The lower abdomen is pulling; your period is not coming soon. As during menstruation, the lower abdomen pulls

If you have a tightness in your lower abdomen, but do not have your period, several options are possible.

• Firstly, a banal and not at all dangerous shift menstrual cycle. Over the course of a woman’s life, even the most regular menstrual cycle can change several times. The reasons for this can be varied:

1. Severe stress
2. Sudden climate change (flights),
3. Heavy workload at school or work, etc.

This option does not require treatment; most likely, your period will begin in the near future.

• Secondly Of course, pregnancy cannot be denied. Nagging pain in the lower abdomen is one of the earliest symptoms of pregnancy. In addition, this is a very common problem that most women note when registering. And the lower abdomen is pulled because, having reached the uterus, the fertilized egg begins to attach itself to the place it likes. If your period begins after a long delay, but it differs from your usual cycles, the possibility of pregnancy remains.
  Measure your basal body temperature for several days during the delay (without getting out of bed in the morning), and if the thermometer shows a temperature of more than 37 degrees all days, then the likelihood of pregnancy is very high. To get a more accurate result, take a pregnancy test.

• Thirdly, most often inflammatory processes of the reproductive system. Colpitis (vaginitis) is an inflammation of the vagina. With this disease, in addition to the cutting and pulling nature of the pain in the lower abdomen, discharge of various kinds (except menstruation), itching and burning are very often observed.
  Adnexitis is an inflammation of the ovaries (appendages). It does not always occur with pain in the lower abdomen, but if it is not treated in time, the chronic form is quite capable of leading to infertility. Endometritis is an inflammation of the endometrium (uterus), accompanied by pain in the lower abdomen, and can provoke severe bleeding. This option for the absence of menstruation includes various formations in the genital organs: ovarian cysts, pelvic tumors, etc.
• Fourth, nagging pain in the lower abdomen and absence of menstruation can be triggered by the development of diseases of the genitourinary system (pyelonephritis, cystitis).
• Fifthly, in the body are so strongly connected different systems organs, that even diseases gastrointestinal tract(inflammation of the intestines, adhesions, hernias, and appendicitis is not excluded) may be one of the options.

As you can see, there are many reasons for nagging pain in the lower abdomen in the absence of menstruation and there is no point in trying to identify them. You should immediately contact a specialist who will determine the cause for your body and prescribe effective measures if necessary.

If menstruation is late, every woman begins to worry. Some hope for a long-awaited pregnancy, others worry about their health. If you don’t have your period, the test is negative and your lower abdomen hurts, there is no need to panic. You should calmly figure everything out and find out why the delay began.

Circumstances

All women experience premenstrual syndrome differently. For some, their breasts swell and enlarge, their stomachs swell, their appetite and sweating increase. Others suffer from aching in the lower abdomen. What to do if pain begins, as before menstruation, but there is none. A regular cycle is an indicator of a healthy physiological state. Every month it goes the same way. The absence of menstruation on the expected dates within two days of each other should not cause concern.

A delay in which a negative test or pain in the lower abdomen is most likely provoked by external causes:

1. Change normal conditions residence (climate change).
2. Stressful situations: family problems, negative psycho-emotional shocks.
3. Increased physical activity.
4. Eating disorders (strict diets, low-protein diet, fasting).
5. Postpartum period and breastfeeding.
6. Irregular sex life.

If the pregnancy test is negative, there is a delay, the lower abdomen hurts, there may be internal reasons:

1. Diseases of the reproductive system (polycystic disease, vaginitis)
2. Diseases of the endocrine system (dysfunction of the ovaries, thyroid gland, adrenal glands).
3. Taking oral contraceptives.
4. Colds, infectious diseases.
5. Treatment with hormonal drugs.
6. Early menopause.
7. Oncological pathology.
8. Post-abortion period.

Small deviations should not be a cause for concern if they occur no more than twice a year and the delay is no more than a week. When a pregnancy test shows a negative result, it must be repeated. Often a delay in the first days is determined by the test as negative and may be false. In this case, it is advisable to wait a couple of days and use test strips from other manufacturers. If they give a negative answer, the delay began due to endocrine diseases, pathology of the reproductive system or inflammation of the pelvic organs.

When pain in the lower abdomen begins and there are no periods, it is imperative to exclude provoking factors:

• adjust nutrition;
• avoid physical activity;
• return to normal emotional form.

If this is the first time

Delayed menstruation is common in adolescence from 13 to 16. It happens earlier. At the beginning, the menstrual cycle is just establishing itself and this can occur at significant intervals. This is not a delay. This is a normal physiological state during adolescence. The hormonal system is just beginning to develop and will take about two years to become stable. If after this period the cycle is not established, the mother should take the teenage girl to a gynecologist for consultation.

It happens that a delay in menstruation is accompanied by itching with white discharge that looks like cottage cheese. It could be thrush (candidiasis). This disease often passes without obvious symptoms and becomes a chronic process. Thrush is not harmless and treatment should be under the strict supervision of a doctor.

White discharge with a delay may be a consequence of hormonal disorders. In such cases, the doctor will prescribe additional examinations and then select the optimal treatment regimen. Against the background of a delay, the whitish nature of the discharge may indicate inflammatory gynecological pathologies. If the lower abdomen hurts, you should contact a gynecologist as soon as possible and take smears for microflora.

If the delay is accompanied by brown discharge, the lower abdomen hurts, such signs may be due to an ectopic pregnancy or placental abruption. These are emergency conditions, and timely measures will prevent complications and disturbances in the woman’s reproductive system.

If pregnancy is excluded

Frequent, prolonged delays in menstruation may be associated with amenorrhea. With this disease, there is no menstruation for about six months, but all the signs of the syndrome are preserved: pain in the lower abdomen, bloating, swelling of the breasts. After examination, laboratory tests and ultrasound, the doctor usually prescribes hormonal therapy.

The most harmless delay of 4 days, if accompanied by additional symptoms, can be a signal of the development of gynecological pathology. It can be triggered by inflammatory processes as a result of hypothermia or infections that are sexually transmitted.

Symptoms:

1. Sharp, cutting and intense pain below.
2. No menstruation for more than 5 days.
3. The discharge is brown or bloody. The smell is pungent and unpleasant.
4. The perineum is inflamed and itchy.
5. Feeling of discomfort and pain when urinating, painful sexual intercourse.

With vaginitis (colpitis), the vaginal walls are inflamed. Pain in the lower abdomen is cutting, throbbing, there is no menstruation. The pain sharply worsens and then weakens. Often radiates to the lower back.

With adnexitis (inflammation of the appendages), at the beginning of the disease there is no sharp pain in the lower abdomen, a delay of up to a week, no discharge or burning. Adnexitis is insidious in that it is difficult to diagnose and treat. If you let it go from the acute phase to the chronic form, it can cause infertility.

With endometritis (inflammation of the uterine mucosa), it all begins with bleeding and in the acute period the lower abdomen hurts.

Similar symptoms can develop against the background of uterine fibroids, cysts, tumors, polyps and adhesions.

If the test is negative, there is a feeling in the lower abdomen - these may be symptoms of sexually transmitted infections.

If the test is negative and there are no periods, these are symptoms of early menopause; hormonal disruptions occur that affect the reproductive and endocrine systems.

Concomitant diseases

When the test is negative, pain in the lower abdomen can cause kidney and urinary tract diseases. The cause of dysfunction is disturbances in the process of filtration and removal of water from the body. In acute cystitis, pyelonephritis, the lower abdomen hurts and pulls, aches in the lower back, menstruation is absent for about a week. The main alarming symptom is temperature on the second or third day after the delay. You cannot wait and delay. You need to see a doctor urgently. Often the balance can be disrupted by diseases of the stomach and intestines: colitis, adhesions or hernias, acute appendicitis.

If the test is negative, the pain in the lower abdomen is sharp, paroxysmal and accompanied by vomiting, diarrhea, constipation, and fever - this indicates symptoms of an acute abdomen. In this case, consultation with a surgeon is extremely important and necessary.

A delay in menstruation depends on many factors. Not all of them pose a danger to a woman's health. But they cannot be ignored. The female reproductive system is very vulnerable and fragile. The best thing to do is not to delay, contact specialists and prevent unpleasant consequences.

Almost every woman knows when “guests in red Mercedes” should visit her. For some, these are long-awaited days, while others are looking forward to the delay.

No matter how it is, everyone listens to how they feel and is wary or happy when menstrual bleeding begins below. There are a large number of reasons, some harmless, others requiring contact with a gynecologist. Let's look at the most common reasons.

Ovulation is the release of a mature egg from the follicle. Statistics show that in 20% of women, the ovulatory period is accompanied by pain in the ovarian area. There is nothing strange about this.

The process of ovulation is an “explosion” of the dominant follicle overflowing with fluid. appears due to minor bleeding from the ovary. Over time, this bleeding is absorbed, but it still irritates the peritoneal wall, and this leads to pain.

The degree of pain is directly proportional to the individuality of the body and the amount of bleeding. The nature of the pain syndrome during ovulation is spasmodic, cramping pain and can be traced only in one side - on the side of the ovary. This pain, like during menstruation, can mislead a girl.

The pain syndrome can begin to manifest itself from the moment the egg is released and last for several days.

Typically, the ovulatory phase begins in the middle of the cycle, on average the 14th day. And in cases where the monthly cycle is irregular, it is possible that it will occur immediately after menstruation or before it.

Premenstrual syndrome and lower abdominal pain

Scientists conducted a study and found that the number of women suffering from PMS with lower abdominal pain has recently increased significantly. Today, 40% of girls have this problem.

The pain syndrome during PMS is felt not only by the lower abdomen, but also by the lumbar region and legs. Why does this happen?

Stretching pain in the lower abdomen, but no menstruation, is a consequence of a hormonal surge. The female body is preparing to reject the functional layer of the endometrium, hence the changes in hormonal levels.

Such pain usually appears the day before the onset of menstrual bleeding and may accompany it for 24 hours after the onset of menstruation.

If the pain associated with PMS is not severe and it does not worsen the woman’s condition, there is no need to worry. This process is completely natural. But when an additional symptom is added, it is better to consult a gynecologist.

Nature's gift - pregnancy

Another option when your stomach hurts during pregnancy can be ordinary pregnancy. If the lower abdomen hurts during pregnancy, this indicates an increase in the tone of the uterus.

In the beginning interesting situation a girl will not be able to guess her condition using self-awareness; other symptoms of pregnancy will appear much later. In such cases it is worth doing. It happens that the test does not show the result too early.

If the cause of pain in the lower abdomen is pregnancy, you should not drink. That is why it is better to first make sure of your position, and only then take any steps.

If the test is positive, then the next step for the woman should be a visit to the doctor. As we have already found out, during pregnancy due to the tone of the uterus, and this can provoke a spontaneous miscarriage. Especially if the pain is severe, like during menstruation.

In addition, severe pain during a delay may be a consequence.

In particular, if symptoms such as:

• Dizziness;
• Loss of consciousness;
• Transfer of pain to the rectal area.

All this indicates a possible ectopic pregnancy.

As you can see, in any case, it is better to undergo an examination by a gynecologist.

External factors of pain

The body does not tolerate any pain very well. It causes discomfort feeling unwell and much more.

But not always in the lower abdomen pain syndrome associated with the female reproductive system, even if the nature of the pain is very similar to the approaching menstruation.

There are also external factors that influence physiological process in the female body.

These include:

• Depression;
• Inexplicable feeling of anxiety;
• Loss of interest in the surrounding life;
• Drowsiness or insomnia;
• Feeling of uselessness;
• Increased appetite or no appetite;
• Weight gain;
• Headaches;
• Lack of oxygen;
• Severe stress;
• Excessive force loads;
• Similar.

Analyzing the above reasons, it is worth thinking about your life. Most likely, you need to change your usual lifestyle. And menstruation is not to blame here, even if the pain is similar to that of menstruation.

For example, to relieve abdominal pain, you should lead an active lifestyle. Avoid people who provoke stressful situations, communicate more often with like-minded people.

Pathological causes of pain

Pain can appear not only before menstruation. Discomfort in the lower abdomen can be associated with many reasons, sometimes even very dangerous.

The lower abdomen hurts, but there is no menstruation - the reason may lie in the development of the disease.

Among pathological reasons There is:

• Infections and inflammatory process in the pelvic area;
• Inflammation of the ovarian appendages;
• Inflammation of the cervix;
• Internal hemorrhage;
• Apoplexy;
• Abdominal disease: appendicitis and pancreatitis;
• Oncological neoplasms in the pelvis: ovarian and cervical cancer;
• And much more.

In conclusion, let's draw a conclusion. When the lower abdomen hurts, like , but there is no bleeding, this can be a consequence of many reasons. This may be a harmless reason, or it may be a serious one. Therefore, there is only one piece of advice, and it is the surest – see a doctor for help.

In this way, a woman will maintain her health for life.

Nagging pain in the lower abdomen and lower back is familiar to every woman. Most often they are characteristic of the first days of menstruation. On the remaining days of the cycle healthy women feel good. However, nagging pain, like during menstruation, can appear on any day of the menstrual cycle. If this happens, they become a cause of concern for women. So, let’s figure out what the cause of pain is and when you need to see a specialist with this symptom.

Causes of nagging pain in women

If a woman’s stomach feels tight and hurts like during menstruation, but there is still a long wait before the onset of menstruation, the cause of this condition may be:

• pregnancy;
• inflammation;
• infection;
• taking hormonal medications;
• mechanical injuries;
• intense sexual intercourse;
• appendicitis.

Pregnancy

The first days of pregnancy are characterized by feelings of premenstrual syndrome: the lower abdomen may hurt, and the lower back may feel tight, as if you were having your period. Irritability, nausea, and a feeling of breast swelling may also occur.

As a rule, all symptoms are observed within a week, while the fertilized egg is fixed in the uterine cavity. Sometimes minor spotting may appear during this period. brown, which women may also confuse with the onset of menstruation.

As pregnancy progresses, pulling sensations may periodically appear due to stretching of the muscles of the uterus. Normally, they should not be strong and last more than a week.

Mild pain, as during menstruation, is also characteristic of an ectopic pregnancy, especially if the lumens of the tubes are narrowed.

Threat of miscarriage

On early stages During pregnancy, the risk of miscarriage is high, especially if the woman is not yet aware of her situation. In this case, a failed attempt by the egg to implant in the uterine cavity may result in normal menstruation. However, if you already know that you are pregnant and your lower abdomen and lower back hurt like during menstruation, you should consult a doctor. Most often, such pain is caused by increased uterine tone. If you ignore this, the pregnancy outcome may be unfavorable.

Inflammation

Inflammatory processes can cause pain like before menstruation. They are not clearly expressed in nature, more often they are nagging, aching pains, sometimes radiating to the lower back. But this condition is typical only for the initial stage of inflammatory processes. As the disease progresses, the pain intensifies.

Cysts with partial twisting of the leg can also give mild pain. This occurs due to impaired blood supply.

Infection

Pain similar to menstrual pain can provoke urinary tract infections and the activity of sexually transmitted diseases.

Hormonal disorders

With the correct balance of hormones, women do not experience discomfort during any period of the menstrual cycle. If a woman’s lower abdomen and back hurt like during menstruation, prostaglandins may be the cause. This hormone, when produced in excess by the body, increases contraction of the uterine muscles, making this process painful. With such a disruption of the body's functioning, nagging pain most often appears after the end of menstruation.

Reason hormonal disorders The most common cause is an overactive thyroid gland. As a rule, other symptoms are also associated with this, for example, insomnia, changes in weight, etc.

Taking hormonal medications can also affect the balance of hormones. In this case, if you complain about the symptoms that appear, you must consult your doctor.

Appendicitis

Inflammation of the appendix can also manifest itself as nagging pain in the lower abdomen, similar to the onset of menstruation. This is the result of a shift in the localization of pain.

Should I see a doctor if I have lower abdominal pain?

If you have nagging pains that are unusual for the body, similar to menstrual pain, in any period of the cycle, you should consult a specialist to find out the cause. The latter’s help will be especially needed if additional symptoms are added to the pain. Both diagnosis and treatment in this case must be entrusted to a specialist.

A person’s quality of life largely depends on their physical condition. Even slight discomfort already interferes with normal existence.

Stretching pain in the lower abdomen is a fairly common occurrence in the female body. And it’s okay if they occur during critical days. But what does their appearance on other days of the menstrual cycle mean? Each case has different causes of the problem.

Let us highlight the reasons that are not caused by the woman’s pathological condition. Initially, it is worth clarifying that the stated causes of the problem have unexpressed symptoms and do not greatly affect general condition ladies.

Hidden reasons in the field of gynecology

There is a pulling in the lower abdomen, and this may be a consequence of gynecological diseases. A woman may not even be aware of some diseases of the female appendages, but these are obvious symptoms of problems.

First of all, when painful sensations appear in the lower abdomen, but there is no menstruation, you should contact a gynecologist and undergo an examination. Some may be hidden and develop into chronic diseases.

Let's look at the most common problems:

• female appendages: ovaries, similar. Additional signs may be: increased body temperature, aching pain in the groin area. You need to be more careful about your health, and if you exclude hypothermia, you can avoid a similar fate.
• also gives off a pulling sensation in the abdominal area. This problem most often causes severe bleeding. The essence of the disease is associated with the growth of the endometrium beyond the uterine confines. In addition, a woman may experience other signs of endometriosis: disruptions in the menstrual cycle, pain syndrome develops before the onset of menstruation, and its intensity increases during menstruation.
• Ovarian apoplexy- This is a hemorrhage in the tissues of the ovary. Occurs due to rupture of the follicle in. The ovarian tissue is damaged, blood flows into the abdominal cavity or other organs. In this situation, the lower abdomen may initially pull, then the pain increases, moves to the lumbar region, the woman feels very tired, blood pressure drops and the woman may lose consciousness. Be careful, if you suspect this, you should immediately contact an ambulance.
• accompanied by a stretching or dull or cramping sensation. The soreness is complemented by a choking sensation, as if something is interfering with the female organs. In such cases, bleeding may be present even if there is no menstruation.

Not from the female area

Pulling in the lower abdomen may not be due to gynecological problems.

It so happens that pain in the lower abdomen is most often associated with the monthly cycle.

But, in addition to the appendages, there are other, no less important organs in the pelvic area.

Here are some possible sources:

• Everyone knows appendicitis causes similar symptoms. It happens that the location of the appendix of the small intestine is atypical, which complicates the assumption of the source of inflammation. Appendicitis is scary because the complication can be terrible - diffuse peritonitis, which can cause death. Therefore, if this organ is inflamed, an urgent operation is needed to remove it.
• Inflammation of the gallbladder - cholecystitis. It suggests the presence of stones in the gall bladder and if they reach large sizes, surgical intervention is required.
• , pyelonephritis - inflammation of the bladder. Additional symptoms: aching in the lower abdomen, pain in the lower back, increased body temperature, painful urination.

Discomfort after sex

It also happens when you start to feel a tightening in the lower abdomen after coitus has taken place. Female organs They are quite sensitive and any interventions on their territory are accompanied by minor injuries.

Sometimes, small pain is added to the pain, which are a consequence of microcracks.

If such situations are isolated cases, there is no need to worry. But if the pain recurs frequently, you need to consult a doctor to determine the exact cause of the problem.

In general, any alarming deviations with female body It's best to discuss it in your doctor's office.