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31 octombrie 2018

The reasons why menstruation is delayed and what to do

If you are not pregnant, the repeated delay of menstruation may be a symptom of some health problems that you have to deal with. Our specialist offers clarifications.

A normal cycle lasts between 28 and 32 days, and a delay of menstruation, once a year, not associated with a pregnancy, is normal. And yet, when it comes to worrying about you and what health problems can cause the menstrual cycle? Doctor Amelia Milulescu, obstetrician-gynecology specialist at the San-Institut, talks about the reasons why menstruation is delayed and what is the next step.

When you eliminate the task, you should find out directly from a doctor who is wrong. Moreover, it is even recommended that once every six months or at least once a year make a gynecologist appointment to make sure everything is fine!What are the main reasons for delaying menstruation?
A.M .: The main and most obvious is the aprill of a task. Any woman who has a menstrual delay should first make a pregnancy test and then look for other reasons why the delay might occur. The time at which nodality occurs depends on how each woman ovulates. Even if she has a regular cycle of 28 days, she may not ovulate on the 14th day, as all the books say, but she can ovulate on the 11th day. If she knows she ovulated on the day she had sexual intercourse, the fertilized ovum reaches the uterus in five days. After five days of unprotected sex, the pregnancy test may go out slightly positive.

When menstruation is delayed, but cause is not the task
A.M .: We think a cycle is regular when it is between 28 and 32 days. Reasons why bleeding does not appear on time are varied. We often talk about hormonal disturbances. Even a woman who has no hormonal problem can experience a delay of menstruation once a year. We do not worry if it's a one-week delay, once a year. If menstruation occurs more than 45 days, then it is time to do an endocrinological investigation. Here is a collaboration between us, gynecologists, and endocrinologists.Polycystic ovaries may be to blame?
A.M .: Yes, polycystic ovaries can be the cause of delays. Women can not figure out whether they have polycystic ovaries or not. There is a syndrome, polycystic ovary syndrome, which includes several features besides these microchips located in the ovary.Transvaginal ultrasound: what is it and how often would you be doing it?
A.M .: Transvaginal ultrasound is the one that is done through the vagina and provides a much fuller report on the pelvic organs. I can see the uterus, the ovaries, the endometrium much better ... compared to a simple abdominal ultrasound. Modern medicine in gynecology practice transvaginal ultrasound for much better accuracy. This is also a better method for detecting polycystic ovaries.
During transvaginal ultrasound, the doctor can see if the uterus is normal, if there are fibromas, if the ovaries have cysts, or if the vaginal wall is inflamed (and more).
Transvaginal ultrasound is recommended once a year, along with regular examination. It is important to go over the embarrassment or fear and go to the gynecologist regularly, especially if you suspect something is wrong. Transvaginal ultrasound does not hurt because the vaginal probe is thin and the doctor uses liquid lubricant. There is a new condom on the device, so everything is sterile.

The reason for delaying menstruation differs depending on the person
A.M .: There are a lot of factors that influence a menstrual cycle, from stress or different medications, for example contraception taken in a chaotic way.Vaginal bleeding not related to menstruation
A.M .: There are infections that can cause bleeding, but they do not give menstruation delays. Bleeding caused by infections occurs intermenstrually or causes more abnormal menstrual bleeding than normal. That is why it should not be confused with menstruation.Pain during ovulation - normal or not?
A.M .: Ovulation pains are as normal as possible. There are women who do not have symptoms of ovulation and women who feel with what ovaries they have ovulated in that month. It is normal, because a small tissue breakage occurs, which leaves the follicle.When should you worry about menstrual pain?
A.M .: If the pains arise from the first day of menstruation and lasts until the last day, we already think it may be a different affection. If there are pains that appear the day before the menstruation and last in the first few days, then everything is perfectly normal.
Usually, the intense pain in the lower abdomen, which affects the entire period of menstrual bleeding, can be associated with a rather serious condition, called endometriosis. Although doctors have not yet found a specific cure for endometriosis, your gynecologist may recommend a treatment schedule that significantly reduces your discomfort.

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Sarah Nelson

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