Endometritis of various etiologies is an inflammatory process in the tissues lining the inner surface of the uterus. The natural processes of epithelium formation and rejection are disrupted.
5. STDs or vaginal dysbiosis– any inflammatory processes inhibit the functions of the ovaries. Ovulation stops, the process of maturation of the uterine epithelium is disrupted.

Intrauterine synechiae is a pathology that interferes with the normal menstrual cycle

Which doctor should I contact?

In the absence of menstruation for 2 or more months, you should either see a gynecologist-endocrinologist. After excluding pregnancy and gynecological diseases, the doctor will prescribe.

Diagnostics

Diagnostic measures begin with a visual examination, taking a smear for flora and a conversation with a gynecologist. The doctor should be informed about the onset of sexual activity, its current state, and the suspected factors that caused the suppression of menstrual function.

The following laboratory tests are indicated as part of the diagnostic measures:

1. HCG test - to confirm the fact that the patient is not pregnant. Rarely prescribed. If the critical period is delayed for 2 months, the probable gestational age is 9–10 weeks. The doctor will determine such a pregnancy, including an ectopic one, at an appointment without additional tests.
2. Study of prolactin levels - to exclude prolactinoma and hyperprolactinemia.
3. Analysis for FSH and LH - a violation of the ratio of these hormones is a diagnostic sign of polycystic changes in the ovaries. A decrease in FSH indicates a disruption of the hypothalamic-pituitary system.
4. Determination of TSH level - to exclude hypofunction of the thyroid gland.
5. A blood test for sugar or a glucose tolerance test to rule out endocrine disorders.
6. Determining the level of progesterone inhibits the growth processes of the endometrium. What causes amenorrhea.

Donate blood for special laboratory tests to find the cause of the delay

During the examination for menstrual irregularities, the use of diagnostic imaging methods is indicated:

• Pelvic ultrasound – to determine the condition of the endometrium, exclude polycystic disease and other neoplasms;
• X-ray of the head – the “sella turcica” region of the brain is examined. This allows tumors to be excluded;
• CT or MRI – according to indications, if the tumor nature of the disease is suspected;
• laparoscopy – according to indications.

What to do if you miss your period?

If there are no critical days in the second month, then first of all you should consult a doctor and find out the cause of the menstrual irregularity. The choice of treatment tactics depends on the examination results. Suggested management tactics for the patient:

1. Normalization of nutrition and weight, adequate physical activity.

A critical change in weight for a woman during her reproductive period is 10 kg in any direction. The minimum weight is 48–50 kg. In this case, in addition to weight normalization, progesterone preparations or its synthetic analogue are indicated:

• Ingesta;
• Progesterone oil solution;
• Utrozhestan;
• Duphaston.

A long course of treatment with Microlut is prescribed to stabilize the menstrual cycle.

In addition, it is possible to prescribe progestogenic oral contraceptives (Microlut, Exluton, Continuin). The duration of taking the drugs is at least 6 months.

1. Treatment of polycystic ovary syndrome is carried out conservatively or surgically. Drug treatment is carried out with drugs with antiandrogenic effects - Diane-35, Androkur, Zhanin, Yarina.

If drug therapy is ineffective, there are multiple cysts and the patient desires to give birth to a child, diathermocoagulation of the affected tissue is performed. Currently, surgery is performed using a laparoscope. Wide-band resections are excluded.

1. Hyperprolactinemia - drug treatment begins with dopamine agonists, which suppress prolactin production. The drugs of choice are. Parlodel, Dostinex or Lisurid.

If prolactinoma or brain tumors of any nature are diagnosed, then surgical excision of the tumor is indicated.

1. Intrauterine synechiae is treated exclusively surgically. Either dissection of adhesions or removal of the organ as a whole is performed.
2. Thyroid diseases – correction of hormone imbalance. For hypothyroidism, Eutirox or L-thyroxine is prescribed. Dosages are selected individually over several months. If neoplasms are detected in the organ, surgical treatment is performed.
3. Inflammatory, bacterial pathologies, endometritis, STDs - treatment includes antibiotic therapy at the doctor’s choice, local antibacterial treatment with suppositories.

How to avoid disruptions in the menstrual cycle?

It is impossible to completely avoid disruptions in the menstrual cycle, since there are periods in life when this is the norm.

Monitor the health of your reproductive organs and seek medical help promptly

1. Visit a gynecologist 2 times a year - even if nothing bothers you.
2. Use reliable means of protection - condoms, medications. Eliminate abortion from your life.
3. Plan your pregnancy and give birth when you are physically, mentally and financially ready.
4. Have a permanent partner.
5. Timely and fully treat inflammatory diseases of the reproductive sphere and other systemic pathologies.
6. Do not self-medicate, watch your diet and do not experiment with strict diets.

There is no need to be ashamed and worry that you haven’t had your period for a long time or that you should have your period but didn’t come on time. Consult a doctor, get examined and follow the recommendations of the gynecologist.