Why is there no menstruation for the third month if there is no pregnancy or menopause?


The main element of each woman's health is the menstrual cycle. Based on the analysis of the duration of menstruation, we can conclude both about the reproductive state of the woman and about the physical and psychological. Therefore, the delay of menstruation is always a cause for concern. Thoughts of pregnancy or menopause immediately come to mind. But the reasons are actually much more. Let's try to consider them and understand what to do if you are faced with this problem.

A three-month absence of menstruation can be triggered by different reasons.

What if you don’t have months

The absence of menstruation for several days usually carries no danger. But, if the delay is long and after three months the cycle has not normalized, then this can be triggered by serious and even dangerous diseases.

If the cycle failure is not related to pregnancy, then we are talking about amenorrhea. Under the amenorrhea understand the absence of menstruation for three months or longer. This pathology is divided into two types:

  • primary amenorrhea (occurs in adolescence),
  • secondary amenorrhea (occurs in women of mature age).

Primary amenorrhea is more common in adolescence and is associated with puberty. Secondary amenorrhea also occurs in women with a formed menstrual cycle of reproductive age.

By itself, the delay of menstruation is not dangerous, much more dangerous causes that provoked it. Therefore, if you do not have 3 months monthly, then, in order to establish the causes, you need to urgently visit the gynecologist and undergo a comprehensive diagnostic examination, which consists of the following actions:

  • blood test for hormones
  • Ultrasound examination,
  • at the discretion of the doctor, to undergo MRI, CT (in order to exclude the development of tumors).

After the examination, the gynecologist will prescribe you a suitable treatment, or refer you to another doctor (oncologist, endocrinologist).

Pelvic ultrasound is usually prescribed to determine the cause of the delay.

Natural causes of lack of menstruation

The so-called “primary amenorrhea” is often diagnosed in the first two years of the onset of menstruation, when the hormonal background gradually stabilizes and the young organism adapts to the cycle. During this period of delay, even for three months is the absolute norm and do not pose a threat. Usually, after two years everything is getting better, and the monthly periods come with a certain frequency.

Secondary amenorrhea also occurs most often in the period of the predlimax state of the organism, which occurs in women aged 45-55 years. The general condition is accompanied by sharp mood swings, hot flashes. In this case, nothing terrible, because the irregularity of menstruation in this period is the norm. Some women have monthly periods even after a year of delay. But it is still worth a visit to the gynecologist, since only he will establish the exact cause of the aminorrhea. And, if the pre-climax condition is confirmed, he will prescribe special medications to help prolong your youth.

The female body after birth blocks reproductive function, resulting in the absence of menstruation. Typically, the menstrual cycle is restored after a certain time after cessation of lactation.

Primary amenorrhea is usually diagnosed in the first two years of the cycle.

Pathological causes of lack of menstruation

Polycystic ovary syndrome (PCOS) is a hormonal failure associated with ovarian, thyroid, or pituitary dysfunction. External signs of PCOS are increased hair vegetation on the body, oily hair, acne, excess weight. But not always hormonal failure will be accompanied by external changes in the body.

Tumor formations: uterine fibroids, cysts, cervical cancer. These diseases can cause both the absence of menstruation for a long period, and vice versa, very frequent or prolonged periods. In these situations, timely diagnosis is very important, because only the doctor will make an accurate diagnosis and prescribe adequate treatment.

Also pathological causes include the following: endometriosis, inflammation.

Any pathological causes affect the reproductive system and can cause disruption of its normal functioning. In this case, you need to do the following: contact a medical institution to a qualified doctor and follow his instructions.

Cyst - one of the reasons for the absence of menstruation

Other reasons for lack of menstruation

If you do not go for a long time, then often it has no pathological basis, and after 2-4 months, menstruation resumes on its own. Therefore, you never need to wind yourself ahead of time. Consider the reasons.

  • Stress and mental disorders. Often it is the stresses and experiences that cause the deterioration of the functioning of the ovaries, and as a result, this is manifested in the fact that menstruation does not go for three or more months. Usually after a certain time after the normalization of the psycho-emotional state of a woman, the menstrual cycle is restored.
  • Exercise stress. Often, hard physical work or playing sports lead to an overstrain of the whole organism, and it simply does not have enough energy for normal adherence to the menstrual cycle. In this situation, you need to properly distribute the load and do not allow the body to overwork, and then after a couple, for a maximum of three months, your cycle normalizes.
  • Climate change. In some women, the body is very sensitive to moving, which are accompanied by changes in climatic conditions. Also, the reasons for the delay should include a long stay in the sun or a visit to the solarium.
  • Medication. Delay of menstruation often occurs due to medication, especially antidepressants. If you are faced with a problem of this kind, then you need to do the following: consult a doctor and change the drug to another. If after a while the cycle has not recovered, then you need to look for another reason.
  • Hormonal drugs. Prolonged use of hormonal contraceptive drugs often leads to menstrual failure. The absence or failure of menstruation may continue even after the end of their reception. Usually nothing should be done, and after three months the body itself restores the regularity of the cycle.
  • Miscarriage or abortion. After an abortion, the menstrual cycle does not improve immediately, but only after a few months.
  • Weight problems. It has been scientifically proven that adipose tissue is directly related to all hormonal processes in a woman’s body. As it leads to the accumulation of estrogen, which negatively affects the hormonal background. But not only excess weight can cause aminorrhea, but also its lack. Weight loss is lower than 45 kg or starvation, the body tolerates extremely hard. Naturally, in such a situation, the regularity of the cycle will be restored only after time after the normalization of weight.
  • Family heredity. It is found that several women in one family (mother, grandmother) also had similar failures at the same time, then we are talking about heredity. Often, in such a situation to determine the problem does not always work.

But, despite the fact that sometimes the reasons for the delay in menstruation are only temporary and not dangerous to health, never make your own diagnoses and do not self-medicate.

Remember that regular visits to the gynecologist and a healthy lifestyle - the main key to women's health.

Primary and secondary amenorrhea

The absence of menstruation several cycles called amenorrhea. It is primary and secondary.

The primary form is diagnosed in 14-16 year old girls and is associated with impaired permeability of the vaginal entrance, cervical canal, gonad damage (organs that produce germ cells), extragonadal pathology (adrenal hyperplasia, menarche delay). Surgical intervention copes with anatomical disturbances, but even after it the cycle can get off for more than one month.

The secondary form of amenorrhea is diagnosed in women who regularly menstruate. It is based on anatomical, psychological causes, health problems. Lack of menstruation is not a disease, but serves as a pathological symptom. It does not interfere with going to the beach, playing sports, wearing light clothes and having an active sex life for the whole month. On the other hand, this is an unnatural situation for the female body, which requires identification and treatment.

Factors that lead to amenorrhea

If the absence of menstruation is not associated with pregnancy and menopause, it is a violation of the menstrual cycle. This is alarming and indicates a serious malfunction of the reproductive system. Find out why it happened and what to do as early as possible, because everything in the body is interconnected, and one problem leads to other, more serious ones. Among the main reasons for the absence of menstruation (amenorrhea) for two, three or more months, medicine considers:

    • Recent abortion, spontaneous abortion:
      Hormonal disorders and injury to the walls of the uterus can lead to delays of three months. The body needs to be restored, and as soon as the hormonal balance returns, the reproductive function will be restored. But if there is no more menstruation more than a quarter, medical help is required,
    • A sharp increase in physical exertion, a strict diet, strong fluctuations in weight per month:
      Reinforced classes in the gym after a long break require restructuring of the body. Its result may be a temporary absence of menstruation. The same happens in the case of diets and poor nutrition. Lack of vitamins and sudden weight loss are often accompanied by the loss of menstruation - the body needs to accumulate strength,
    • Infectious, endocrine, gynecological diseases, polycystic ovaries:
      Ovarian cysts, fibroids, tumors, problems with the endocrine glands are frequent phenomena of our time. They are shown by barrenness and cycle failures. With polycystic ovulation is delayed, or does not occur at all. This leads to long menstrual delays from a week to 2-3 months.

  • Stressful situations, climate change:
    Stressful situations disrupt the function of the cerebral cortex responsible for the functioning of the ovaries. The result is a prolonged absence of menstruation, in need of medical correction. It also happens with climate change. Multiple travels and flights for one month adversely affect the cycle and cause a delay in the adaptation time of the organism,
  • Acceptance of hormonal drugs:
    The protection of modern oral contraceptives gives almost one hundred percent guarantee of protection against pregnancy. But in the case of their replacement or complete abandonment of the application is the restructuring of the body. It can last 2-3 months and manifest a lack of menstruation.

Why there are no periods 3 months - features of different age periods

  • No menstruation for three months or more in the pubpertant period:
    If the girl has no menstruation during puberty, this indicates a violation of the work or abnormalities of the internal organs. Signs of menarche appear two years before its appearance with colorless or yellowish secretions. The first menstruation is not constant, they can pass with a delay of 3 months, but long and irregular bleeding, which does not stop for a month, require medical advice.
  • The absence of menstruation for more than three months due to pregnancy and lactation:
    Healthy girls, leading a regular sex life without protection, rarely wonder why there is a delay of two to three months. The answer is obvious - the desired pregnancy, which will allow to make a rapid test. On short terms, he can give a negative result, but a medical examination and a blood test for hCG will refute all doubts.

Menstruation may not be during breastfeeding. This is due to the production of prolactin - a hormone that prevents ovulation. It is important to remember that during lactation it is also easy to get pregnant. Ovulation can occur at any time, which is why you need to be protected, even if during the period of breastfeeding for three months there is no menstruation.

  • The absence of menstruation a month or more in menopause:
    After forty years, there is a gradual extinction of reproductive function, and in many women menstruation disappears for 2-3 months. To delay the onset of menopause will help visit a gynecologist. Based on the results of the examination and the schedule of the cycle, the doctor will prescribe hormones, will advise traditional medicine.
  • Inspection at a delay of menstruation 2-3 months

    The examinations complementing the gynecologist's examination will help determine the reason for the delay in the monthly period:

    • measurement of basal temperature, keeping a schedule for a whole month, which allows to determine the presence of ovulation,
    • blood test for hCG, estrogen, progesterone and other hormones produced by the endocrine glands,
    • ultrasound to determine pregnancy, reproductive system tumors and other causes of delay,
    • CT, MRI of the brain to exclude ovarian and pituitary tumors.

    Detection of diseases associated with menstruation delay requires consulting an endocrinologist, a psychotherapist, a nutritionist. A comprehensive approach and adequate therapy allow for a month to resolve the situation and to improve the work of the body. Female nature will take its toll. But only competent doctors can help her, but not self-medication.


    Is carried out in the case of vaginal pathology, the absence of the uterus, pituitary tumor:

    • if the hymen is too dense, a small incision allows you to find a way out of menstrual blood,
    • when there is no uterus or vagina, but the woman wants to have a sex life, an artificial vagina is created for her,
    • in case of a pituitary tumor, surgical intervention and drug therapy are performed.

    Who is at risk for the development of amenorrhea

    Risk factors that explain why there is no menstruation for 2, 3 or more months include constant exercise, stress, a change in eating habits, and an inadequate diet. This fully meets the rhythm of life of modern ladies, who have to pay with health for their built careers. Also at risk for the development of amenorrhea are women suffering from anorexia, polycystic ovaries, premature extinction of their function. These pathologies lead to infertility, poor health and require correction.

    To prevent the loss of menstruation for three or more months will help preventive measures - maintaining a normal weight, healthy nutrition and sleep, the distribution of work and rest. In addition, you should avoid hypothermia, urogenital infections. Important is the prevention of healthy heredity, the exclusion of closely related marriages and the timely treatment of endocrine and nervous disorders. It is necessary to remember about the culture of sexual life - the prevention of sexually transmitted diseases, abortions.

    Complications in the absence of menstruation

    The absence of menstruation and marked anxiety symptoms is not a reason to let go of the situation.

    Amenorrhea has serious complications.:

    • miscarriages for periods of 1-2 months,
    • risk of endometrial hyperplasia, cancer of the uterus,
    • vascular and heart diseases,
    • migraines, vision changes,
    • diabetes,
    • osteoporosis,
    • infertility.

    It is important to remember that advanced cases of amenorrhea are difficult to diagnose and treat. But a lost or impaired reproductive function means a loss of hope for motherhood. Only a visit to the doctor will be able to relieve from worries and anxieties, because knowing your diagnosis, you can even achieve success in treatment within a month. In families where there are daughters, mothers need to carry out competent sex education, to accustom them to keeping a monthly calendar and not to evade planned gynecological examinations.

    The cost of a doctor's appointment

    No monthly - a problem that every woman faces. Distinguish primary absence when menstruation does not begin during puberty, (a very rare phenomenon, therefore we did not consider it in our article) and secondary, the reasons for which we systematized and described below.

    Reason # 1: Pregnancy

    No matter how trite it sounds, but the main the reason for the absence of menstruation is pregnancy. In fact, this is the only reason menstruation does not occur in a healthy woman.

    In order to confirm or, on the contrary, exclude this option, we recommend using special tests that are sold today at any pharmacy without any restrictions.

    If the test shows a negative result, however, you feel other signs of pregnancy (dizziness, nausea, mood swings, general malaise), it is recommended to go to the clinic and do an ultrasound.

    Normally, the normal cycle is restored within a year after pregnancy.

    Reason number 2: hormonal disorders

    In addition to pregnancy the reason for the absence of menstruation hormonal imbalances and related diseases may become: for example, ovarian dysfunction. Также описаны случаи, когда причиной отсутствия месячных становился неправильный прием оральных контрацептивов (ОК).

    Malfunctions in the hormonal system are detected with the help of special tests. Usually, monthly recovered after therapy, which can last up to a year.

    Reason number 3: menopause (menopause)

    Monthly may be absent as a result of age hormonal changes in the body. At the age of 45-50, women usually have menopause (menopause), after which menstruation completely disappear.

    In this case, do not worry. Such age-related changes are normal and serve as an indicator of the presence of any pathologies.

    Reason # 4: Anorexia or Bulimia

    For women and girls suffering from these diseases is characterized by severe exhaustion. Pregnancy and carrying a child in this situation are simply impossible and extremely dangerous for health. In addition, blood loss during time of the month can also lead to sad consequences.

    It is for this reason that the protective functions of the body are included, as a result of which monthly stop.

    With the recovery and gain of muscle and fat mass, the menstruation is restored, however, the recovery of the child-bearing function in such a situation can take up to several years.

    Reason # 7: Sexually transmitted diseases

    Complications of many STIs (especially in a neglected or chronic stage) can be absence of menstruation.

    After the complete cure of the underlying disease, the patient is prescribed hormone therapy to restore and normalize the cycle. Treatment in this case is determined depending on the individual characteristics of each patient. And if the cycle can be normalized almost always, the childbearing functions after some STDs are not restored.

    Reason # 8: Alcohol or Drug Abuse

    Long-term alcohol and drug addiction causes cycle violations in almost 100% of cases. The absence of menstruation has been observed for a year after a person begins to drink or use drugs.

    Such a lifestyle, as a rule, completely destroys the reproductive system, which makes its subsequent recovery an extremely difficult task.

    Reason # 9: Stress and Depression

    The bad environmental situation in modern cities, information congestion, overwork can cause stress and depression. These conditions often cause changes in the body, one of which may be the absence of menstruation.

    Chicle recovery usually occurs fairly quickly, as soon as psychological health returns to normal. Thus, the problem is non-systemic, but rather situational in nature.

    In any case, the absence of menstruation is a serious reason for going to a gynecologist. A timely visit to a specialist will help you find out the cause of the problem. A comprehensive treatment will restore your health.

    You can get all the necessary information and make an appointment at our clinic. We will conduct all the necessary research and help you recover as soon as possible!

    Physiological causes

    The basis of the regulation of the menstrual cycle is a hierarchical process control system. The central link is the cerebral cortex, hypothalamus and pituitary gland, which receives signals from the peripheral link - the ovaries and other target organs for sex hormones (adrenal glands, thyroid, uterus, mammary glands).


    Prolactin and oxytocin are the two main lactation hormones. Prolactin promotes milk production, it stands out in the pituitary gland. He has a major role in the inhibition of ovulation. Someone has a lack of regular monthly 2 months or a little more, and some women and the entire period of feeding.

    Menopause occurs in the life of every woman. This is a normal, natural stage of aging. During such a period, reproductive function extinction occurs and, as a result, the activity of the gonad is gradually reduced to complete extinction. This process causes amenorrhea after menopause.

    Primary Amenorrhea

    Primary amenorrhea is considered to be when menstruation does not occur in girls of 14 years who have no secondary sexual characteristics: the development of the mammary glands, features of the figure and body hair of a female type. Or secondary signs are developed, but there are no periods for girls of 16 years.

    It is necessary to take into account the fact that in adolescents the cycle may be irregular.

    In this case, for example, the following picture is observed: there is no monthly 3 months after the onset of menarche (first menstruation). The situation described is not primary amenorrhea.

    False Amenorrhea

    When this occurs, cyclical changes in the organs of the reproductive system, characteristic of the normal cycle, but there is no discharge of blood from the vagina. The reasons for this are the following states:

    • fusion or synechia of the vagina,
    • fusion of the cervical canal,
    • continuous hymen,
    • obstruction of the uterus.

    Symptoms of false amenorrhea are as follows:

    • cyclic pains in the lower abdomen, caused by stretching of the uterus with blood,
    • lack of menstruation,
    • for large volumes of blood, an urgent surgical condition arises - a sharp abdomen with severe pain,
    • normal development of secondary sexual characteristics,
    • characteristic visible features during a gynecological examination.

    True amenorrhea

    With true amenorrhea, cyclic changes in the reproductive system in the body do not occur. The regulatory connection between the brain, the gonad and the uterus is broken. The main reasons can be such states and processes:

    • chromosomal abnormalities,
    • congenital adrenal hyperplasia,
    • delay menarche
    • malformations of the uterus and / or ovaries,
    • chemotherapy and / or radiation therapy in children,
    • removal of the uterus and / or ovaries in childhood (for example, due to injury).

    The main symptoms of true amenorrhea:

    • lack of secondary sexual characteristics,
    • short stature
    • characteristics for a specific syndrome of chromosomal pathology,
    • infantile (children's) genitals,
    • vaginal dryness,
    • fragility of hair.

    Secondary amenorrhea

    With this type of menstrual flow is absent for a period of 6 months or more, but earlier the woman had regular or irregular periods.

    The main reasons for provoking secondary amenorrhea may be such states:

    • various stresses
    • eating disorder,
    • cancellation of oral contraceptives,
    • postpartum pathology of the pituitary gland,
    • endocrine pathology,
    • inflammatory diseases of the reproductive system.

    Turner syndrome

    Turner Shershevsky syndrome refers to anomalies of the chromosome set. There are three forms of the disease. At the same time, in most cases the second X chromosome is missing, the Y chromosome may be present in the mixed form, and there is also a mosaic type of pathology.

    The characteristic features of the disease are such signs:

    • underdevelopment of the genitals,
    • short stature
    • pterygoid neck
    • low hair growth
    • menstruation was never
    • secondary sexual characteristics are mild,
    • ovaries in the form of cords, the uterus is small, the endometrium is thin.

    Abnormal development of the uterus and ovaries

    The most common developmental anomaly is uterine atresia combined with the absence of a vagina. At the same time, there are ovaries, and, accordingly, secondary sexual characteristics develop according to age.

    Menarche delay

    The delay in the onset of the first menstrual period may be among the girls of the northern peoples. This is a constitutional national feature. The development does not suffer, and therefore the prolonged absence of menstruation is not subject to treatment in this case. In addition, the delayed onset of menarche may occur as a result of mental retardation in girls with organic brain pathology.

    Congenital adrenal hyperplasia

    With this pathology, the growth of adrenal tissue, the excessive formation of glucocorticosteroids, which act oppressively to the hypothalamic-pituitary system, occurs. The disease is characterized by such features:

    • lack of menstruation of true nature,
    • obese
    • stretch marks on the hips, abdomen,
    • moon face
    • overweight male type
    • high blood pressure
    • violation of water-salt metabolism.

    Dramatic weight loss

    With a strict diet that causes a sharp weight loss and a shortage of various substances, there is a gradual inhibition of the release of hormones by the hypothalamus. For this reason, the pituitary does not receive signals for the formation of follicle-stimulating hormone.

    In addition, do not forget that in the cells of adipose tissue is partially the synthesis of sex hormones. A decrease in the lipid layer can therefore result in hormonal failure.

    Postpartum Amenorrhea

    Amenorrhea after childbirth can occur as a result of damage to the pituitary gland after difficult childbirth, accompanied by massive bleeding. Due to circulatory disorders, necrosis of the pituitary occurs. Depending on the degree of organ damage in patients, there is not only the absence of menstruation, but also other symptoms:

    • hair loss,
    • weight loss
    • memory loss
    • weakness and chilliness
    • malnutrition of the mammary glands and genitals.

    Cancellation of oral contraceptives

    After the abolition of second-generation oral contraceptives, ovarian hyper-inhibition syndrome occurs. At the same time, on the background of long-term use of the COC, persistent inhibition of the hypothalamic-pituitary structure and sex glands develops. After a few months, menstruation recover independently.

    Inflammatory diseases of the reproductive system

    When salpingitis, oophoritis, meningitis and encephalitis due to the pronounced process of inflammation decreases the hormone-producing function of the affected organs. Amenorrhea can last with a long period of time until complete abating of the pathological process.

    Resistant Ovary Syndrome

    In this case, ovarian tissue becomes insensitive to the pituitary hormones. The cause may be a genetic abnormality. The first menstruation in women come on time, gradually they occur less frequently, and by the age of 35 they completely stop. Pregnancy occurs very rarely. Unlike early menopause (up to 40 years), with resistance there will be no hot flashes and other manifestations of the menopausal period.

    Risk factors

    Risk factors for amenorrhea can be such states:

    • stress,
    • excessive exercise (especially professional sportswomen),
    • eating disorders (both fasting and overeating),
    • frequent inflammatory diseases of the genital organs,
    • micro-and macroadenomas of the pituitary (in which there is hyperprolactinemia, inhibiting ovulation),
    • frequent trauma to the mucous membrane of the genital tract during abortions, diagnostic curettage.


    Due to the fact that the reasons for the lack of menstruation are diverse, their diagnostic search is quite extensive. When a patient visits a gynecologist, a thorough inquiry is first carried out to identify the provoking factor. Then a general examination and examination on a gynecological chair is shown. Additionally, other diagnostic methods are used.

    Pregnancy test

    When the delay of the month for more than a week is to perform a simple pregnancy test. During pregnancy, the hormone hCG (human chorionic gonadotropin) is produced, which is determined by lowering the test strip into the urine container. The test is informative and sensitive.

    As is known, an elevated level of prolactin inhibits the ovulatory function of the ovaries. To determine its level, morning venous blood sampling is performed. Normally, the level of prolactin should not exceed 23 ng / ml.

    Progesterone test

    For its implementation is used gestagen (progesterone). With the help of such a sample, the hormonal activity of the gonads and the possibility of blood outflow are determined. The test is positive for bleeding that occurred during the week while receiving progesterone. This confirms the presence of uterus, ovaries and free blood flow.

    Computed and magnetic resonance imaging

    This diagnostic method allows to accurately visualize the structure of the genital organs and the brain, including the hypothalamus and pituitary glands.

    Treatment of amenorrhea is aimed at restoring the reproductive ability of a woman or the appearance and regulation of the menstrual cycle. Depending on the cause, therapy may be of the following types:

    • hormone replacement therapy (estrogen use),
    • stabilization of body weight
    • surgical correction for developmental abnormalities,
    • the use of drugs that reduce the level of prolactin in the blood,
    • surgery for pituitary tumors,
    • stabilization of thyroid hormones, blood sugar levels,
    • antimicrobial therapy in inflammatory processes.

    Answer the question: why a long time there is no period, will help the gynecologist. Only a competently conducted examination and adequate timely treatment will help a woman or a girl to restore reproductive function.

    A bit about the menstrual cycle

    The main function of the monthly cycle is reproduction. A healthy woman faces bloody vaginal secretions every month that cannot be absent without a cause.

    With menopause, which occurs after 45 years, there is no menstruation. But if it is possible to reproduce at the age of 12 to 45, their presence is obligatory. Lack of menstruation can be a sign of a serious illness that can lead to infertility.

    Prolonged absence of discharge often leads to the development of amenorrhea symptoms, which can be:

    • primary - a woman never had a period
    • secondary - menstruation is absent for several cycles.

    A stable cycle is the main indicator of reproductive health. Any of its violations provoke difficulties associated with fertilization of the egg. The menstruation process represents the desquamation (rejection) of the uterine endometrium. At this time there is a rupture of the follicle, which entails uncomfortable sensations. The mucous membrane of the uterus is broken. But after the completion of menstruation, a new follicle is maturing in the ovary - the cycle resumes.

    The absence of monthly discharge during the menstrual cycle requires special attention.

    The reasons for the lack of menstruation

    Any irregular menstruation is a serious problem. The reasons for the absence of menstruation (amenorrhea) can be associated with both the physiological characteristics of the female body and dangerous pathologies.

    Factors provoking amenorrhea:

    1. Malfunction of the endocrine system. When thyroid hormones are produced in insufficient quantities, menstruation may be absent for a long time.
    2. Pregnancy. It's no secret that during pregnancy there are no periods. This is the only reason explaining the presence of this phenomenon in a healthy woman. To confirm or refute the fact of conception it is recommended to use a special test.
    3. Climax. Menopause usually occurs after 45 years. The function of reproduction disappears, as well as menstruation during menopause. In this case, the absence of menstruation is the physiological norm, which means there are no reasons for excitement.
    4. Disorders of the pituitary gland. The presence of a tumor in one of the subcortical centers of the brain provokes the failure of the menstrual cycle, as a result of which there is no discharge for a long time.
    5. Ovarian dysfunction. Malfunction of the ovaries may be associated with hormonal disorders. Due to the dysfunction of the uterus and ovaries throughout the cycle, there will be severe pulling pain in the lower abdomen.
    6. Use of oral contraceptives. Acceptance of some birth control pills provokes a hormonal failure, as a result of which menstruation may not be for a long period.
    7. Bulimia and anorexia. Diseases associated with a sharp change in weight category. They are often accompanied by a lack of discharge. In this case, this phenomenon is a protective reaction of the organism, because any blood loss in such pathologies, including menstrual, is life threatening.
    8. Venereal diseases. Some sexually transmitted diseases cause the absence of menstruation.
    9. Abuse of alcohol and drugs. A woman who regularly uses drugs and alcohol, menstruation may be absent for a long time. The fact is that bad habits have a devastating effect on the reproductive system.
    10. Emotional stress, stress. Nervous shocks that are tested regularly, provoke disruptions in the functioning of the systems of internal organs, including sex. As a result of the disruption of her work, there is a risk of lack of menstruation.

    When to consult a doctor

    Lack of menstruation is not always a cause for panic. If this phenomenon was triggered by factors such as pregnancy or stress, it will not lead to unpleasant consequences. But if the prolonged absence of menstruation is the result of infection of the genitals or the development of the disease, the woman needs treatment.

    So, you should be worried if amenorrhea, which appears between the monthly cycles, is accompanied by the following symptoms:

    1. Muscle weakness.
    2. Skin rashes.
    3. The appearance on the buttocks and abdomen stretch marks.
    4. Dry skin.
    5. Increased blood pressure.
    6. Sharp change of weight category.
    7. Temperature rise.
    8. Rash hair.
    9. Fast fatiguability.
    10. Частое головокружение.
    11. Бессонница.
    12. Регулярные перепады настроения.
    13. Схваткообразные боли в области живота.
    14. Weakness and discomfort.
    15. Discomfort felt in different parts of the body.

    The presence of these warning signs is a reason for consultation in gynecology.

    What to do if the monthly

    To prevent the occurrence of the effects of amenorrhea, you need to regularly monitor the menstrual cycle. In the presence of gynecological disease, it is necessary to carry out diagnostic activities. But if the reasons for the absence of menstruation are not associated with pathological factors, a visit to the gynecologist is not necessary. It is enough to make adjustments to your lifestyle - and the monthly cycle stabilizes.

    The absence of menstruation, which was provoked by gynecological diseases or hormonal disruption, requires diagnosis. Laboratory examination includes:

    • biopsy procedure - necessary to check the state of the endometrium,
    • urine and blood count
    • X-ray of the Turkish saddle,
    • karyotyping (genetic research),
    • tomography
    • Ultrasound of the adrenal glands and pelvic organs,
    • blood biochemistry.

    Treatment of amenorrhea will begin only after the correct diagnosis is made by the gynecologist. In some cases, it is also necessary to consult an endocrinologist or genetics.

    To prevent the occurrence of this problem, it is recommended to undergo a gynecological examination regularly.

    What is the rate of delayed menstruation if there is no pregnancy

    Why there are no periods - the reasons, except for pregnancy, experts distinguish a variety. First of all, menstrual irregularity is typical for young girls with the onset of the very first menstrual period, as well as for mature women before the onset of menopause. In this case, the break between them can reach 6 months.

    Why is there no menstruation? Causes other than pregnancy will be discussed below.

    The first sexual intercourse also provokes deviations of the cycle, since it is a stress for the young organism. Normally, the deviation is from 2 to 5 days.

    In the postpartum period, the absence of menstruation is explained by breastfeeding and can reach 3 years. After cesarean section, the periods should occur within 2-3 weeks after the operation, and the interval between them can not be more than 2 months.

    In case of violation of the female reproductive system and deviation from the cycle for more than 14 days, gynecologists recommend an examination to determine the provoking factors.

    Gynecological reasons for the absence of menstruation

    The causes of failures of the considered condition can be various gynecological diseases. In this case, it is important to diagnose the disease in time and begin its treatment.

    Female menstruation is an important tool for maintaining the function of childbirth. Any abnormalities require an examination by a gynecologist in order to rule out any diseases, tumors and cancers.

    Diseases of the female genital organs

    The reason why there is no menstruation on the prescribed days, except for pregnancy, can be diseases of the female genitourinary system.

    Most of them are accompanied by symptoms such as:

    • lower abdominal pain
    • pulling back pain
    • breast swelling,
    • spotting vagina.

    To determine the exact diagnosis using ultrasound - diagnosis, urine and blood tests, gynecological examination.

    The main gynecological diseases that cause the absence of menstruation include:

    1. Ovarian dysfunction - violation of their work leads not only to a change in the cycle, but also becomes a factor in the development of serious diseases.
    2. Why not monthly - causes other than pregnancy may be associated with such illnesses as polycystic ovary and endometriosis. They influence the cycle and also make the discharge scarce and rare.
    3. Spikes - cause disruptions in menstruation, make them painful.

    Treatment is prescribed on the basis of the survey and diagnosis. Drugs are used to treat inflammatory diseases, and surgical to remove tumors.

    Inflammatory processes

    Inflammation of the internal genital organs is often the cause of the absence of menstruation. This is due to the fact that the work of the ovaries is disrupted, leading to poor functioning and ovulation of the corpus luteum.

    Causes of inflammation are both cold and infectious diseases. In this case, the delay will be temporary and after recovery the cycle will be restored. To avoid such problems, doctors recommend to monitor their health and lead a healthy lifestyle.

    Menopause is the process of ovarian extinction. and is the physiological process of aging. During this period, the production of hormones such as progesterone and estrogen, which are responsible for the process of the menstrual cycle, stops.

    Important to remember! During menopause, the structure of the genital organs does not change, the endometrium remains in its former form.

    The restructuring of the hormonal background does not occur immediately. Follicle-forming function gradually fades away, reducing the work of the corpus luteum. Menstruation with each cycle are becoming less frequent, and the intervals between them are longer.

    Oncological diseases

    According to experts, the reason why a woman has no menstruation and a cycle is disturbed, except for pregnancy, there are oncological diseases.

    Cervical cancer can cause disruption in the functioning of the genitals. Changing microflora makes critical days painful and intense. At the same time the interval between periods becomes irregular.

    Note! If a woman observes for a long time that there is more secretion than usual, and their color turns brown, this may indicate a tumor.

    Regular check-ups at the gynecologist are capable of preventing the formation of cervical cancer and other structures.

    Excess weight

    Overweight negatively affects the work of the female body. It leads to the fact that changing hormones and the menstrual cycle is lost. This is because in the subcutaneous fat, the hormone estrogen begins to be produced, which is responsible for bleeding.

    Interesting fact! In medicine, there is such a thing as "menstrual mass." It should be 47 kg of weight.

    To get rid of excess weight, experts recommend taking vitamin and mineral complexes, as well as to eat right. This will provide an opportunity to establish hormones and the menstrual cycle.


    Some drugs, such as anti-depressants, diuretics, anabolic drugs, and others, have side effects such as a delay in menstruation in women or their absence.

    Be careful! To avoid the absence of menstruation, other than pregnancy, and not to understand the reasons why they are not there, before taking the drug, it is recommended to check with the doctor the side effects of the drug.

    A common factor in this problem is the inappropriate use of contraceptives. Oral contraceptives affect hormones, thereby disrupting the cycle.

    Intoxication of the body

    Why there are no periods - causes other than pregnancyoften associated with chemical poisoning. Intoxication is caused by work at enterprises producing harmful substances. Prolonged exposure to such premises affects the functioning of the organism and causes a delay or absence of the phenomenon in question.

    Experts recommend women in child-bearing age to change jobs.

    Stressful situations

    Stress states often provoke anomalies in the body and contribute to the development of various ailments. Nervous tension can be associated with work, study, family relationships. The body at this point includes protective functions and disrupts the menstrual cycle.

    Stressful situations for any organism are a small number of hours of sleep and overwork. If a woman cannot cope with stress or depression on her own, you need to contact a psychologist. Exercise affects menstruation also negatively.

    It has been scientifically proven that sport for women negatively affects the cycle and makes it irregular.

    Climate change

    Climate change is a stressful situation for a woman’s body. Biological clock changes, thereby provoking abnormalities in the menstrual cycle. This failure is temporary, and as soon as the body gets used, everything will return to a normal rhythm.

    Stay in the sun and frequent trips to the solarium, also adversely affect the work of the female reproductive system.

    No menstruation without pregnancy: when to consult a doctor urgently

    Regular delay in monthly discharge is considered dangerous for women's health. It can cause serious illnesses. In the absence of blood discharge for more than 10 days, doctors recommend a pregnancy test.

    If the result is negative, donate blood to the hormone hCG. In case of not confirmed pregnancy, it is necessary to consult a gynecologist. The doctor will prescribe the necessary examinations to establish an accurate diagnosis, as well as prescribe medication if necessary.

    Violations may be associated with the work of the endocrine system, genital organs or with the formation of tumors.

    Experts at every inspection remind women to take their own health responsibly. The absence of menstruation, and as a consequence of various diseases, can lead to infertility. The reasons why there are failures in the menstrual cycle, a great many.

    Important to rememberThat gynecological examination is carried out every 6 months. This will eliminate infectious diseases, cancer of the uterus, as well as any abnormalities in the genital organs. The female body is a complex system, and for any failures it requires careful examination.

    Why there are no periods? Reasons other than pregnancy in this useful video:

    The reason for the lack of monthly:

    General information about the delay (absence) of menstruation

    Causes of amenorrhea (delayed menstruation)

    Diagnosis of amenorrhea

    Treatment of amenorrhea

    General information about the delay (absence) of menstruation

    The delay of menstruation for 6 months or more, as well as the complete absence of menstruation, is called amenorrhea.

    If a girl under 14-16 years of age has not begun her period, they talk about primary amenorrhea. If earlier there were menstruation, and then there was a delay of more than six months - this is secondary amenorrhea.

    In many cases, amenorrhea is not a cause for concern. Due to the individual characteristics, in some healthy girls, menstruation begins later than normal.

    Secondary amenorrhea may be associated with natural causes of delayed menses. For example, periods stop during pregnancy or breastfeeding, as well as after menopause. Some types of contraceptives can also cause a temporary cessation of menstruation.

    However, more often the absence or delay of menstruation are associated with various diseases:

    • Polycystic ovaries - a disease in which ovulation does not occur,
    • hypothalamic amenorrhea - when the hypothalamus is a part of the brain that regulates the menstrual cycle - stops working normally (it is believed that this may be caused by excessive physical activity, severe weight loss and stress),
    • hyperprolactinemia - high levels of the hormone prolactin in the blood,
    • ovarian exhaustion syndrome - when the ovaries no longer work normally in women who have not yet reached the age of natural menopause - up to 50 years.

    Menstrual cycle

    Monthly (menstruation) - is part of the menstrual cycle. They usually start in girls aged 10-13 years.

    Approximately every 28 days, the ovaries release a mature egg. This is called ovulation.

    The lining of the uterus thickens, preparing to receive a fertilized egg. If fertilization has not occurred, this overgrown membrane is rejected and released along with the bloody discharge from the vagina, which is called menstrual bleeding - monthly.

    Who is affected?

    Secondary amenorrhea is quite common. According to some estimates, 1 out of 25 women will encounter this in their lifetime. Menstruation may disappear due to professional activities, for example, in female athletes or dancers during heavy workouts.

    Primary amenorrhea is less common, about 1 in 300 girls and women.

    Treatment of amenorrhea

    Treatment of amenorrhea will depend on its causes.

    In some cases, the doctor may recommend a wait-and-see tactic: to postpone drug treatment and see if the cycle will not recover on its own.

    For example, with hypothalamic amenorrhea, regular menstruation is often restored in a natural way, as soon as a woman reduces physical activity and restores normal body weight.

    A number of disorders require hormone therapy, for example, polycystic ovary.

    Sometimes the treatment of amenorrhea is not effective, for example, if the monthly disappeared due to premature depletion of the ovaries.

    When to see a doctor

    If you are worried about the delay or absence of menstruation, visit a gynecologist to find out the cause of the violation cycle. You can contact the antenatal clinic, territorial clinic, private medical center or use our service to find a good gynecologist without leaving your home.

    If necessary, the gynecologist will refer you for consultation to the endocrinologist or gynecologist-endocrinologist for a more detailed examination and treatment. Follow the links to find doctors of these specialties in your city.

    Causes of amenorrhea (delayed menstruation)

    Diagnosis of amenorrhea

    Treatment of amenorrhea

    General information about the delay (absence) of menstruation

    The delay of menstruation for 6 months or more, as well as the complete absence of menstruation, is called amenorrhea.

    If a girl under 14-16 years of age has not begun her period, they talk about primary amenorrhea. If earlier there were menstruation, and then there was a delay of more than six months - this is secondary amenorrhea.

    In many cases, amenorrhea is not a cause for concern. Due to the individual characteristics, in some healthy girls, menstruation begins later than normal.

    Secondary amenorrhea may be associated with natural causes of delayed menses. For example, periods stop during pregnancy or breastfeeding, as well as after menopause. Some types of contraceptives can also cause a temporary cessation of menstruation.

    However, more often the absence or delay of menstruation are associated with various diseases:

    • Polycystic ovaries - a disease in which ovulation does not occur,
    • hypothalamic amenorrhea - when the hypothalamus is a part of the brain that regulates the menstrual cycle - stops working normally (it is believed that this may be caused by excessive physical activity, severe weight loss and stress),
    • hyperprolactinemia - high levels of the hormone prolactin in the blood,
    • ovarian exhaustion syndrome - when the ovaries no longer work normally in women who have not yet reached the age of natural menopause - up to 50 years.

    Menstrual cycle

    Monthly (menstruation) - is part of the menstrual cycle. They usually start in girls aged 10-13 years.

    Approximately every 28 days, the ovaries release a mature egg. This is called ovulation.

    The lining of the uterus thickens, preparing to receive a fertilized egg. If fertilization has not occurred, this overgrown membrane is rejected and released along with the bloody discharge from the vagina, which is called menstrual bleeding - monthly.

    Who is affected?

    Secondary amenorrhea is quite common. According to some estimates, 1 out of 25 women will encounter this in their lifetime. Menstruation may disappear due to professional activities, for example, in female athletes or dancers during heavy workouts.

    Primary amenorrhea is less common, about 1 in 300 girls and women.

    Treatment of amenorrhea

    Treatment of amenorrhea will depend on its causes.

    In some cases, the doctor may recommend a wait-and-see tactic: to postpone drug treatment and see if the cycle will not recover on its own.

    For example, with hypothalamic amenorrhea, regular menstruation is often restored in a natural way, as soon as a woman reduces physical activity and restores normal body weight.

    A number of disorders require hormone therapy, for example, polycystic ovary.

    Sometimes the treatment of amenorrhea is not effective, for example, if the monthly disappeared due to premature depletion of the ovaries.

    When to see a doctor

    If you are worried about the delay or absence of menstruation, visit a gynecologist to find out the cause of the violation cycle. You can contact the antenatal clinic, territorial clinic, private medical center or use our service to find a good gynecologist without leaving your home.

    If necessary, the gynecologist will refer you for consultation to the endocrinologist or gynecologist-endocrinologist for a more detailed examination and treatment. Follow the links to find doctors of these specialties in your city.

    Causes of amenorrhea (delayed menstruation)

    Delay or lack of menstruation has natural causes that do not require treatment. However, in some cases, amenorrhea is caused by a disease.

    Therefore, it is very important to find out the causes of the violation of the cycle and understand their origin.

    Отсутствие месячных по естественным причинам

    Существует три основные естественные причины отсутствия месячных. Это беременность, кормление грудью и менопауза.

    Most often, the delay in menstruation is the result of an unexpected pregnancy, which a woman may not guess. This is often the case when the conventional contraceptive method fails. After pregnancy, childbirth and cessation of breastfeeding, periods are usually restored on their own.

    Menopause is the natural extinction of ovarian function in women over 50 years of age. During menopause, menstruation becomes more rare, and then finally disappear.

    Delayed sexual development

    Delay of sexual development is considered the absence of secondary sexual characteristics in girls 13-14 years old or their late development (2.5 years or more compared with the norm). Such a disorder is said, if a girl of 13 years does not have an increase in the mammary glands and by the age of 14-16 there is no menstruation.

    Delayed sexual development can be an individual feature of a healthy girl. Especially if it was her mother and older sisters. In this case, treatment is not required and monthly come independently, but later.

    There are more serious causes of delayed sexual development. For example, ovarian hypoplasia, brain diseases, congenital genetic abnormalities.


    The absence of menstruation may be associated with the use of hormonal contraceptives: Mirena intrauterine device, injections or, more rarely, oral contraceptives.

    After the abolition of contraceptives, menstruation should resume, although sometimes this does not happen. If within six months after discontinuation of the use of contraceptives did not resume monthly, consult a gynecologist.

    Polycystic ovary

    Polycystic ovary is a common disease that causes amenorrhea in 1 case out of 3. The following disorders are characteristic of polycystic

    • several underdeveloped follicles (sacs in which there are eggs) in the ovaries,
    • irregular ovulation
    • high levels of male hormones - androgens in the body.

    In addition to the absence of menstruation, symptoms of polycystic ovary include increased body hair, infertility, and excess weight. Read more about polycystic ovaries.

    Hypothalamic amenorrhea

    The menstrual cycle is regulated by a section of the brain called the hypothalamus. They produce hormones necessary for the maturation of the egg and its release from the ovaries - ovulation. With hypothalamic amenorrhea, the hypothalamus stops producing these hormones, and the menstrual cycle stops.

    It is assumed that such a condition develops with:

    • excessive weight loss (for example, due to eating disorders such as anorexia nervosa),
    • heavy physical exertion (for example, in female athletes during strenuous training),
    • stress,
    • severe chronic diseases (for example, heart disease or decompensated diabetes).

    Hypothalamic amenorrhea is more common in women who, by virtue of their profession, have to do a lot of sports and maintain low body weight, for example, dancers.

    In addition to amenorrhea, dysfunction of the hypothalamus is accompanied by other symptoms, such as increased bone fragility, which can cause a fracture even with a slight stroke or a fall.

    Therefore, be sure to consult your doctor, even if you believe that the temporary absence of menstruation does not bother you.


    Hyperprolactinemia is an increase in the blood level of a hormone called prolactin. Normally, the concentration of this hormone increases only after the birth of a child, since prolactin stimulates lactation - the production of breast milk.

    The production of large quantities of prolactin disrupts the menstrual cycle and leads to amenorrhea. Hyperprolactinemia occurs in about 1 in 200 women and can be caused by several reasons:

    Sometimes hyperprolactinemia becomes a side effect:

    • radiation therapy (for example, for tumors),
    • antidepressants (used to treat depression),
    • calcium channel blockers (prescribed to treat hypertension),
    • omeprazole (drug for the treatment of gastric ulcers).

    Hyperprolactinemia can also occur in women who regularly use heroin.

    Ovarian exhaustion syndrome

    Ovarian exhaustion syndrome is the premature extinction of the function of the female genital glands. In this disease in women younger than 45-50 years of age, ovulation stops (maturation and the release of eggs from the ovaries), and amenorrhea occurs.

    According to some estimates, ovarian depletion occurs in 1 woman out of 100 at the age of 40 years and 1 woman out of 20 at the age of 45 years.

    It is believed that the cause of ovarian depletion may be a failure in the immune system, in which the body begins to destroy its own ovaries. Another possible cause is a side effect of radiation and chemotherapy.

    Ovarian exhaustion increases the risk of osteoporosis, heart disease and other problems, and therefore requires treatment by a doctor.

    Thyroid disease

    The thyroid gland is located in the neck. It produces hormones that control growth and metabolism in the body. Under the action of thyroid hormones, the frequency of the heartbeat, body temperature, energy is stored and consumed.

    In addition, the activity of the thyroid gland affects the menstrual cycle. So, the cause of amenorrhea can be:

    • hypothyroidism - insufficient production of thyroid hormones,
    • hyperthyroidism - excessive production of thyroid hormones.

    Genetic diseases

    In rare cases, the cause of the absence of menstruation are genetic diseases:

    • Turner syndrome is a chromosomal disease that occurs in about 1 in 2,000 girls. Ovaries from birth are not able to produce hormones necessary for a normal menstrual cycle.
    • Kallmann syndrome is a rare disease, occurring in about 1 in 10,000 newborns. There are no hormones necessary for sexual development.
    • Testicular feminization syndrome is a rare disease, occurring in about 1 in 20,000 newborns. A child who is genetically a boy may be born with female primary sex characteristics.

    At the reception at the gynecologist

    First of all, the doctor will recommend to take a pregnancy test, as this is the most common reason for the absence of menstruation. Unexpected pregnancy often occurs in cases where brings the usual method of contraception.

    In addition, for the diagnosis the doctor will need information about the health of his close relatives, the characteristics of your sex life, the likely emotional turmoil lately, the change in body weight, etc.

    Also, at the first visit, the gynecologist will conduct an external examination of the body to assess the degree of development of secondary sexual characteristics, which is especially important for primary amenorrhea in adolescent girls. Then the doctor performs a gynecological examination.

    Additional examination

    For the diagnosis of amenorrhea are assigned various tests and examinations:

    • blood tests for hormones, for example, prolactin, thyroid-stimulating hormone, follicle-stimulating hormone, luteinizing hormone,
    • Ultrasound, computed tomography or MRI - these methods allow you to study the structural features of the internal genital organs and the pituitary gland (the brain),

    Where to find a doctor?

    You can use our service to find a good gynecologist in your city. In addition, complaints about the absence or delay of menstruation can be addressed to the gynecologist-endocrinologist. Read more about how these doctors differ.

    If you can not get an appointment with a gynecologist-endocrinologist, do not be discouraged. An ordinary gynecologist will be able to provide you with competent assistance, and if necessary he will refer you to an endocrinologist for consultation and further treatment will be carried out with the participation of both doctors.

    What are the reasons for the delay of menstruation (2-4 months)?

    Faced with a hormonal disorder, namely with a delayed menstruation, the first thing that comes to mind is pregnancy. It is easy to guess what action scenario will follow.

    Of course, a woman first buys a test to rule out the most likely cause. Suppose that this test gave a negative result, temporarily putting it to sleep, but there are plenty of reasons for delaying menstruation, in addition to pregnancy.

    Why there are no periods?

    When a woman visits a gynecologist in connection with a delay in menstruation for a week or even 2 months, very often he is diagnosed with ovarian dysfunction.

    Note that with this diagnosis, the doctor only confirms the irregularity of the menstrual cycle (that is, the stopping of menstruation) by excluding the option of pregnancy. So dysfunction is not the cause of the disease, but only the conclusion that something is wrong with the body.

    Now you need to know what caused the stop of the month. But the reasons for this are much more than it seems.

    Factors that can affect cycle regularity

    1. Physical exercise. which do not contribute to the stability of the menstrual cycle. Most often, the problem of delayed menstruation for more than 20 days is encountered by sportswomen. The same applies to women who prefer hard work, where physical force must be used. Still, hard work should be left to men. Do not confuse physical work with an active lifestyle, which include:
      • fitness,
      • run,
      • dance classes
      • yoga classes.
    2. Failure of the menstrual cycle. including a delay of a week or even 2 months can occur from nervous breakdowns. Problems at work, school, in the family - and this is not a complete list of situations that can lead to a stressful state, and as a result, to stop menstruation. Stress is perceived by the cerebral cortex and feeling a negative environment for the development of the fetus, gives a signal to the body, indicating that the woman is not yet ready to become a mother. At the same time there is no monthly and ovulation does not occur. In fact, a woman can not get pregnant. In this case, it is worth resorting to the help of specialists.
    3. Adaptation period during climate change may be another reason for the absence of menstruation for a long period (from two weeks to several months). Changing the usual conditions the body regards as stress, which leads to the cessation of menstruation. Even a few days spent outside the usual conditions can completely rebuild the entire hormonal background, and in 20 days the body can fully adapt to the new conditions. Often one of the reasons for the delay of menstruation for a week, month or two months is too long exposure to the sun or in the solarium. In all you need to know the measure, because an overabundance of ultraviolet radiation can lead to far more serious consequences than a failure of the menstrual cycle.

    4. Diet or excess weight may also affect the menstrual cycle. Adipose tissue takes part in all hormonal processes occurring in the body. Due to weight problems, it is not difficult to guess for what reason there is a delay, since not only its excess, but also a deficiency can cause hormonal disorders.
    5. Increased body weight - accumulates estrogen much faster, which prevents the body from functioning properly. Lack of weight is much more difficult. Fasting, extreme diets and weight, below 45 kg, the female body perceives not just as stress, but as an emergency situation. Then the brain activates the "survival mode" and makes it clear to the body that the critical state is completely inappropriate for the development of the fetus. In this situation, there is not only a delay, but also a complete stop of the menstruation.
      To avoid further violations and to normalize the body will only help weight gain. It should pay more attention to your diet, combining a balanced diet with physical activity in the form of sports. If a woman has problems with weight, then the disadvantages should be corrected gradually. In both cases, it is useful to consult with a specialist.

    Gynecological factors of failure of the menstrual cycle

    The cause of failure of the menstrual cycle and a long delay (20 days or more) can be and gynecological diseases:

    • cervical cancer,
    • uterine fibroids,
    • cyst,
    • violations and infection of the genitourinary system,
    • contraceptives (spiral).

    Any disease, be it a tumor or an inflammatory process, requires timely diagnosis and treatment, which will at least double the chances of a full recovery. Therefore, for any sensations of discomfort, especially if there is no monthly period of more than 2 weeks, you should not neglect your health, but you should seek qualified medical help.

    External intervention, such as abortion, or miscarriage also have an effect on the stability of the menstrual cycle. Pregnancy initially causes a resonance and drastic changes in the body, and if this pregnancy is interrupted by artificial means, one cannot do without failures. Usually, recovery after surgery takes 1–2 months, after a vacuum of 4 months or more. If there were surgical interventions, there is no reason to worry about the delay of menstruation even up to 4 months. It may also happen that the cycle (the stop of menstruation) is not restored at all, then you should immediately consult a doctor.

    Not the last place in the imbalance is hormonal contraception. The hormones that are contained in these contraceptives stimulate the menstrual cycle, but they are addictive, adjusting the rhythms of the monthly according to the schedule of taking the drugs. After giving up the tablets for several weeks and up to 2 months, there may be a delay. The situation will be repeated until the full recovery and settlement of menstruation. Hormonal contraceptives are a necessary measure that should not be abused. Constant changes in hormonal levels will not pass for the body without a trace.

    Non-gynecological factors of menstrual disorders

    When for a month, 2 months there was a stop of menstruation, but there is no pregnancy, it is easy to guess that something is wrong with the body. If there are no gynecological problems, it is worth thinking about the reasons for the absence of menstruation. As we already know, all processes in the body are controlled by the brain. The cerebral cortex, hypothalamus and pituitary are responsible for the menstrual cycle. If there are violations in the brain, it is possible that this could be the cause of the delay.

    Also, do not forget that there are a number of diseases affecting the entire work of our body. These include:

    • diabetes,
    • thyroid disease,
    • adrenal gland diseases
    • diseases of the endocrine system (in such cases, the delay can vary from two weeks to 4 months).

    Against the background of all negative internal processes, a woman has to face such unpleasant symptoms as overweight and weak immunity, which often leads to a deterioration of health, increasing at least twice the stress for the whole organism.

    Let's not forget about the climax. When the reproductive age of a woman comes to its logical conclusion, you can observe some monthly failures. This is usually 1 month, but sometimes more (2–4 months). At this age, it is especially important to identify "malfunctions" in the body at an early stage, at least within two weeks.

    PCOS or Polyskitosis Ovary Syndrome. What is it?

    The reason for the long absence of menstruation (more than 20 days) may indicate such a pathology as Polyskitosis Ovary Syndrome (PCOS). This name hides a serious imbalance of hormonal levels, which often results in impaired ovarian function. At the same time in the body increases the production of tarragon and androgens. In addition, this disease is characterized by functional disorders of the pancreas and the adrenal cortex.

    Not only the long delay of menstruation (2–4 months) may indicate PCOS, but also the appearance of the woman. The first signs of the disease are obesity and active hair growth (in the inguinal zone, legs, upper lip, etc.), that is, the male hormone dominates in the female body. But it is worth remembering that the appearance still does not give 100% of the result, since, for example, in Eastern women, intensive hair growth is associated with national characteristics. The surest way to calculate a disease is to be examined and tested.

    PCOS, like any other disease, has its own characteristics. In some cases, PCOS can lead to infertility, but you should not focus on this, because this disease is treated with hormonal drugs. Taking the prescribed medication for a whole month, not only the ovaries work, but also the appearance of the woman improves. This is due to the fact that with the help of the drug the female body begins to produce female sex hormones, which leads to the normalization of the general state of the body and the settlement of the menstrual cycle.

    When the delay comes. What to do?

    When a delay occurs, young women who have sex and girls who have just begun to lead her should do the following:

    • pregnancy test,
    • identify other factors (climate change, stress, diet, etc.), usually the duration of the delay starts from 20 days and can last up to 4 months,
    • consult a gynecologist if the delay is 3 months.

    If a woman does not lead a sexual life:

    • identify other factors
    • Refer to the gynecologist in case of a delay of 20 days and not more than 2-3 months, but not more than 4 months.

    В случае если женщина переступила 40-летний барьер:

    • посетить медицинское учреждение для осмотра в случае отсутствия месячных от 20 дней до 4 месяцев.

    In case of discontinuation of hormones:

    • visit a gynecologist if the delay lasts from 20 days to 2-3 months. Sometimes the delay can reach 4 months.

    If there is any discomfort in the body, you should immediately contact a specialist for medical help.

    Month is not monthly, but there is no pregnancy - what does it say? Find out the reasons why a month, two or three are not monthly and what to do.

    Author: Anna Nesterenko

    Usually, women are very closely watching the menstrual cycle. They calculate its duration, they know how long the menstruation itself lasts, they see how rich the discharge is, how much their color is. Some even manage to calculate the amount of blood leaving the vagina. Now one can only imagine in what shock many of them introduce a delay. What to do when there is no monthly period, for what reason the failure occurred, why the menstruation does not come even ten weeks later? Let's figure it out.

    No monthly 2 months

    If there are no monthly 2 months, then this may indicate that the "legs" of the problem grow from the hypothalamic-pituitary region. The reason for the failure of work in this area of ​​the brain are most often stresses. For example, a woman who is constantly in stressful situations may not have cyclical hormone production in the hypothalamic-pituitary system. As a result, the egg does not mature. The cause of malfunctions in the pituitary gland, which regulates reproductive function, often becomes a neoplasm. In fact, any pathological processes in the pituitary region, including inflammatory diseases of the brain, can lead to amenorrhea.

    Some girls, worrying that they do not have 2 months, write off the situation as genetic problems with the ovaries. Indeed, such problems sometimes occur, for example, the ovaries may simply not have hormone receptors produced by the pituitary gland. But in this case, girls usually complain of pathological amenorrhea, and not at the absence of menstruation for two cycles.

    When there is no menstruation for 2 months or more, while the regulations are scanty, this often indicates the development of polycystic ovary syndrome. Especially it is necessary to be wary of women who have not only amenorrhea, but also central obesity is progressing, acne, stretch marks, depression, bald patches on the sides of the forehead have appeared. These are just some of the symptoms that indicate polycystic ovary, in the event of which there is a violation of estrogen secretion, the cyclical process of alteration of the uterine mucosa is lost. Such violations and lead to amenorrhea.

    The absence of menstruation for 2 months in women with an affected uterine lining mucosa is not unimaginable. As a rule, the cause of these lesions are inflammatory processes. Inflammatory diseases sometimes lead to obstruction of the exit from the uterus, as a result of which the girl may complain that she has not had her period for 2 months, when in fact her menstrual blood simply does not come out.

    No monthly 3 months

    When a lady has no monthly 3 months, this often indicates the development of the above problems. For example, a woman could fail in the hypothalamic-pituitary system, or she had problems with the ovaries, uterine lining, etc. But the older the lady, the more likely that she has no menstruation for 3 months due to the completion of the fertility function. That is, roughly speaking, such a delay is a signal of the onset of menopause.

    Many women are afraid of menopause, regarding it as a pathological condition. But he really is not. The number of eggs that each woman can produce is limited. It turns out that, already being born, the girl has a strictly defined number of gametes. One of them starts to stand out every month from the beginning of the childbearing period. Over the years, all the eggs are released and menstruation stops. It is possible to say that a woman has a menopause when the delay reaches a year.

    Some women do not go to the doctor after they have made sure that they do not have 3-month periods, or, for example, half a year. They assure themselves that this is a simple menopause. In this case, women are at risk to miss the beginning of the development of the disease, leading to disruptions of the menstrual cycle. And only when they feel that something out of the ordinary is happening, they are already running to the hospital. But due to the late visit to the clinic, it is sometimes unbearably difficult to cure the disease that has been progressing for months. How to be?

    To make sure that the absence of menstruation for many months - this is really menopause, it is necessary to pass tests for follicle-stimulating hormone. It is he who stimulates the ovary. When the level of the hormone is higher than the established figures, the absence of menstruation really indicates the beginning of menopause.

    Month is not monthly, test is negative

    When the month is not monthly, and the test is negative, it does not at all mean that you are not pregnant. Just the usual home tests can not always determine pregnancy in the early stages. Especially you should not rely on reliable information, buying cheap tests. Sometimes the test is negative in pregnancy, not only because of the use of poor-quality products. A pregnant woman herself could make mistakes by conducting a home analysis, for example, for a little time she waited for the result, put urine in a polluted container, etc.

    To accurately determine whether you are pregnant or not, go to the doctor, donate blood for analysis, undergo a medical examination by a gynecologist, etc. If tests show that there is no pregnancy, and there are no monthly periods for about a month, then there is the likelihood of an ectopic pregnancy. In rare cases, amenorrhea occurs in women due to the onset of psychological pregnancy. You may not have a monthly period for other biological reasons. In order to find out them, you must pass a full examination.

    Month is not monthly and not pregnant

    If the month is not monthly, and the absence of pregnancy confirms both the test and the gynecologist with the uzost, it is worth undergoing examination to find the causes of the failure of the menstrual cycle. In addition to all the above-mentioned diseases, pathological abnormalities, impaired functioning of the systems regulating the work of the female genital organs, menstruation may not come for a month for other reasons. For example, hypothalamic is also found almost on a par with psychogenic amenorrhea. The last form of amenorrhea develops on the background of losing weight.

    Failure in the menstrual cycle is often due to the cessation of oral contraceptive use. Diabetes mellitus can also cause delayed menstruation. When the month is not monthly, be sure to check in the clinic for any abnormalities in the work of the adrenal glands.

    Incorrect reaction to the absence of menstruation.

    Most women, when they do not have a month or longer, still buy a pregnancy test first thing. And it is right. If it is negative, it is reasonable to go to a gynecologist. If they do not detect female diseases, they will have to undergo a comprehensive examination, having checked the adrenal glands, the endocrine system, and the work of the brain. Women aged should be tested, considering the results of which, without problems, you can determine when the delay is a normal menopause.

    But how not to respond to amenorrhea, so it is to take it for granted. It turns out that not all girls understand that menstrual bleeding occurs due to rejection of the uterine mucosa. There are young ladies who are sure that any discharge during menstruation takes place only in women whose body is left in toxins. It turns out that these toxins accumulate until they escape through the uterus into our vagina, and then they crawl out into the light of God in the form of colored secretions. Moreover, ridiculous ladies agitate other ladies never to see a doctor in case of termination of menstruation, but rather enjoy their great happiness and a purified organism.

    What guides the above people? They claim that their menstruation stopped immediately after they began to maintain a healthy lifestyle. At the same time, such an image included grueling workouts, raw foods, and sometimes sun exposure. Women really think that if they eat green leaves and constantly train, they will stop producing bloody "toxins". Allocation, they equate to the common cold, appearing only in diseases.

    These girls are guided by their particular logic. And they wanted to sneeze on anatomy and everything else. In confirmation of their words, the pranksters say that as soon as they no longer actively engage in sports and began to eat "garbage" such as hamburgers (which, by the way, contain the body's necessary proteins, carbohydrates, vitamins, etc.), almost immediately from the uterus send toxins.

    Girls do not even realize that menstruation disappears because the body perceives their raw foods as a most severe diet. Adhering to this power, you can easily earn a hypothalamic form of amenorrhea. Unbearable loads on an unprepared organism are charged up even when you are engaged in sports before exhausting. Therefore, there is nothing surprising in the fact that the body begins to recover, finally reinforced by bread, meat and rested from unbearable workouts.

    Girls, dear, do not take, please, amenorrhea as the long-awaited disposal of toxins. There is nothing good if the month is not monthly and you are not pregnant, and far from menopause.

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    The reasons for the absence of menstruation

    Changes in hormonal levels - the main cause of delayed menstruation. All reasons conditionally divided into several groups.

    • The period of the menstrual cycle in adolescents. Menarche appears at the age of 12–14 years. On the formation of the cycle is given two years. During this time there may be a delay of 2–4 months. In general, this is not a cause for concern.
    • Extinction of reproductive functions. The period of menopause begins after the age of 40–45 years. Unstable hormonal background contributes to a delay of two to four months. Then menstruation reappears. This happens about 5 years. Until the body is completely reconstructed.
    • Postpartum period. On the restoration of the menstrual cycle affects the nature of childbirth, breastfeeding. During labor, the body experiences severe stress both at the physiological and emotional levels. The delay in menstruation is observed for two months or more. In addition, hormonal changes during breastfeeding.

      The amount of milk in the breast is the hormone prolactin. It inhibits the production of sex hormones. Prevents ovulation, inhibits menstruation. During breastfeeding, menstruation appears two months after the introduction of complementary foods. The situation is also considered normal when menstruation is absent for 1.5 years, the entire period of feeding.

    • Abortions. Artificial termination of pregnancy causes severe hormonal stress. Under normal circumstances, the next menstruation should pass normally. But in life is not always the case. In some cases, there is a delay of menstruation for two months or more.
    • Taking birth control pills. Contraceptives affect the work of the ovaries, prevent the production of sex hormones. Instead, the necessary hormones come from the outside. On adaptation to new conditions, the body is given 3 months. During this time, there may be a delay in menstruation, but a new package of tablets is taken on a schedule. Then there are no periods at all. If the situation is observed all 3 months, the question arises about the replacement of the drug. The same story happens after the abolition of pills, if a woman took them for a long time. The body will again have to adapt to the new conditions. The delay in menstruation is two to four months.
    • Nervous stress. The central nervous system regulates all processes in the female body. Depletion, high stress, stress, depression change the course of the cycle. Most often there is a delay of menstruation for two months or more.
    • Weight category. For every height there is a perfect weight. If you stick to this ratio, you can avoid many health troubles. In pursuit of beauty, women often sit down on exhausting diets. Rapid weight loss leads to a significant decrease in the level of progesterone, which is deposited in the fat layer. If the weight of an adult woman becomes less than 45 kg, your period may stop altogether. Such a physiological feature of the body. Before that, there will be a delay of two months or more.
    • Physical exercise. A long delay of menstruation for two months or more is observed in professional athletes. When exercise is extremely high. Also, the situation is present in women who are engaged in heavy exhausting physical labor. Every day there is fatigue, lack of sleep.

    Whatever the reason for the delay in menstruation, you should treat your body carefully. If you experience anxiety symptoms, seek help from a qualified professional.

    Monthly delay in a teenager

    The first menstruation comes at the age of 12–13 years. Promote its appearance sex hormones. On the formation of hormonal background shows the physical development of the girl. Secondary sexual signs appear - breast augmentation, hair growth in the groin, underarms, waist formation. The weight of the girl is important. If the body weight is less than 45 kg, menstruation cannot begin. For this reason, the critical days for obese adolescents begin earlier. In thin girls, menarche is 14–16 years old.

    The onset of menstruation does not indicate a stable monthly cycle. Hormonal background is far from constant. There will be a monthly delay, their character will change. Moreover, a break of two months is considered normal. In general, the girl's menstrual cycle should become the same as that of her mother. If the mother was different, you can take the teen for a consultation with a gynecologist. Perhaps there are pathological abnormalities.

    Test negative with delayed menses

    To get a true result, it is necessary to choose high-quality products with high sensitivity, to correctly analyze. Pregnancy is considered to have occurred since the egg has been attached to the uterus. Then the level of pregnancy hormone - hCG increases every day. In the urine, the hormone level increases much more slowly than in the blood. In the early stages of pregnancy with a delay of up to 1 week, it is recommended to conduct an analysis with a morning urine flow. Then the hormone is the highest.

    The principle of operation of all tests is based on the reaction of the reagent. If his sensitivity is from 25 units, he will not be able to show pregnancy in the early stages. In addition, even a test with 10 sensitivity units can also misfire. When ovulation does not occur in the middle of the cycle, towards the end, the body does not have time to quickly adjust to the time of the beginning of menstruation. Then, with a delay of up to 1 week, the result may be false. The second strip of gray does not indicate the presence of pregnancy. This means that the reaction did not occur. Most likely, the test was kept in the urine for more than 30 seconds.

    If we are talking about the delay of menstruation for 2-4 months, a negative test is a clear confirmation of the absence of pregnancy. Violation of the cycle occurs due to menopause, if age allows to draw such conclusions, gynecological diseases, nerve pathologies, diseases of the endocrine system.

    Delayed period, but not pregnant - what to do

    First of all, it is necessary to analyze the events of the past months. If there are no obvious factors affecting the menstrual cycle, it is recommended to be examined. Delayed menstruation is caused by gynecological diseases:

    • polycystic ovaries,
    • uterine fibroids,
    • chronic endometritis,
    • inflammation of the uterus, appendages.

    Disruption of the thyroid gland is directly related to the production of hormones. We'll have to visit more and endocrinologist. Delay of menstruation can occur after taking antibiotics and some other medicines. This should be written in the instructions, must warn the doctor.

    It is very difficult to establish independently the reason for the delay of menstruation, when there are no months. The most harmless cause may be a disorder of the nervous system. Then, after restoring rest, the menstrual cycle is normalized. In other cases, you will need long-term treatment, hormonal drugs.

    How to call them

    The absence of menstruation in women of reproductive age entails the disruption of the work of other systems, internal organs. There is a question about their forced call. In the absence of serious gynecological diseases, the situation is regulated fairly quickly. The reason for this phenomenon is an insufficient amount of progesterone - the second phase hormone. It is replenished by synthetic analogues. The most common way to call for menstruation with a long delay is Norkolut.When menstruation is delayed in several months, they begin to drink pills on any given day.

    The dose of the drug is established by a specialist. Usually 1 tablet per day for 10 days. Or 2 tablets at a time, 5 days. Menstruation should go through the treatment process. If the progesterone level was not so low. Or 1-3 days after completion of the course. Menstruation after Norkolut passes as usual.

    In the people there are several recipes for calling menstruation. For example, a decoction of parsley, bay leaf. which causes increased contraction of the uterus muscles. But in such a long absence of menstruation, folk recipes will prove ineffective. It is necessary to cause critical days with the help of special preparations prescribed by a doctor. Incorrect dosage may not give the desired result or cause severe bleeding.

    No menstruation after 40 years

    At this age, the extinction of the reproductive functions of the body. Unstable hormonal background leads to the absence of menstruation in a few months. Then the amount of estrogen gradually builds up, ovulation occurs again, and after a few weeks, there is bloody discharge. Climax lasts about 4 years. It ends with the complete absence of menstruation. However, if the situation is a concern, you must visit a gynecologist. During menopause, the risk of gynecological diseases associated with hormones increases.


    • You are worried about sudden abdominal pain.
    • And long, chaotic and painful periods are already pretty tired.
    • You have insufficient endometrium to get pregnant.
    • Highlight brown, green or yellow.
    • And the recommended drugs for some reason are not effective in your case.
    • In addition, constant weakness and ailments have already firmly entered your life.

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