The menstrual cycle is regulated by the hormones of the hypothalamic-pituitary system. As you know, a woman regularly observes the appearance of bloody discharge from the vagina at about the same time of the month. The duration of the cycle varies, depending on the characteristics of a particular organism.
As you know, in the middle of the cycle ovulation occurs. If fertilization of an egg cell that has left the follicle does not occur, then pregnancy is ruled out and another bleeding should be expected after about two weeks.
When a woman is planning a pregnancy and she suddenly has a poor monthly period after a delay, you should definitely contact a gynecologist. Let's find out the probable causes of such secretions, so that we can roughly understand what they mean.
Many women rejoice when they see that there is no discharge set on the calendar. We are talking about those who really want to become a mother. After all, the absence of menstrual bleeding is a sign that a fertilized egg is attached to the uterus and a long-awaited pregnancy has occurred.
When, after a delay, the menstrual periods were scanty, the anxiety is stronger every day. It also happens that this is not a pathology at all, but a normal phenomenon. After fertilization, the embryo is embedded in the uterine wall, implantation occurs, which may be accompanied by short-term discharge of bloody nature. To differentiate this option with other pathologies, it is necessary to consult a gynecologist.
But if after a delay the monthly periods were scanty, it could be a pathology:
- Miscarriage without a reason, when in the early period the body itself gets rid of the fetus. Therefore, if the menstrual period after the delay is scarce, the test is negative, then you need to wait for the increase in secretions.
- Ectopic pregnancy - due to obstruction of the fallopian tube, the ovum begins to grow in it, and not in the uterus.
- Bubble drift - the rebirth of the chorionic villi, dangerous to the fetus.
- Erosion of the cervix, if in addition there is inflammation.
- Bruises or injuries from internal genital organs,
- Vaginal varices with vascular lesions.
Often with a viral or bacterial lesion, discharge appears and the cycle is disturbed, so the woman notes that she has a poor menstruation with a delay. Usually we are talking about such serious diseases that are caused by chlamydia, trichomonads, gonococci.
Opsomenorrhea is a pathological condition in which the cycle is disturbed. It can provoke a variety of factors:
- Endocrine disruption,
- Autoimmune diseases,
- Infectious diseases
- Presence of a tumor in the brain,
- Compliance with diets, when food is defective,
- Strong physical exertion
- Regular stress,
- Smoking, alcohol and other addictions.
If we talk about different periods of a woman's life, then menstruation with a delay and scarce can be in adolescence, when a cycle is formed, and also when menopause occurs and the body gradually “turns off” the reproductive system. In each case, the cause is determined by the doctor.
First of all, the specialist will pay attention to the symptoms that the patient presents to him. Probably, he will assume the most likely diagnosis, and then he will be engaged in its verification, taking into account the results of additional research methods in addition to examination and the results of analyzes.
Any complaint is important to the doctor. Especially if you have scant painful periods after a delay, since the appearance of discomfort is a rather serious sign.
To begin, the doctor will find out the features of the bleeding:
- How many pads per day have to be changed,
- How long the menstruation lasts,
- Whether the selection color is red or brown is also important in hue,
- Whether there are purulent components or mucus, are there clots.
According to your answers, the gynecologist will draw up a plan of action, so it is very important to convey to him all of our fears and assumptions, because besides you no one knows all the nuances that can quickly clarify the picture and not hesitate with treatment.
If you do not start after a delay not heavy periods, and while you are pregnant, then you need to exclude a spontaneous abortion. Be sure to urgently go to the gynecologist.
For miscarriage characterized by such signs:
- painful contractions in the lower abdomen with rebound in the sacral spine,
- constant urge to urinate,
- feeling of strain on the rectum.
Often, miscarriages in the early stages are an attempt by nature to get rid of fetal abnormalities that are not yet visible during examinations. So, only a doctor chooses the tactics of treatment in this case - to try to save the pregnancy at any cost or vice versa.
If you notice scanty periods after a long delay and you already understand that this may be a miscarriage, you must go to the doctor to see if the uterus is completely clear of the fetus and its membranes. In case of a negative result, measures should be taken in order to prevent complications.
As mentioned above, sometimes implantation of the ovum occurs not in the uterus itself, as is normal, but in the mucosa of one of the fallopian tubes. While the fruit is very small, the woman will not feel any discomfort. But very soon serious problems will begin.
In this case, the delay and the scanty monthly periods that occurred after it just in a planned manner may indicate an ectopic pregnancy, which always ends in either a tube rupture or a miscarriage. In the first case, hospitalization is necessary necessarily.
So, if you have:
- sharp pains in the lower abdomen,
- front muscle wall tense,
- discomfort in the peritoneum,
- weakness and pallor
- pulse is speeded up
- the pressure dropped.
Call an ambulance!
On examination, the doctor will determine that the vagina hangs in the posterior fornix. The side where the fallopian tube has ruptured gives a lot of pain on palpation.
If you observe scanty periods with a delay, the reasons for which correlate with the probable pregnancy, go to the doctor. In the early stages with the help of ultrasound it can be seen if the fetus is in the uterus.
Consider the bubble skid we mentioned. This pathology complicates a normal pregnancy. The chorionic villi are reborn. They become like bubbles and fill with liquid. Symptoms will be as follows:
- Bleeding with characteristic bubbles,
- The size of the uterus will not match the gestation period,
- Strong toxicosis.
Delay and scanty menstrual periods, the cause of which is not planned bleeding, but blistering - a very serious situation. And all because there is a risk of a malignant tumor in the place where the fetus is attached. In this case, metastases will spread throughout the body, passing through the uterus.
Scanty delayed periods can occur due to erosion. Often, discharge is disturbed only after sexual contact, which also delivers painful sensations. Fortunately, with such a problem you will be able to endure and give birth to a healthy child, because erosion is dangerous only because inflammation can join it.
Sometimes during pregnancy, sexually transmitted infections manifest themselves, which can only be picked up when having sex. When, after a delay, the menstrual periods were scanty, painted in a slightly red or brown color, while they smell unpleasantly and have mucopurulent blotches, the probability of infection is high.
For specific infections characterized by:
On examination, the gynecologist will note the sensitivity and severe redness of the mucous membrane, the presence of plaque. Diseases caused by infections threaten the fetus, so they must be treated.
When you saw on the laying of scanty periods after the delay and the reasons described above are excluded, it is possible that you have an omenorrhea. Simply put, breaking the loop.
With this pathology, the monthly period is ten days late, and sometimes there are no months. The cycle becomes longer, and the bleeding is either excessively heavy or barely noticeable.
At the same time, ovulation may be completely absent, as the phases do not replace each other at the appropriate time. To conceive a child in this case is unlikely to succeed. If you do not take action, the woman faces secondary amenorrhea, when there are no periods from six months or longer.
If you have a poor monthly period after the delay, then when you go to a doctor, you will be offered the following examination methods in addition to taking anamnesis during the interview:
In the case of pregnancy, the examination and treatment will be different, since it is important not only to save the woman from complaints, but also to preserve the fetus without harming it.