The stomach hurts like during menstruation, but there are none: natural and pathological causes, treatment tactics

1. Causes of abdominal pain as with menstruation in their absence
2. Natural causes
3. Pathological processes
4. If you have any symptoms, you should urgently consult a doctor?
5. Treatment tactics
6. Can there be no pain if menstruation has come?

The early onset of menstruation is determined by various symptoms. Many representatives of the fair sex a few days before menstruation begins to hurt the lower abdomen. The intensity of sensations has an individual character. However, with the onset of menstruation, they pass. Sometimes the lower abdomen hurts, but there is no menstruation. Why is this happening? Do I need to worry?

Causes of abdominal pain as with menstruation in their absence

Shortly before menstruation, the uterus prepares for rejection of the extra layer of the endometrium, formed during the preparation of the body for fertilization. It spasms, the flow of blood to the pelvic organs is disturbed, and discomfort occurs. Monthly there is no discomfort due to natural or pathological processes.

Natural causes

The menstrual cycle is regulated by hormones. Under the influence of various factors, the rate of production of progesterone and estrogen varies, so there may be a shift in the cycle. At the same time, premenstrual symptoms begin, but there are no regulatives in due time. The stomach hurts as at monthly, but they are not present for the following reasons:

• Excessive exercise. Due to the strong tension in the body, the rate of transmission of commands from the brain to other organs is disturbed. If a woman worked hard physically shortly before the cycle began, pains in the lower abdomen appear, but the regulators do not go away. The discomfort may worsen if the area of ​​the press is subjected to tension.
• Stress and excitement. The stressful situation also forces the brain to reduce the rate of reproductive processes. The uterus prepares for rejection of the endometrium, but the processes that promote the release of secretions are not activated.
• Pregnancy. After fertilization of the egg for some time, there is discomfort in the stomach, but menstruation does not come. Discomfort arises from the fact that the embryo implants into the uterus slightly damages the uterine layer.
• Lack of ovulation. Sometimes the ovaries do not produce an egg, so ovulation does not occur. This phenomenon is called the anovulatory cycle. This condition is normal for every woman. The number of anovulatory cycles increases with age. Despite the absence of a mature ovum, the period comes, but with a delay of about a week. However, all premenstrual symptoms persist.
• Bad food. The lack of vitamins and trace elements in the diet adversely affects the formation of hormones and the contractility of the uterus. The stomach may ache, but the discharge does not begin.
• Climate change, rhythm of life, relocation. New conditions the body perceives as a threat. During the adaptation period, the monthly delay. However, when preparing for them, the lower abdomen still aches.
• Age changes. After 45 years in the female body reduces the production of estrogen. The following symptoms appear: pain in the lower abdomen, dizziness, no menstruation.

Pathological processes

As a rule, if the lower abdomen hurts, but the regulators are absent for natural reasons, the process returns to normal in the next cycle. However, when it hurts a lot and the cycle does not return to its normal state, the development of diseases of the reproductive system is possible.

The absence of menstruation for abdominal pain indicates the following pathologies:

• Ectopic pregnancy. Disorders in the reproductive system lead to the fact that the fertilized egg is attached outside the uterus. Menstruation is absent, but there are unpleasant symptoms. The pain in ectopic implantation is very severe.
• Risk of miscarriage. If the pregnancy test is positive, but the stomach hurts and pulls, there is a risk of rejection of the fetus.
• Hormonal imbalance. With a lack or excess of female sex hormones, menstruation is delayed or does not occur at all. In this case, the discomfort manifests itself both at the beginning and in the middle of the cycle.
• Inflammatory processes of the urinary tract (cystitis, pyelonephritis, urolithiasis). At the same time, unpleasant sensations accompany a woman on different days of the cycle, both before and after menstruation.
• Inflammation of the genitals. Pain and delayed menstruation cause endometritis, adnexitis, salpingitis, infectious processes in the cervix and vagina. Discomfort is present regardless of cyclicity.
• Appendicitis, gastrointestinal diseases.
• Hernia in the lower spine, inflammation or pinching of a nerve.
• Benign and malignant tumors.

If you have any symptoms, you should urgently consult a doctor?

A gynecologist's consultation is necessary if there are changes in the menstrual cycle over several months. The doctor will assess the condition of the woman, prescribe the necessary tests and, if necessary, refer to another specialist.

Urgent doctor care is needed if you have the following symptoms:

• pain that does not allow you to lead a normal life;
• discomfort in the lower abdomen, arising from movement;
• intense bleeding from the vagina (the need to change the gasket every 1-1.5 hours or more);
• the appearance of discharge with an unpleasant odor;
• spotting in the day when menstruation should not be, or during pregnancy (we recommend to read: discharge during pregnancy before delayed menses );
• sudden cuts in the side;
• fainting;
• clouding of consciousness;
• fever;
• vomiting;
• pain when urinating and blood in urine.

It is necessary to contact the specialists regardless of the day of the cycle in which the symptoms appeared. The most dangerous bleeding during pregnancy. The appearance of blood indicates a beginning miscarriage. You can not hesitate when the bleeding is accompanied by chills, vomiting and intense pain. These signs accompany ectopic pregnancy. If you do not seek help, a woman may die from blood loss.

Treatment tactics

The principles of treating lower abdominal pain depend on their cause. If the lower abdomen hurts for natural reasons, special therapy is not needed. To restore the cycle, you need to adjust nutrition, reduce physical exertion, protect yourself from stress. To reduce the painful symptoms, a single dose of no-shpy is allowed.

In case of pathological deviations, the treatment tactics is determined depending on the disease. Do not self-medicate. What to do, the doctor will determine after making an accurate diagnosis. Type of drugs and the scheme of the reception is selected depending on the following factors:

• the severity of the pathology;
• age of the patient;
• the presence of pregnancy;
• associated manifestations.

Can there be no pain if menstruation has come?

When menstruation has come, the pain in the abdomen should recede. However, this symptom is individual for each woman. Sometimes the pain remains during the first days of the monthly cycle.

Some women have no pain during menstruation. Lack of pain is not a pathology. If periods begin on time and are not accompanied by unpleasant symptoms, the woman is completely healthy. Anxiety should cause the emergence of new discomfort. To exclude pathology, you need to consult a doctor.

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