Delayed menstruation by 4 days may be a physiological phenomenon. The reasons for this phenomenon lie in the peculiarities of the dynamics of the hormonal background of the woman's body and the influence of environmental factors. If the patient is not worried about uncomfortable manifestations during this period, then such fluctuations are absolutely normal and do not cause concern.
Record content:
- 1 On what day can a pregnancy test be done
- 2 Possible Reasons for Delay with a Negative Test
- 3 Failure in a woman's menstrual cycle
- 4 Diseases that can cause a violation of the cycle
- 5 If the lower abdomen hurts
- 6 Diseases of the gastrointestinal tract
- 7 Pathology of the genitourinary system
- 8 Video about delayed menstruation
On what day can a pregnancy test be done
The menstrual cycle is the time interval from the first day of its onset until the onset of a new period. Its norm in women is from 28 to 32 days. But it can change.
A delay is a phenomenon in which the onset of the next menstruation is not observed in due time.
A delay of 4 days (the reasons can be very diverse) may indicate not only the onset of pregnancy, but also a number of pathological conditions.
In addition, the onset of menstruation may be due to the intake of hormonal drugs, climate change and as a physiological option. A delay in menstruation can occur several times a year in a perfectly healthy woman.
A pregnancy test can be done no earlier than the 4th day of a missed period. Moreover, more accurate digital tests can show the presence of pregnancy, while conventional litmus tests, on the contrary, can linger in the correct result. As a rule, in case of a negative test and a delay in menstruation, it is recommended to repeat it after a few days.
In addition, negative or positive tests can be false. This option occurs when the technique is incorrect, as well as when purchasing low-quality tests or with an improper shelf life.
And also the test can give a dubious result, in which the second strip on the test is not very noticeable (this phenomenon is observed quite often).
If the delay is observed on a time interval of more than a week, as well as if it occurs against the background of pathological symptoms (bleeding, pain in the lower third of the abdomen), then an ultrasound scan is recommended research.
This diagnostic method can determine the presence of the ovum in the uterine cavity and establish its exact localization. An ultrasound scan is recommended on the 4th - 7th day of the delay. This is especially necessary if the woman had unprotected intercourse during this monthly cycle.
In addition, an informative research method is a blood test for hCG. This substance is released during pregnancy and, if the period is more than 4 weeks, its concentration in the blood reaches sufficient values that can be established during the analysis.
Possible Reasons for Delay with a Negative Test
A delay of 4 days (the reasons are listed below) with a negative test, they do not always indicate pathology. It can also indicate a completely normal physiological phenomenon.
There are the following reasons:
- Postpartum period. Menstruation after childbirth occurs after 4-6 months. But after the first postpartum menstruation, the second may be delayed. This is due to hormonal changes in the body.
- Ectopic pregnancy. With this phenomenon, an insufficient production of the hormone of pregnant women occurs, which can affect the test result.
- Chronic diseases of the reproductive sphere. Including infectious and inflammatory pathologies.
- Taking hormonal drugs.
- Dramatic weight loss.
- Breaking the cycle.
Symptoms of delayed menstruation:
- Drawing pains in the lower abdomen.
- The presence of bloody discharge from the genital tract. As a rule, they are insignificant, slimy. The development of such a symptom is observed in the process, accompanied by the implantation of fetal eggs in the uterine cavity.
- Enlargement of the mammary glands and their increased sensitivity.
- Nausea or vomiting
- An increase in the size of the abdomen.
- Hypersensitivity to taste and smell.
All these symptoms are possible with the development of pregnancy, but there are also some other symptoms, the appearance of which indicates the presence of hormonal or inflammatory disorders in the body.
These include:
- The appearance of pain in the lower abdomen.
- Fever or fever.
- A deceiving sensation of the presence of a foreign body in the abdominal cavity.
- Bleeding.
- The presence of purulent discharge.
Possible dangers are the following pathologies:
- Inflammatory diseases of the reproductive system.
- Infectious pathologies of the kidneys and bladder.
- Urgent conditions of the digestive tract (appendicitis, peritonitis).
- Diseases of the ovaries (torsion of the cyst on the pedicle).
- Ectopic pregnancy (ovum in the cavity of the fallopian tube).
- Oncological diseases of the reproductive system.
The basic rule for preventing complications is to conduct a thorough diagnosis of the female body.
For this, it is carried out:
- Examination by a gynecologist (vaginal examination).
- Blood test for hCG (human chorionic gonadotropin).
- Clinical and biochemical blood test.
- Ultrasound of the pelvic organs.
- X-ray of the uterus (in the absence of pregnancy).
- Ultrasound of the abdominal organs.
- Consultation with specialist doctors.
- Blood test for hormones.
- Bacteriological examination of vaginal discharge.
- General and bacteriological analysis of urine.
- Ultrasound and radiography of the kidneys.
Failure in a woman's menstrual cycle
Failure of the menstrual cycle is irregular menstruation of a shorter duration or with a large interval between them. Violations can be both physiological and pathological.
The physiological reasons for a malfunction in the menstrual cycle include:
- The young age of the girl, the onset of menstruation for the first time. At this age, the menstrual cycle is not stable and it can take up to 2 months between the first and second periods.
- Recovery after childbirth.
- Climate change.
- The woman is over 40 years old. During this period, the body is preparing for menopause, so menstruation can change their interval and duration.
- Individual development of the reproductive system.
Pathological causes of hormonal failure include the following:
- Chronic inflammatory diseases of organs.
- Long-term hormone therapy (treatment, contraception with hormonal drugs).
- Operations and recovery after them.
- Disturbances in the work of the ovaries.
- Prolonged fasting.
- Numerous abortions, including with the help of medication.
- Incorrect installation of the intrauterine device.
- Genetic diseases.
Diseases that can cause a violation of the cycle
The hormonal background of a woman is very sensitive to changes in the state of the body and, with various pathologies, can change dramatically, while causing a delay in menstruation.
This is due to the fact that the female body cannot plan pregnancy with the development of life-threatening diseases or just at the moment when pregnancy is impossible, or may harm the future to kid.
Not only diseases of the reproductive system can cause a malfunction in the menstrual cycle, but also other severe somatic and even neurological pathologies.
The main diseases that cause a delay in menstruation include:
- Inflammatory diseases of the reproductive system. For example, adnexitis, endometritis.
- Chronic diseases of the reproductive system (polycystic ovary, endometriosis, extensive adhesions, uterine fibroids).
- Poisoning by radiation and chemical substances.
- Acute and chronic infectious diseases. Including heavy, long-term current.
- Tuberculosis.
- Damage to the central nervous system (brain injury, inflammation, paralysis and paresis).
- Chronic somatic diseases (diabetes mellitus, hypothyroidism).
- Inflammatory diseases of the urinary system (cystitis, pyelonephritis). Especially often the cause of delayed menstruation is chronic cystitis with frequent relapses (inflammation of the bladder).
- Oncological diseases.
- Drug intoxication.
- Anorexia. This disease can cause a complete cessation of menstruation, up to the optimal weight gain. In some cases, secondary infertility may be diagnosed in patients with anorexia.
- Chemotherapy treatment. Against the background of the use of chemotherapy in patients, menstruation stops, since under the influence of these drugs, not only cancer cells die, but also healthy structures of the body.
A delay of 4 days due to hormonal disruption is restored, as a rule, after the patient has fully recovered. This hormonal imbalance is reversible. But in case of severe diseases, the development of infertility is possible. And also an early onset of menopause (menopause) can be noted.
If the lower abdomen hurts
The pulling and aching nature of the pain in the lower sections may indicate the development of many pathologies. Including, with a delay in menstruation, this may indicate the onset of pregnancy.
For the presence of this syndrome, the following reasons are possible:
- Pregnancy. In this case, the appearance of mucous membranes or with an admixture of blood secretions is possible, which often indicates implantation of the ovum into the uterine cavity.
- Ectopic pregnancy. This pathology is characterized by the attachment of the ovum in the fallopian tube and is a threat to the woman's life. At the initial stage, it manifests itself as prolonged aching pains in the lower abdomen.
- Premenstrual syndrome. One of the manifestations of the approaching menstruation is a slight pulling pain in the lower abdomen or in the groin area.
- Ovulation. Some women experience ovulation, especially in women who have given birth. Ovulation is accompanied by aching pains in the lower abdomen and an increase in sexual desire.
- Diseases of the gastrointestinal tract. In this case, aching pain is accompanied by other specific symptoms (attacks of nausea, vomiting, diarrhea).
- Pathology of the urinary system. In particular, inflammatory diseases cause such a clinical picture.
- Injuries to the pelvic organs.
- Tumor formations.
- Myoma of the uterus.
Diseases of the gastrointestinal tract
Diseases of the gastrointestinal tract are often confused with pathologies of the reproductive system. Since these diseases have similar symptoms and without proper diagnosis, the patient cannot distinguish them on his own.
Among these pathologies, the following are distinguished:
- Acute appendicitis.
- Colitis (inflammation of the colon).
- Intestinal infections.
- Peritonitis.
- Excessive gassing.
- Intestinal tumors.
| Disease of the gastrointestinal tract | Symptoms |
| Appendicitis (inflammation of the appendix) | Depending on the localization of the appendix, pain syndrome can be localized in the groin, lower abdomen or in the umbilical region. It is accompanied by pain, which gradually increases and reaches its peak. In addition, there is an increased temperature, symptoms of nausea and vomiting, tension of the abdominal muscles. |
| Colitis | This is a chronic disease, which is accompanied by periodic aching pains in the lower abdomen, indigestion (nausea, vomiting, diarrhea), decreased appetite. |
| Excessive gassing | May occur against the background of an improper diet. It is accompanied by the accumulation of gases in the intestines, which provoke the development of pain. As a rule, with gas formation, pain in the groin or lower abdomen is observed. Along with this, there are difficulties with the passage of gas, stool retention. |
| Peritonitis (inflammation of the peritoneum) | This is an acute condition that requires immediate medical attention. It is accompanied by pain, nausea and vomiting, fever.
|
| Intestinal tumors | May be accompanied by prolonged aching pain in the lower abdomen, fever (especially in the evening), stool retention. May show bloody discharge with feces. And also the patient complains of an intense decrease in body weight, impaired appetite, aversion to meat food. |
| Intestinal infections (salmonellosis, dysentery) | It is accompanied by fever, diarrhea, nausea and vomiting. And also with the development of intestinal infection, there is intense intoxication of the body and pain syndrome. |
Pathology of the genitourinary system
A delay of 4 days (the reasons may be due to diseases of the genitourinary system) may accompany the chronic course of the disease.
These conditions include:
- Pyelonephritis (inflammation of the renal pelvic system).
- Cystitis (inflammation of the bladder).
- Chronic renal failure.
- Urolithiasis disease.
- Glomerulonephritis.
The main cause of these diseases is bacterial infection. Infection occurs during intercourse, with improper hygiene of the genitals, as well as with the introduction of a bacterial infection from the area of chronic inflammation.
A delay of 4 days (the reasons are often associated with a bacterial nature) can be accompanied by aching sensations in the lower abdomen, delayed menstruation, as well as other more specific symptoms:
| Pathology of the genitourinary system | Symptoms |
| Pyelonephritis (inflammation of the kidneys) | Accompanied by aching pain in the lumbar region, smoothly turning into the groin area. Pain in pyelonephritis, pulling, aching. Reminds of pain during menstruation. In addition, there is an increase in body temperature and a change in urine.
|
| Cystitis (inflammation of the bladder) | It manifests itself as intense pain in the lower abdomen and suprapubic region. There may be a strong burning sensation that briefly disappears after urinating. The process of urination is painful, especially at the end. In addition, there may be an increase in body temperature. |
| Urolithiasis disease | It is accompanied by intense pain in the lower abdomen and in the area of localization of the ureter (groin). In addition, there may be severe pain in the lumbar region and an increase in body temperature. |
Treatment of such diseases is carried out with the help of antibiotic therapy and the use of diuretics. This will reduce the risk of the infection becoming chronic, which serves as the development of a continuous course of the disease with frequent relapses.
If your period is delayed for more than 4 days, then this can be due to many reasons. The onset of menstruation may be due to the onset of pregnancy, hormonal disruption in the body, and also due to the development of inflammation in the reproductive organs.
In order to avoid the development of dangerous complications, it is necessary to diagnose the cause of the delay in menstruation in time. To do this, you need to consult a gynecologist for examination and other research methods. Timely diagnosis will help to significantly reduce the risk of developing dangerous complications and maintain women's health.
Video about delayed menstruation
What may be the reason for the delay:
