Most modern girls regularly monitor their menstrual cycle, which allows them to detect even the most minimal delays. And if the menstruation is late and it is accompanied by painful sensations, then many start to think about the state of their health. Quite often there is such a situation that there is no monthly and hurts the left ovary, or the right ovary. What is the relationship between these symptoms?
Cause of pain
First of all, it should be noted that if pains appear before every menses, it is most likely that ovulation is so simple. Therefore, a slight delay and pain can be due to physiological phenomena. However, if there was no previous problem, and now the ovaries are ill and the monthly delay, you should see the doctor for a survey.
Similar manifestations may occur due to:
- Excessive production of prostaglandins by the body, which can lead to the development of plethora of the pelvic organs;
- The formation of the ovarian cyst;
- Inflammatory processes in the appendages of the uterus;
- Pregnancy onset;
- Endometrial pathology;
- Dysfunction of the ovaries;
- Nervous system disorders;
- Late onset of ovulation.
At home, it is impossible to pinpoint the cause of a condition in which there are no menstruation and the ovaries are ill, since the symptoms of the problems described above are very often identical, and additional examination methods are needed.
Excessive production of prostaglandins
It should be noted that prostaglandins perform a large number of functions in our body. One of them is the induction of the onset of menstruation, when a spasm in the vessels of the pelvic organs is provoked. They are also called mediators of pain. The more of them are in the bloodstream, the more painful it is at the beginning of menstruation.
If the production of these substances is increased or the woman has a low pain threshold, the ovaries and the lower abdomen may get sick during critical days each month. Doctors associate an increase in the concentration of prostaglandins with the presence in the body of various toxins. This means that in an ideal variant for struggle against painful sensations is search of the initial cause, instead of reception of the various preparations removing pain.
Ovarian cyst
Very often, if the menstruation is not on time, there is pain on the left, you can suspect an ovarian cyst. This education does not always manifest itself at once, because painful sensations appear when the cyst reaches a large size or several cysts develop at once. Most often it affects the left ovary.
Pain appears during a delay before the onset of menstruation because it is at this point in the cyst that it increases and presses on the organ that reacts with pain.
Inflammatory processes in the appendages of the uterus
Inflammation phenomena that accompany pathologies such as salpingitis, oophoritis, or adnexitis usually manifest themselves before critical days. Usually the ovaries hurt on both sides, but the pain arises periodically. In some cases, it worries for a long time. A characteristic symptom is pain in the lower abdomen with irradiation into the sacrum. Quite often, these diseases can be accompanied by such symptoms:
- Sleep disorders;
- Weakness, lethargy, weakness;
- Irritability and excessive nervousness.
The provoking factor for inflammation of the uterine appendages is usually the infectious processes, a decrease in immunity against the background of hypothermia, malfunctions in the work of immunity.
Later onset of ovulation
Delay of menstruation with concomitant pain in one ovary can be caused by late onset of ovulation. After the egg leaves the ovary, the follicle breaks and a yellow body forms. It is responsible for the production of progesterone, which also acts as a regulator of the menstrual cycle.
If the female body has developed disorders that caused ovulation to stop, then the yellow body will form later, and the synthesis of the hormone will also be late. In the end, this will lead to a delay in the monthly and the development of pain.
Ovulation can be determined using the following methods:
- A special test for ovulation, however, its results are often unreliable;
- ultrasound of pelvic organs, gives the answer with high accuracy;
- Blood test for hormones.
It should also be noted that violations in the work of the yellow body can be triggered by the presence of hormonal disruption, excessive stress or infectious processes.
Pregnancy
Pain in one of the ovaries can occur while the sperm fertilizes the egg. They testify to the production of progesterone, which indicates that the pregnancy is proceeding normally.
Sometimes such a symptom can talk about the onset of softening of the pelvic floor muscles and the growth of the uterus. For pregnancy, such processes are physiological and they do not require any treatment.
In some cases, a cyst can be formed in place of the follicle, and at conception it begins to grow. Due to the increase in size, pain can occur, which is explained by the ovarian stretching. It should be noted that this process does not pose a risk for pregnancy and fetal health. However, it is better to visit a doctor anyway, since there is a danger of developing an ectopic pregnancy in the ovary itself.
Dysfunction of the ovary
The concept of abnormal ovarian function includes all kinds of pathology of the hormonal background, which can be caused by a disorder of the work of these organs. They are recognized due to a long delay in menstruation and the presence of uterine bleeding after menstruation, which can last more than seven days. Also, pathology can be diagnosed due to the irregularity of the onset of menstruation with a decrease in the time interval between them, when it is less than three weeks. They are called dysfunctional uterine bleeding.
On the presence of such a pathology can say severe premenstrual syndrome, amenorrhea - the absence of a long period of time in the absence of pregnancy and female infertility.
Ovarian apoplexy
Ovary apoplexy is a condition in which an ovary ruptures with a subsequent hemorrhage into the abdominal cavity. The situation is accompanied by pain in the lower abdomen with irradiation in the lower back and perianal region. Usually the clinical picture includes:
- Pronounced general weakness until fainting;
- Dyspeptic phenomena;
- Hypotension and tachycardia;
- Hyperthermia;
- Pale skin;
- Dizziness.
Apoplexy occurs due to various traumatic injuries of the abdominal area, as well as pathologies in the ovarian vessels, inflammatory processes, excessive physical stress, including overvoltage in sexual intercourse.
Ignore this situation in no way, because it can be fatal. The diagnostic complexity of apoplexy lies in the difficulty of differential diagnosis with appendicitis or ectopic pregnancy. This means that if you have the above symptoms, you need to call an ambulance immediately. Treatment of this condition is carried out exclusively at the expense of surgical intervention.
Causes of psychogenic nature
Nervous tension can occur in diseases such as depression, hypochondria, emotional burnout, hysteria and others. It can easily affect the metabolic processes in the body, as well as cause any pathological process, which include the development of pain in the lower abdomen with a delay in menstruation.
This diagnosis is established when a comprehensive examination was conducted, in which no possible cause of pain and delay in menstruation was established.
However, these problems should not be considered safe for the female body, as they can provoke other pathological situations. In order to eliminate psychosomatic pathologies that lead to changes in the physical status of a person, one should pay attention to one's lifestyle. First of all, it is necessary to eliminate the factors causing the negative. Sometimes consultations and treatment are necessary for psychologists and neuropathologists, who can prescribe special courses of treatment of psychological and psychosomatic problems.
To summarize
Regular pain in the lower abdomen with delayed menstruation is often physiological, especially when it comes to delaying ovulation. However, if the menstruation still does not begin, and in the lower abdomen continues to bother, you should consult a specialist. Delaying "for later" will not only add work to doctors, but also negatively affect your health. If, in addition to the pain and delay of menstruation, symptoms such as severe weakness appeared, the pains increased significantly, the skin turned pale, immediate medical attention should be called in, take a horizontal position and not give up the proposed hospitalization.
