This is an automatically translated article.
The article was professionally consulted with Doctor Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
Normally, if 35 days from the date of menstruation, there is still no period, it is called delayed menstruation. A missed period with lower abdominal pain is likely to have an ectopic pregnancy, which should be examined promptly.
1. Learn about the phenomenon of delayed period, lower abdominal pain
1.1. What is delayed period?
Delayed period (missing period) is an erratic manifestation of the menstrual cycle in women. Menstruation is the phenomenon of menstruating, but still no appearance of menstruation. When more than 35 days from the date of menstruation of the previous cycle, but you still have not had a period, it is considered a missed period. If there is no period for 3 consecutive periods, it is called amenorrhea.
1.2. Causes of delayed period
Many people still think that a missed period is a sign of pregnancy. But that's not all. Missed period is caused by many reasons:
Missed period due to pregnancy This is the most common and most predictable cause that signals that you have had a baby if you have had sex.
During a normal menstrual cycle, the lining of the uterus is made monthly to prepare for the implantation of a fertilized egg. If not fertilized, the lining will be removed causing menstruation
On the contrary, if fertilized, of course this mucosa will continue to nourish the fetus throughout the pregnancy. So if your period is late, it is likely that you are pregnant, use a test strip to know the most accurate.
In case of missed period accompanied by lower abdominal pain, it is possible that there is an ectopic pregnancy, this is a dangerous phenomenon that needs to be examined promptly.
Late period pain in the lower abdomen without being pregnant can be caused by different reasons:
Gynecological diseases such as uterine fibroids, cervical ectropion, ovarian cysts, ovarian failure, ovarian inflammation. If your menstrual blood is clotted, has an unpleasant smell or color, has an unpleasant odor, and is accompanied by dull lower abdominal pain, even severe pain, you most likely have the above diseases.
Due to endocrine disorders: if the hormones are in balance, the menstrual cycle will also be regular. When abnormalities occur, the hypothalamus, pituitary gland, and ovaries malfunction. As a result, the hormonal system will be out of balance, causing menstrual disorders. Sudden weight loss: Weight gain and loss will affect the amount of estrogen needed by the body to create the lining of the uterus. Overproduction or lack of estrogen will make the lining of the uterus unstable, causing a missed period. Stress, unscientific lifestyle such as working too much, often in a state of stress, erratic eating and sleeping will cause menstrual disorders. Due to the side effects of the drug: if you are prescribed a new drug or change the one you are taking, your menstrual cycle will be affected. Some drugs that can cause menstrual delay such as antidepressants, hormonal drugs, tranquilizers, oral contraceptives, chemotherapy drugs, etc. In addition, delayed periods can also be caused by the use of many stimulants (alcohol) beer, tobacco,..), women with early menopause are also the cause of late periods,...
2. Lower abdominal pain - a sign of many dangerous diseases
The lower abdomen contains many important organs of the body such as colon, appendix, lower ureter, pelvis, uterus (women), prostate gland (men). Therefore, any organ in the lower abdomen area presents with symptoms of lower abdominal pain.
Pain in the right and left iliac fossa is a sign of diseases such as colitis, rectal polyps, colon polyps, pain in the right ureter, bladder stones. For women, pain in the right iliac fossa may be due to adnexitis, torsion ovarian cysts, ectopic pregnancy, or dysmenorrhea...
These diseases all cause lower abdominal pain, accompanied by other symptoms such as fever, frequent urination, burning sensation, frequent urination, and cloudy urine when having a bladder infection. Urinary incontinence, difficulty, painful urination in prostatic hyperplasia in men.
In diseases that cause lower abdominal pain, it is necessary to pay special attention to emergency diseases such as appendicitis, twisted ovarian cysts, ectopic pregnancy... These diseases, if not treated in time, can cause many serious consequences. It can even cause death.
Early detection of diseases in general and gynecological diseases in particular will help the treatment process become more favorable and have better results.
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