Delay of menstruation, the test is negative, pulls the lower abdomen - what does it mean

Any delay in the months is always an excuse, especially if the woman does not plan to become a mom in the near future. Pregnancy becomes the cause of this phenomenon only in 65-70% of cases. In other situations, the absence of menstruation can be the result of unsuccessful sexual intercourse, stress or gynecological diseases. The probability of violations in the work of the female body increases, if the delay is more than 5-10 days, and there are pulling pains in the lower abdomen, while the pregnancy test shows a negative result.

Menstrual cycle in women

The first menstruation in girls appears at the age of 11-13 years. With hereditary predisposition and early maturation of the reproductive organs, menstruation may appear in 8-9 years. The irregularity of the cycle at this age is explained by the activity of the hormonal background, so the absence of a period in the adolescent period is considered the norm.

Important! The stabilization of the menstrual cycle in adolescents occurs in about 6-8 months. If this does not happen, it is worth to visit the children's gynecologist and pass tests for hormones and hidden gynecological diseases.

In women of reproductive age who do not have health problems, the cycle is from 28 to 35 days. Countdown should start from the beginning of the first menstruation. The acceptable deviation from this rate is 1-2 days. If the cycle fails regularly, the woman needs a full examination in a hospital. Delaying the timing of seeking medical help is fraught with infertility and other health problems. Even if the woman has already given birth, do not be frivolous about this problem, since a delay in menstruation combined with painful sensations in the abdomen and lower back can indicate serious pathologies that can lead to the development of cancer.

On what day of the delay should I do the test?

Most often, the delay in menstruation, if it occurs for the first time, means the onset of pregnancy, especially if the woman has pulling pains in the lower abdomen. A special test for home diagnosis can be done on the first day of delay, since most of them are highly sensitive to hCG contained in the urine. But in some cases, the test may show a false result at a small gestation period, so to get a more accurate result it should be done in 3-5 days.

To get the correct result from the first day of absence of monthly with the help of home test strips, it is necessary to observe the following recommendations:

• to do the test is necessary in the morning hours immediately after awakening, as at that time the hCG concentration reaches the maximum value;
• The container in which urine is collected should be sterile;
• before the procedure, it is necessary to wash thoroughly with the use of gentle means without fragrances;
• to evaluate the result, the strip should be kept horizontally by the test zone upwards;
• the used strip should not be placed near high temperature sources, as this can distort the result;
• maximum time to evaluate the result - 10 minutes.

On the tenth day after the absence of menstruation, any test will show a reliable result, but for better protection it is better to contact a women's consultation.

If the test is negative and pulls the bottom of the abdomen

If the test shows one strip, and ultrasound has confirmed that there is no pregnancy, but the abdominal pains persist, it is necessary to consult a gynecologist. Do this after 7-10 days of menstruation. In some cases, the delay can be explained by completely harmless factors, the elimination of which leads to a resumption of the monthly and stabilization of the cycle. To provoke the absence of allotments can:

• stresses and unrest;
• abundance in the diet of harmful products containing a large number of carcinogens, preservatives, flavor enhancers, fragrances and other synthetic additives;
• insufficient intake of iron and vitamins of group B, as well as ascorbic acid with food;
• smoking;
• use of large doses of alcohol;
• lifting heavy objects;
• lack of oxygen( with rare and short walks).

A woman's lifestyle is important. Correction of eating behavior, increased physical activity, swimming exercises have a positive effect on the reproductive system. Reducing the caloric content of the daily diet due to fatty foods, as well as increasing the proportion of vegetables, herbs, fruits and berries in the daily menu helps to control the synthesis of estrogen and progesterone - the main sex hormones that regulate the process of maturation of follicles and leaving eggs in the fallopian tube.

If a lifestyle change does not work, a woman needs professional help. Gynecologists strongly recommend contacting a women's consultation in the following cases:

• , the delay lasts more than 10 days;
• cycle disturbances are of a permanent nature;
• menstruation is absent for several months, and the probability of pregnancy is excluded by a specialist.

Important! It is necessary to consult a doctor immediately if a delay in menstruation is accompanied by painful sensations in the lower abdomen, lumbar region or gluteal muscles.

Video - The delay is monthly, the test is negative, pulling the lower abdomen. What can be?

Drawing pain in the absence of menstruation: possible causes of

Almost all the causes of pain in the abdomen are pathological, so do not delay with a visit to the clinic. To accurately and correctly diagnose a woman, it is necessary to pass tests and undergo a test, including a number of procedures that are carried out only under stationary conditions.

Ectopic pregnancy

This is one of the most common causes of the absence of menstruation in due time. In most cases, the pregnancy test will show a positive result, even if the fetal egg is stuck in the fallopian tubes, but sometimes this way of diagnosis is inaccurate, and only one strip appears on the surface of the test zone.

Ectopic pregnancy is a dangerous phenomenon that can lead to rupture of the fallopian tubes at any time and the occurrence of severe internal bleeding. To the consequences of pathology did not lead to death, it is important to know the alarming signs and symptoms. These include:

• pain pulling or stitching in the lower abdomen and lower back;
• temperature increase;
• nausea, vomiting is possible once;
• lack of appetite;
• cold sweat.

All these symptoms require immediate treatment in the hospital. Any delay can cause a rupture of the pipe and the death of a woman( if she is not provided with the necessary assistance on time).

Endometrial Pathology

Endometritis - inflammation of the uterine mucosa - often causes the absence of menstruation, which is followed by prolonged and profuse bleeding. The same clinical picture is typical for endometrial hyperplasia - pathology, which leads to excessive growth of epithelial tissue and thickening of the endometrium. Both pathologies are caused by hormonal disorders, so the treatment is to take oral contraceptives( "Yarina", "Zhanin", "Diane-35") and normalize the diet, which helps to support the synthesis of female sex hormones. Stop bleeding is carried out using diagnostic curettage.

A woman will also need special nutrition with increased iron content, which is actively lost during prolonged bleeding. To prevent anemia, you need to eat more veal, legumes, dishes made from buckwheat, apples. Useful pomegranate and apple juice, as well as broth of wild rose.

Important! Use of hematogen as a source of iron is permissible only at normal weight. Women with a violation of carbohydrate metabolism and excessive body weight, this product is contraindicated.

Sexual infections

The most common female problem is thrush. This disease is caused by yeast fungi of the genus Candida, therefore the medical name of the thrush is candidiasis. The growth of the pathogenic flora is promoted by a change in the acidity of the vaginal environment and the death of lactic acid bacteria, which maintain an optimal balance of microorganisms on the surface of the mucous membranes of the genital organs. A frequent cause of this disease is non-compliance with hygiene and the use of care products that are not suitable for intimate hygiene. Frequent washings and syringings also dry the mucous membranes of the vagina, creating favorable conditions for the reproduction of the fungus.

Any sexual infections( gonorrhea, chlamydia, trichomoniasis) are accompanied by additional symptoms, so it is quite easy to suspect their presence.

Symptoms of genital infections

Symptom	Consistency discharge	Highlight	smell	Soreness
Candidiasis	cheesy possible specks and lumps	White, cream	may be absent, but more sharply sour milk smell( reminiscent of spoiled yogurt)	Burning and itching in the crotch, vagina or anal opening, pulling pain in the lower abdomen
Gonorrhea, chlamydia, trichomoniasis	Thick	Green, yellow, tobrown	Putrid, "fishy", pronounced	Rezi when emptying the bladder, pulling sensations in the lumbar part
Viral infections	Mild, mucous	Transparent	Odor of a rotten egg	Itching can be seen with mild itching

It is necessary to treat sexual infections immediately. If the disease goes into a chronic form, complications can not be avoided.

Inflammation of the appendages

At the initial stage, inflammatory processes in the fallopian tubes and appendages( adnexitis) are accompanied by minor pulling pains in the lateral part of the lower abdomen. As the pathology progresses, the intensity of pain increases, and it acquires an acute stitching character. These feelings are hard to stop on their own, as this requires eliminating the cause, that is, getting rid of inflammation.

The delay in adnexitis may be 3 to 7 days. By the end of this period, the pains become almost unbearable, reduce motor activity, so a woman needs qualified care in a gynecological hospital.

Important! Inadequate or insufficient treatment of adnexitis in 50% of cases results in infertility and abnormalities in the work of the reproductive organs.

Appendicitis

Sometimes a slight delay in the monthly and pain of the pulling character can be the first signs of inflammation of the appendix. When the catarrhal stage ends, the pains become diffuse and intense. To distinguish appendicitis it is possible on a characteristic pose: the woman tries to lay down on the left side and tightens knees to a stomach.

The absence of monthly in the due time can be quite harmless phenomenon that occurs after elimination of all provoking factors. But if the pain syndrome is attached to the delay, it is necessary to contact the hospital as early as possible. Effective treatment of any gynecological diseases is possible only at the initial stages, so any delay in this matter is unacceptable.