1. Puberty
2. Ovulation as a cause
3. Pregnancy
4. Acyclic pains
5. Algomenorea
6. Amenorrhea
7. Treatment recommendations
8. Conclusion

The reasons why the stomach hurts, but there are no menstruation, are many. First of all, the delay suggests a possible pregnancy. In order to refute or confirm the fact of pregnancy, at least three tests must be performed. If all three tests showed a negative result, then you can proceed to search for other reasons why the stomach hurts, and menstruation is delayed. Conventionally, all potential causes can be divided into two groups: natural and pathological.

Puberty

It often happens that the lower abdomen hurts during puberty. Delays in menstruation are also common during adolescence. As a rule, the menstrual cycle stabilizes for one to two years after the onset of menstruation. But in the event that the cycle has not been established after the specified period, then this is a good reason for undergoing a thorough examination.

Ovulation as a cause

Every fifth woman has severe pain in the lower abdomen, and there is no menstruation during ovulation. Pain of this kind, as a rule, begins two weeks before menstruation begins. Soreness, which is aching in nature, arising during ovulation is not considered a pathology. Gynecologists regard this phenomenon as a feature of the female body.

Pregnancy

If the lower abdomen hurts, but there is no menstruation, then it is likely that the egg has been fertilized and the woman is pregnant. In this case, abdominal pain indicates an increased tone of the uterus. You should immediately test and if the prognosis is confirmed immediately, consult a doctor, since the uterus in a strong tone is at risk of pregnancy failure.

It happens that the stomach and back hurt, and menstruation does not start . In this case, painful sensations either become stronger or weaker. Although the stomach can just whine. In any case, if the pain is complemented by general weakness, then you must immediately call an ambulance. It is possible that we are talking about an ectopic pregnancy and in this case it is impossible to hesitate. Only prompt and urgent treatment will help here.

Acyclic pains

When the stomach hurts, and not, that is, the pains are temporary and periodic, but there are no periods, or I can only smear. It is worth considering why this is happening. Such pains can be acyclic and not always related to the monthly cycle.

So it can hurt with the development of adhesions, endometriosis, varicose veins in the pelvis or stagnation of blood circulation. That is, pain in the abdomen is not necessarily caused by gynecological problems. Inflammatory infections of the genitourinary system can also cause a delay in menstruation, as well as an incorrect position of the spiral inside the uterus.

Algomenorea

If the stomach hurts every month, while the painfulness is cramping in nature and covers the entire lower part, including the sacrum area and lower back, then it is likely that this condition is caused by algomenorrhea. In addition to painful sensations, algomenorrhea is accompanied by such symptoms:

• vomiting
• nausea;
• bowel disorder;
• general malaise;
• migraine.

Primary algomenorrhea can be quite natural. The most common cause of the secondary type is pathology, in particular, endometriosis of the uterine mucosa. Secondary algomenorrhea is a constant, and in most cases, the main symptom of endometriosis, localized in different places.

Amenorrhea

If menstruation is smearing or completely absent for more than six months, the doctor will diagnose menstrual dysfunction - amenorrhea . This disease is not considered an independent disease state, mainly it is a symptom of various disorders in the body - biological, genetic, psychological and so on.

There is a false amenorrhea in which menstruation is absent, but the functionality of the uterus and ovaries is preserved. With true amenorrhea, ovulation is absent, which excludes the possibility of fertilization.

Also share primary and secondary amenorrhea. The primary form is congenital, the secondary is seen as a severe menstrual dysfunction, acquired as a result of passion for hard diets, exhausting physical training (found in professional athletes).

Treatment recommendations

Secondary amenorrhea, as a rule, is treated with therapy aimed at eliminating the causes that caused it. If the factor that provoked menstrual irregularities is a sharp decrease in weight, intense physical activity, and an incorrect lifestyle, then restoration of functions requires its change.

If menstruation is absent or slightly smears and this is due to the loss of ten or more kilograms of weight (this indicator is considered critical), then to the full normalization of the functionality of the reproductive system, predominantly, birth control pills containing progestogen, but not containing estrogen, are prescribed.

In some cases to eliminate amenorrhea there is no need to carry out hormone therapy, it is enough to moderate physical activity, balance the diet, take care of a good rest, sleep. It is also important to normalize the psychological situation, since the emotional state can also affect the monthly cycle.

Conclusion

Soreness in the lower abdomen occurs as a premenstrual syndrome, caused by the pressure of an enlarged uterus on the bladder. But it happens that pain occurs, but there is no menstruation. This condition is one of the signs of a gynecological disease, which serves as the basis to consult a doctor and undergo an examination.

The pain can be short or long, sharp or aching. It should be understood that various causes, both quite natural and quite serious, can cause pain in the lower abdomen. Therefore, with frequently occurring pains in the lower abdomen, accompanied by other symptoms: general malaise, nausea, and so on, it is worthwhile to undergo an examination in order to begin treatment of the pathology in a timely manner.

It is worth paying attention that there are no special preparations for restoring menstrual function. There are drugs that stimulate the onset of menstruation, but their purpose is limited to provoking abortion. The use of such drugs destabilizes the hormonal balance, which in the future only complicates the problem. With a delay of menstruation, it is first necessary to find out the cause of the violation, since only the elimination of the factor that provoked the pathology will help normalize the cycle.