What to do if the test is negative, but there are no monthly
Women perceive the delay of critical days in different ways. A patient dreaming of a baby will regard the lateness of her period as a sign of the “arrival of the stork”. A woman who devotes a lot of effort and finances to protection from unwanted motherhood will be afraid that her period has not come. If the patient has a month delay and the test is negative, she should visit a specialist. Perhaps a violation of natural rhythms associated with an infection of the urogenital area. Also, do not exclude the presence of inflammation or cysts in one of the sensitive organs.
Remember all you need ... and draw conclusions!
The delay of special days for many women is a familiar event. Menstrual "hibernation" five to seven days long is not a dangerous phenomenon. In modern women, the violation of natural rhythms often happens. However, there is a difference between misunderstanding and frightening diagnosis. If there is no more than three weeks, you should get a pregnancy test.
Whatever plans for motherhood are relevant to the patient, she should not ignore the long delay in menstrual flow. Perhaps the hormonal balance of the woman violated the inflammation of the genital glands.
Faced with an unexpected delay, the girl needs to think about the following "importance":
- The quality of intimate life. Having a loved one or a permanent partner has a positive effect on the hormonal state of beautiful women,
- The way to protect. Many women trust birth control pills. Their effectiveness sometimes delights patients. However, some hormonal drugs affect the female sex glands too roughly. If earlier monthly came to you strictly "according to the schedule", and now you see that 1 month there is no menstruation, you should visit the gynecologist. Perhaps the doctor will advise you another way to protect against unwanted conception,
- Recently experienced diseases. Not everyone knows that menstruation can be delayed due to sore throat, flu, intestinal infection. A debilitating disease could cause menstrual "hibernation." Having recovered from the disease, you will wait for the next critical days.
What is missing for the patient?
Ladies and ladies are accustomed to perceive the arrival of menstruation calmly. Women start to get nervous and fussing, finding a delay in themselves. If the special days were delayed for several weeks, and the test is negative, the patient's hormonal “failures” are not excluded.
The first half of the cycle is marked by increased levels of estrogen in the girl’s blood. Thanks to estrogen, an egg cell is formed in the gonads of the patient. On the thirteenth - fifteenth day of the cycle, the female cell is directed toward the uterus. There she can meet sperm. On the site of the ovary, which left the egg, appears yellow body. The task of this interesting "unit" is to produce progesterone. The aforementioned hormone plays an important role in preserving the embryo. If the stork does not work, the woman will begin menstrual flow.
If the patient did not wait for her period, and the test insists that conception did not happen, the girl would be “covered” with panic. The patient could have hormonal disharmony in the body. Laboratory studies are able to confirm or refute the doctor's guess on the lack of female hormones.
To change the frequency of the arrival of menstruation may recent childbirth. Great stress for the female body are abortion and miscarriage. After the aforementioned events, menstruation does not improve immediately.
Everyday reasons for the disappearance of menstruation
For 1 delay, it is impossible to conclude that the patient’s childbearing sphere is in trouble. You should be worried if your periods often come to you with a huge delay.
Let's call the everyday reasons for the long absence of menstruation:
- rapid weight loss,
- passion for sports training
- change the brand of birth control pills. The beginning of the course of preventive "measures" often brings unpleasant surprises to women. Gynecologists remind you that within three months your body’s natural rhythms should return to normal,
- rejection of protein-containing foods,
- prolonged feeling of depression, anxiety.
Sometimes a woman herself “cultivates” her problem with thoughtless actions. By adjusting your lifestyle, the patient will achieve a quick arrival of menstruation.
Recall that surgical intervention in the urogenital area of the girl leads to a delay of critical days. After the elimination of a cyst or fibroid in a girl, menstruation may disappear. If your physical stamina has undergone undesirable changes, completely give up alcohol. Grueling work and conflict situations are also prohibited for you.
To seriously think about your reproductive future is necessary for a woman, often observing the delay of critical days. An alarming "application" is considered to be a situation where the menstrual cycle has lengthened. Patients whose cycle was stretched for fifty-five to sixty days should be referred to antenatal clinic. After examination, the gynecologist will appoint a woman for hormones.
The hormonal balance of Eva's great-grandchildren can upset an event that the patient did not betray. An unbalanced diet, frequent conflicts at work, taking antidepressants can affect a woman’s reproductive “microcosm” distressingly. Violations do not always pass on their own.
Early menopause may sneak up on an active flowering woman. Manifestations of early wilt are sometimes similar to ordinary fatigue. A woman notices a decrease in activity, discomfort in the lower abdomen. Menstruation can "shut up" for 1 - 3 months.
Some patients, acquiring a test in a pharmacy, are most afraid of unplanned conception. Making sure that the issue of pregnancy is not relevant for them, women calm down and drag out with a visit to the doctor. Excessive positivism is inappropriate when the patient has no critical days for a long time.
Menstruation may be delayed due to a decrease in the function of the sexual glands. To conceive and make a baby, women seek help from a competent gynecologist. A specialist will help you find the optimal strategy for hormonal correction.
Ailments "stealing" menstruation
Having bought a pregnancy test, the patient will find out whether her guess about the “interesting position” is fair. If you have a month delay, the test is negative, you should think about the welfare of your childbearing “system”.
There are insidious diseases that slowly erode the protective reserves of the female body. Diseases can manifest as pulling back pain, febrile states, excessive sweating. If the patient has more than 1 month “provocative” days, she should be examined in the conditions of the polyclinic. The sooner a woman finds out about the trouble, the higher the likelihood of timely elimination of the disease.
We list the dangerous pathology, the fault of which menstruation "refuses" to come to the girl:
- thyroid ailments,
- changes in the structure of the pituitary gland,
- cystic formations in the gonads,
- infectious diseases
- benign lesions in the uterus,
- malignant lesions of important organs,
- pregnancy developing outside the uterus.
Test "cheated" ...
Doing a pregnancy test should not completely rely on its results. In the first month of embryo development, not every test can “catch” hormonal metamorphoses occurring in the female body. Noticing the manifestations of a particular state, a woman should buy a test of a different brand. Doctors know many stories when a delicate device showed the patient a false result in the first few weeks of gestation. In rare cases, 1 strip may appear on the test "deeply pregnant" women.
For any discomfort, the patient should listen to the recommendations of an experienced doctor.
If a girl has an irregular cycle (menstruation does not come every month), scanty or heavy discharge, then this indicates ovarian dysfunction. Such a problem can cause a delay in menstruation for up to 2 months or more.
If after a medical examination the doctor has made such a diagnosis, it means that the hormonal functioning of the ovaries is impaired. In this case, long-term hormone therapy is required.
When ovarian disease develops white discharge, pulls the lower abdomen, weakness. If the new cycle did not start after 8-12 days, and the diagnosis showed a negative result, then, most likely, the girl has a problem with the ovaries. To delay the treatment can not be, as the prolonged form of the disease leads to infertility or to serious problems with fertilization in the future.
Today, all people are exposed to stress every day. They arise from domestic problems, work, study, relatives and friends. All experiences and excitement can lead to nervous breakdowns, emotional exhaustion and hysteria.
Due to the constant tension of the body and nervous system, menstruation may not go even if the woman’s cycle was regular.
In addition, the absence of critical days may occur for the following reasons:
- Transfer, business trip or a trip to rest / to visit. Abrupt change of environment, climate, the road itself can significantly affect the body and the cycle will change. As a result, menstruation will begin next month or move for a couple of weeks.
- Drugs and contraceptives. If a woman drank antibiotics or hormones, the cycle will also shift and there will be a delay. The same happens when taking oral contraceptives.
How to avoid stress? Fully protect themselves from excitement and stressful situations will not work. However, you can control your body. You need to be able to calm yourself down and tune in to a positive wave. Then the cycle is normalized, and the monthly will come in the coming days.
Excessive physical activity - another reason for the delay of menstruation. If the girl is involved in professional sports or has been attending the gym for a long time, then this may adversely affect the reproductive organs. Increased loads provoke a violation of hormonal levels, as a result, the menstrual cycle gets off.
In addition, if a woman is constantly busy with work, under stress, does not allow the body to rest, then the appendages slow down their work. Because of this, a small number of eggs are produced, which will adversely affect the future pregnancy.
Therefore, if a woman wants to give birth to a healthy child, she needs to exclude, or substantially limit hard physical labor. You can play sports, but do not overload yourself with increased loads.
Loads should be moderate and not harmful to the body, since after strength exercises, recovery takes 14–15 days.
Many women have weight problems. In pursuit of beauty, girls go on a diet and lose weight. That's just the result after this is not always positive. A sharp set or loss of body weight affects the work of the whole organism.
As a result, there is a hormonal imbalance. Coming to a gynecologist, patients often ask the question: “Why do not menstruation go if I am not pregnant?”. This is explained by the fact that due to excess weight a large amount of estrogen accumulates in the cells, which prevents menstruation from starting.
If the weight begins to fall sharply and reaches a critical point, when the figure shows 42–43 kg on the scales, failures in the menstrual cycle occur. In some cases, the selection may permanently cease. You can restore the cycle and return the monthly ones only if you increase the weight to the norm.
Frequent flights, trips also affect women's health. Acclimatization often leads to hormonal disruptions. Changes in temperature, climate features on each person are reflected differently.
For example, flight attendants who fly in different time zones often complain that they have unstable emissions. Sometimes delays last even more than 7–10 days. Dysmenorrhea is most often diagnosed in flight attendants.
Usually, when a woman returns home from a trip, the reproductive system begins to recover on its own and after 5 days comes back to normal. But if after 30–32 days the monthly did not come, it is best to consult a gynecologist and undergo a medical examination.
If after 2 weeks the critical days have not begun, and the pain in the lower abdomen and chest does not pass, then there is a chance that this is an ectopic pregnancy. In this case, the test can show both positive and negative results.
To make sure that this is an ectopic pregnancy or something else, you need to pass a blood test for hCG. The results will help determine if fertilization has occurred.
In this case, be sure to go to the antenatal clinic and undergo a gynecological examination. The faster a woman visits the doctor, the better for her health. Ectopic pregnancy can occur both in 20 and in 30 years. Therefore, one should not think that if the patient is young, the risk of such a pregnancy is minimal.
Non-pathological causes of menstruation delay
During puberty closer to the age of 14, the cycle is not stable. After menarche, the norm is often delayed for 2 months or longer. Then the menstruation resumes, the duration, the nature of their course stabilized during the first year.
During this period, conduct an ovulation test, take an analysis for laboratory research. In the negative test, sex hormones are reduced, including follicle-stimulating (FSH), the doctor selects the level of drugs that correct them.
After changing the oral combination contraceptive drugs, a delay of 1-1.5 menstrual cycles is possible. A negative pregnancy test result and the absence of bleeding for 2 months in a row are allowed only during lactation, when treated with hormonal drugs.
After birth, if the baby is bottle-fed (IV), the cycle returns to normal (on a schedule of 21-35 days) for 8 weeks, that is, after 2 months the hormones will return to their original level, because the glands will stop producing large amounts of prolactin . With breastfeeding (HB), menstruation often resumes at the end of lactation.
The period of premenopause depends on the characteristics of the organism. In women aged 40-55 years, the menstrual cycle is also delayed before menopause, the discharge becomes scarce.
At home, they conduct a standard test to determine the level of FSH. A decrease in this hormone indicates the onset of decay of the reproductive function and the onset of menopause. However, at this age, women are prone to the development of complications of gynecological diseases, the emergence of tumors. They are recommended to do a survey more often.
Abnormal causes of delayed menstruation
If the test results are negative, you should consult a neurologist, a nutritionist, a general practitioner and undergo a full gynecological examination. Under medical supervision should fall monthly delay for 10 days. Such a gap is beyond the weekly limit of the absence of discharge.
The main reasons for the 2-month delay in menstruation:
- emotional shakes (relocation, change of work or climate, session, etc.),
- nervous breakdown,
- prolonged fasting, the use of rigid diets,
- mental or physical permanent fatigue.
Pathological causes include diseases of the chronic and acute forms (endocrine, gynecological, cardiovascular, digestive and respiratory organs, others), viral, bacterial or fungal in nature.
Delay in violation of hormonal levels
Failure of the metabolic mechanism causes dysfunction of the glands, anorexia, obesity. Frequent jumps of substances (above, below normal) during ovulation and after critical days, childbirth, lactation, menopause, and other physiological changes affect hormonal levels. When the production of estrogen decreases, the level of androgen increases and a long delay in menses occurs.
Periods of life when the absence of normal ovulation is possible:
- puberty of girls (first time immediately after menarche),
- fetal development (all trimesters),
- early approach of menopause (about 40 years).
Ovulatory dysfunction - a violation of the processes associated with ovulation. Often occurs during the period of life associated with pregnancy and the subsequent care of the baby (childbirth, feeding).
Gynecological causes of delayed menstruation
The neglected state of chronic, infectious diseases of the reproductive organs and the endocrine system carries a threat to life. It should undergo an examination of the body in an accelerated mode, if the monthly delayed for longer than a week.
Gynecological reasons for the absence of menstruation:
- ovarian dysfunction,
- polycystic appendages,
- ectopic pregnancy.
Первый фактор, из-за которого происходит задержка месячных на два месяца, неудачно проведённый криминальный аборт, выскабливание полости матки в нестерильных условиях с целью избавления от ребёнка. Часто это становится основным поводом для хирургического вмешательства.
Pathology of appendages
Ovarian dysfunction occurs due to impaired hormone production by the adrenal glands, the thyroid gland or the hypothalamus, the pituitary gland (its anterior part). Their activity is regulated by prolactin, LH (luteinizing) and FSH (follicle-stimulating) substance. The balance of these hormones supports the proper functioning of the ovaries.
Consequences of the activity of the appendages: lack of ovulation, delayed menstruation for 2 months, amenorrhea (no menstruation for a long time), hypermenorrhea (frequent and heavy discharge), uterine bleeding, frequent miscarriages.
Other causes of ovarian dysfunction:
- organ tissue inflammation (adnexitis, oophoritis, salpingo-oophoritis),
- neoplasms, cancer,
- diseases of the uterus or cervix (endometriosis, cervicitis, fibromyoma).
The patient with a complaint of delayed menstruation for more than 2 months must contact a gynecologist and an endocrinologist to be examined. It will be necessary to undergo an ultrasound of the reproductive organs, endocrine glands, adrenal glands, MRI (magnetic resonance imaging), CT (computer tomography) of the brain, EEG.
They give blood, make smears from the walls of the mucous membrane of the vagina, cervix, scraping the endometrium in order to analyze the actual composition of the microflora (bacterial tissue, pap-test, microscopy). The cause of ovarian dysfunction is eliminated with the help of hormonal, antibacterial drugs, methods of physiotherapy, psychology.
A delay of 2 months in a row should raise suspicion if the test gave a negative result. You must pass a medical examination to identify pathology. Finding the cause with the help of ultrasound, analysis of hCG, laboratory results, the doctor will select the appropriate therapy. Menstruation can be delayed through psycho-emotional, physical exhaustion. For prevention, it is recommended to correct nutrition, take vitamins, do gymnastics, avoid stress.
When conducting a test, it is important to repeat it after a few days. Human chorionic gonadotropin (hCG), to which the test reagent is sensitive, rises gradually. It is produced when the fertilized egg attached to the uterus. In the early days of the delay, the hormone level is still very low.
It is important to pay attention to the symptoms accompanying the absence of menstruation. In the case of chest engorgement, mild discomfort in the lower abdomen, nausea in the morning, mood swings, a blood test should be taken and the HCG level should be determined. Or repeat the pregnancy test if you have previously used this diagnostic method.
A barely noticeable second strip is a reason to consult a doctor. This should be done when the delay of the month is a month, the test is negative and you do not understand at all why this is happening.
At the consultation, the gynecologist will examine you and talk with you about what has changed in your life. Perhaps there were some stressful situations or a recent trip. If you suspect a pregnancy, you will be recommended to take a blood test (hCG), which we discussed above, if you have not done so. Ultrasound also helps clarify the picture of what is happening in the uterus. Analyzes of female sex hormones will not be superfluous, because the regularity of periods depends on their level.
After all examinations, the doctor will tell you if there is no monthly month, what this means in your particular case. You will be prescribed a treatment and soon the cycle will become regular again.
Let's see what are the main reasons for the lack of planned bleeding.
- Stress. Constant tension at home, at work or at school causes fluctuations of hormones in the body, therefore, the cycle begins to “walk”.
- Diet. Due to the sharp weight loss caused by severe dietary restrictions, bleeding either becomes scarce or disappears altogether.
- Contraception. Delayed month of menstruation may occur when switching to oral contraceptives. Or when they change. The body needs time to adapt.
- Surgical intervention. The response to a recent operation performed on the organs of the reproductive system may be a delay.
- Weight. With obesity or lack of weight, the menstrual cycle can be broken.
- Tumors. With various tumors in the uterus or ovaries, the proper functioning of these organs is disrupted, and therefore the nature of the menstrual cycle also changes.
- Abortions. Interrupting an unwanted pregnancy is a gross intervention, after which the reproductive system takes time to recover.
- Diseases. With various inflammatory pathologies affecting the urogenital system, its functioning is impaired. What to do if there is no monthly month in this case, the doctor decides. Most likely, after treatment, the cycle will recover by itself.
Considering the reasons described above, it should be noted that most often the delay occurs due to stress or due to hormonal changes in the body.
Women who are planning a pregnancy should be actively involved in solving the problem, because if there is no menstruation, then there is no ovulation either. Going to the doctor, you need to take with you a calendar, where menstrual cycles are marked. So it will be easier for the doctor to find out why the failure occurred.
Menstruation calendar. Source: dakiss.ru
It should be remembered that the gynecologist should be visited as soon as the problem arose, because only a specialist can tell if there is a month delay for a month. He learns this only after a thorough examination.
Even if you managed to get pregnant with an irregular cycle, you should immediately inform the doctor. If there are hormonal disorders, there may be difficulties in carrying the child.
Any adverse factors with prolonged exposure will affect the cyclical pattern of planned bleeding. Excessive physical exertion, smoking, alcohol craving can adversely affect the work of the reproductive system. It can also include the treatment of serious diseases when you have to resort to potent drugs.
The female body is sensitive to any changes. Even a holiday on the seashore in another climate zone will cause a delay. So if the month is not a month, and the test is negative, this is not surprising.
Lack of hormones
Hormonal imbalance is reflected not only in the functioning of the reproductive system, but also in the appearance of the woman, her mood and well-being. If the hormones are produced insufficiently, then the risk of arthritis or arthrosis, cardiovascular pathologies increases. Many are afraid of early menopause, and this is a really serious problem at a young age. Indeed, when leaving the reproductive period, there are many unpleasant symptoms associated with the lack of estrogen.
While the woman is breastfeeding, the cycle may fluctuate. Someone he returns a month after birth, and someone a year does not remember the gaskets. Even when monthly bleeding returns, they can be scanty and irregular. Delay of monthly for a month in this case may be the norm. But in order to calm you should consult a doctor and undergo an ultrasound.
When delaying menstruation, do not try to cause bleeding yourself, using folk recipes. It may happen that the bleeding cannot be stopped later. And even worse, you may be pregnant and provoke a miscarriage.
In order to properly “set up” the cycle, the doctor will select hormonal preparations based on the results of analyzes and other studies. The treatment will be adjusted if necessary.
Remember: what to do if there are no monthly for a month - contact a gynecologist. And no self. Some women on the advice of girlfriends and healers use different medicinal herbs, but they are not as harmless as it seems. Prolonged reception of various infusions and decoctions without medical supervision will have a detrimental effect on the hormonal background. As a result, the situation will be neglected and it will take a lot of time for treatment.
If the delay is monthly, what to do:
- Pregnancy test.
- In the case of a negative test, pass the analysis to determine the level of hCG.
- Get an ultrasound.
- Make an appointment with a gynecologist, taking with him the results of research.
The main thing is not to panic and do not try to cause bleeding at any cost. Let the specialist understand the problems of your body. Thanks to his experience and similar cases, the gynecologist will successfully solve your problem.
Normal menstruation cycle
To determine whether there is a delay or not, you need to figure out how long the menstrual cycle takes. On average, for most women, the monthly cycle lasts 28 calendar days, or 4 weeks. This is considered a classic example of the normal functioning of the reproductive organs.
There are minor deviations in a few days from this figure up or down. This is not a pathology and is perceived by doctors as the physiological features of the female body. After a year since the beginning of the reproductive system and the appearance of menstruation (the age of girls is 12-14 years old), the hormonal background is already normal, and the girl herself can calculate the duration of her cycle in days.
If the number of days from the first day of the beginning of the month to the beginning of the next is not 28, but more or less, then you should not be afraid. If this situation is repeated for some months or even years, then the arrival of the month with a shift of several days is not considered a delay.
Pregnancy is the first thought that comes when you expect monthly excretions, but they are not. In case of confirmation of the “interesting situation”, the delay of the menstruation may turn into their subsequent absence for more than 9 months. During fertilization of the egg, the function of uterine contraction is blocked in order to preserve the fetus and prevent miscarriage. As a result, the menstruation should stop completely.
Another sign of pregnancy is swelling of the mammary glands. After several days of delay, the mammary glands in many women begin to grow and ache.
It is possible that during the day, the lower abdomen will pull a little, and after 1 day of delay, white discharge may begin. Pregnancy after 40 years is not excluded, although the chances of conceiving a child are already decreasing.
If there is no monthly, it's time to do a test.
The easiest way to find out if the bleeding due to the resulting pregnancy is not stopping is to buy a pregnancy test. If the test strip shows a positive result (2 strips), then the monthly delay was due to conception. Well, what to do if only 1 strip appeared on the test (negative result)? Does this guarantee that there is no pregnancy, and why do menstruations not occur? First things first.
The presence of one strip at the delay of menstruation may indicate a lot. If the delay occurred for one of the above reasons (ovarian dysfunction, stressful situations, physical exertion, overweight, climate change, hereditary factor), then testing will be negative. But there are also other aspects, why one strip is seen. A negative test can be for the following reasons:
To make the result accurate, it is recommended that all the testing steps be carried out strictly according to the instructions.
Each manufacturer in a box with test strips puts a step-by-step instruction or writes a method of application on the back of the package.
If the girl is still pregnant, then immersion of the test strip in an insufficient amount of urine or removing it too quickly may affect the result, for example, it will be negative. A more accurate result will be if you do the test in the morning (preferably in the morning).
Often tests are spoiled or expired. In this case, the test result will not be correct. For an accurate result, it is recommended to use this product only with the current shelf life, and when opened, check the packaging for integrity.
Low sensitivity test strips
To determine pregnancy, a reagent is present in the test, which takes effect if the hormone hCG is elevated. Now they are selling hypersensitive tests that can determine pregnancy with hCG from 10 m / ml (until the delay). If you make a test with a sensitivity higher than 20–25 mm / ml before the delay, then a negative result can be found, because the pregnancy hormone has not yet had time to rise to the level determined by testing. After the procedure, it is necessary to repeat it in 3-5 days.
Pain in lower abdomen
Often it happens that if you delay your menstruation during the day, your abdomen pulls and hurts, there is a white discharge, and the pregnancy test shows a negative result. Such pains should be the first signal to a woman that something is going wrong in her body.
Possible reasons for which the lower abdomen hurts during a delay can be:
- ectopic pregnancy,
- kidney and urinary tract diseases.
Consider these states in more detail.
The inflammatory process is a consequence of hypothermia. Cutting pains, burning, discomfort during intercourse - all this may indicate the presence of such diseases as inflammation of the vaginal walls (vaginitis), inflammation of the uterine mucous membrane (endometritis). Adnexitis (inflammation of the appendages and fallopian tubes) is mainly affected by girls aged 20-30. Inflammation of the appendages can cause a high temperature (up to 39 degrees), as well as white discharge.
If during the day, the lower abdomen is white and there is a white discharge, then in this case it is better not to self-medicate, but to entrust your health to professionals.
Sexually transmitted infections can also cause a delay in menstruation with a negative test. Chlamydia, mycoplasmosis, gonorrhea - with these diseases the lower abdomen hurts, there are white discharge and an unpleasant smell. Women from 16 to 40 years of age suffer from these diseases. If pulling the lower abdomen, be sure to consult a doctor.
Delay in menstruation is quite common among women of all ages. No matter how old a girl is, each of these reasons may cause a delay in her period at any time.
If there is no menstruation for more than a week, and the pregnancy test shows a negative result, then this does not exclude conception. On the other hand, the presence of one strip can also indicate any diseases. In any case, you should not take hasty conclusions, but rather see your doctor.
Bulgakova Olga Viktorovna
Doctor obstetrician-gynecologist, Stavropol, She graduated from the Stavropol Medical Academy with honors. Residency in obstetrics and gynecology. Advanced training for the treatment of infertility.
What does it mean the delay of menstruation with a negative pregnancy test