The lower abdomen hurts in the absence of menstruation. What to do if there is a delay in menstruation and abdominal pain, no menstruation and a stomach ache? Norm and deviation

If your stomach hurts on the days when the "long-awaited" period should come, do not worry. If the lower abdomen began to hurt a week before menstruation or on any other, not supposed, days, you need to be alert and find the answer to the question "why did unusual pain occur?". In such a situation, it is better to seem more suspicious once again than not to pay attention and let everything take its course. After a careless attitude to one's health, it turns into a lot of problems not only with women's health, but with the whole body as a whole.

There can be many reasons why the lower abdomen hurts. Of these, some of the most probable should be highlighted.

Ovulation and Feelings

Pain corresponding to the time of ovulation. This option is the most harmless and simple if it hurts in the lower abdomen, but there is still no menstruation. A similar, at first glance, completely harmless cause of pain in the lower abdomen manifests itself in almost every third woman of childbearing age.

Ovulatory pain is characterized by the appearance of pain in the lower abdomen 14 days before the possible onset of menstruation. Most often, this type of gynecological pain occurs in girls whose cycle has not yet been established. There is nothing pathological in this, but if there is a long delay in menstruation, you should visit a gynecologist.

Abnormal clinical cases often occur in the practice of gynecologists. For example, the stomach does not hurt during the formation of the cycle in young girls. But as soon as regularity is determined, the lower abdomen hurts every month, as a kind of harbinger of an imminent "surprise".

Making the final word about ovulatory pain, it is worth saying again - in such clinical manifestations there is no pathology, rather some individual characteristics of the female body. But to avoid any gynecological diseases, do not forget about regular consultations with a gynecologist.

Soon "guests"

The pain in the lower abdomen corresponds to your female cycle, that is, menstruation should come soon, but there is no discharge, and the delay is increasing.

Why is this happening?

The reasons why the lower abdomen hurts and there is a delay in menstruation can be different, for an accurate diagnosis it is worth contacting a specialist. Most likely, the failure of the female cycle is affected by severe stress, excessive physical and mental stress, a sharp change in climate, etc.

If you have found at least one of the most possible reasons, do not start sounding the alarm, soon the delay in menstruation will pass and the cycle will return to normal.

Or maybe it's pregnancy?

The next option, why the lower abdomen hurts, is a possible pregnancy. If there is no exact certainty that there is no pregnancy for any physiological indicators or the test is negative, pay attention - one of the first symptoms of a conception that has occurred may be pain in the lower abdomen.

Often, a woman discovers her interesting position only after visiting a doctor.

If the stomach hurts a lot and pulls, as on the eve of menstruation, this indicates an increased tone of the uterus or the introduction of a fertilized egg into the place you like on the surface of the endometrium.

Possible danger

The stomach hurts on the right or left, the delay in menstruation - there are questions why and what is the reason? You should listen to your body, especially if the pain is periodic, the nature of the pain is undulating.

Along with such obvious disturbing symptoms, pay attention to frequent dizziness, loss of consciousness, pain moving into the rectum. Such symptoms simply “scream” about an ectopic pregnancy, the outcome of which can be very diverse - successful or unfavorable.

Various gynecological diseases - endometriosis, adhesions, pelvic congestion syndrome, varicose veins of the small pelvis contribute to abdominal pain. The abdomen can hurt periodically, in parallel there is a delay in menstruation. Such pains are called acyclic. Diseases of other systems that can disturb the lower abdomen - cystitis, urolithiasis, colitis, osteoarthritis, etc.

Pain in the lower abdomen, which is noted in many women on critical days, is considered common and does not cause concern. Another thing is if the lower abdomen is pulled when the time for menstruation has not yet come or it has not started on time. Such pain that is not associated with menstruation is a good reason to visit a doctor. What types of pain are the most dangerous and why should a medical examination not be postponed?

Why does the lower abdomen pull before and during menstruation?

There are no women who have not experienced pain during menstruation at least once in their lives. According to statistics, the vast majority of women had episodic pain during menstruation, and over 45% suffered from them for a long period.

The muscles of the uterus are to blame for these painful sensations, which, by contracting, expel the rejected layer of the mucous membrane from the uterine cavity along with the dead unfertilized egg. Progesterone, prostaglandins and other substances that a woman's body produces are responsible for the intensity of contractions.

Normally, there is no pain during menstruation or they are very slight. With an increase in the level of progesterone and prostaglandins, the uterus reacts to it by excessive contraction of the muscle layer, spasms of the muscles of the uterus cause pain.

Another cause of discomfort and pain on critical days is the hormonal imbalance observed when the thyroid function is impaired. Among women complaining of painful menstruation, many are overweight. Endocrinologists have proven that people with a large amount of body fat always have elevated estrogen levels, which is one of the factors that provoke dysmenorrhea.

Women experiencing severe cramps and pain in the abdomen during menstruation should consult a gynecologist. Depending on the results of the examination and tests, the doctor prescribes mild painkillers, antispasmodics or hormonal drugs to correct the existing imbalance.

It pulls the lower abdomen, but there are no periods - what's the matter?

In some cases, pulling pains in the abdomen do not coincide in time with menstruation. The presence of such pains alarms a woman, especially if there is no menstruation on time. Trying to independently determine the source of pain in such a situation is not worth it. There are many organs in the abdominal cavity, violations in each of them can cause pain.

Failure of the menstrual cycle

If menstruation begins at irregular intervals and the deviation is a week or more, this condition is considered a failure of the menstrual cycle. In some cases, there is no failure in time of onset - menstruation appears regularly, but differ greatly in duration and number of discharges. Very often, at the same time, the uterine mucosa has an uneven thickness, therefore, when it is rejected in women, it pulls in the lower abdomen. This is also considered a deviation from the norm and requires close attention.

The basis of an irregular menstrual cycle can be a variety of disorders in the body, so do not try to determine the cause yourself. Only a doctor is able to recognize the problem after a detailed examination of the woman and the use of such diagnostic methods as laboratory research, ultrasound, assessment of hormonal status.

Rough sex

Prolonged sexual intercourse, accompanied by active frictions, is a fairly common cause of pulling pains in the lower abdomen. This is due to the anatomical discrepancy between the genitals of a woman and her sexual partner. Especially often this kind of pain occurs in nulliparous women with a small vagina. In this situation, a change in position during sexual contact often helps to solve the problem.

Diseases of the reproductive organs

Diseases of the reproductive organs have a very diverse symptomatology. One of the signals indicating a problem is pain, which is usually localized in the lower abdomen. Gynecological diseases according to their origin are divided into:

• infectious (bacterial, viral, fungal);
• functional disorders (often due to hormonal imbalance);
• neoplastic (benign or malignant tumors).

The most numerous of these is the group of infectious diseases. Such diseases include vaginitis, endometriosis, colpitis, adnexitis and others. Infection of any kind has a damaging effect on the tissues of the female reproductive system and causes inflammation. Inflammatory processes are characterized by pain and a change in the amount and nature of the discharge.

If you suspect inflammation, you should consult a gynecologist. Based on the data obtained during the examination, the doctor prescribes drugs that are detrimental to the pathogen and stop inflammation. This group of diseases has a favorable prognosis and responds well to treatment.

Pain and discharge from the vagina can also be a symptom of a developing tumor process. The prognosis in this situation largely depends on the type of tumor and the stage of its development. Of great importance is how early a woman turned to a doctor with her problem, so it is very important not to ignore changes in her body and periodically undergo a preventive examination by a gynecologist.

Pathologies of the urinary system

Pain in the abdomen is a companion of diseases of the kidneys, ureters and bladder. The bladder is located in front of the uterus, so with pain in this area it is difficult to determine which of the two organs is their source. Pain in the lower abdomen may be associated with such disorders in the urinary organs as:

• inflammation;
• infection;
• stones;
• injury;
• tumors.

To clarify the diagnosis, doctors use diagnostic methods such as urinalysis, ultrasound, radiography using contrast agents. In particularly difficult cases, they turn to computed or magnetic resonance imaging.

Hormone imbalance

Hormonal disorders can also cause pain in the lower abdomen. For the functioning of the reproductive system, not only the female sex hormones estrogen and progesterone, secreted by the ovaries, are responsible. They are only part of the female endocrine system and are functionally interconnected with other organs that secrete hormones.

For example, impaired thyroid function leads to an increase or decrease in the level of thyroid hormones in the blood, which affects the production of estrogen and progesterone hormones. A similar effect is observed in the pathology of the endocrine glands located in the brain. Causes of hormonal disorders:

• stress;
• inflammation;
• tumors;
• lack or excess of certain substances in water and food;
• injury;
• congenital genetic defects.

Changes in the level of female sex hormones can adversely affect the condition of the uterine mucosa, as well as contribute to the formation of one or more cysts in the ovaries. All these disorders eventually make themselves felt with abdominal pain.

Diseases of the gastrointestinal tract

Another common cause of pain is stomach and intestinal problems. Unpleasant sensations in the lower abdomen are most characteristic of diseases of the large intestine. The cause of pain can be spasm, swelling, inflammation, obstruction. Diseases in which the lower abdomen is pulled, as with menstruation:

The appearance of slight pain with a positive pregnancy test is normal and does not require treatment. A sharp pain in the lower or side of the abdomen is a reason for an emergency visit to the hospital, since this type of pain is characteristic of an ectopic pregnancy.

When to see a doctor?

Ideally, you should consult a doctor for any unusual sensations and, especially, pain. Self-elimination of pain with the help of analgesics is not always effective, and sometimes dangerous. Pain medications may temporarily relieve pain, but they do not affect its causes, which remain untreated and can pose a serious threat to a woman's health and her reproductive function.

It pulls the lower abdomen, but there is no menstruation - one of those situations that can be completely ambiguous. On the one hand, this symptom may be a sign of pregnancy.

On the other hand, not every pregnancy goes smoothly, and the absence of menstruation sometimes indicates that some diseases and pathologies begin to develop in the body. It is not known whether to be afraid of these symptoms or to rejoice in them.

Girls who are familiar with such a phenomenon as dysmenorrhea (pain during menstruation) know firsthand that sensations can be completely different - it can be either moderate pain with general malaise, or a rather serious deterioration in the condition, accompanied by various symptoms, such as fever , nausea, vomiting.

Sometimes the whole body can hurt, and sometimes there is no pain at all. The reasons for the appearance of these sensations can be different:

• Hormonal problems when the lower abdomen is pulled due to frequent contractions of the walls of the uterus due to an excess of the hormone prostaglandin in the body.
• Stress before the start of the cycle, other emotional stress.
• Lack of minerals, in particular magnesium.
• various pathologies.

Norm or pathology

So all the same, to be afraid of the appearance of this symptom? Experts advise, first of all, to calm down. In gynecology, a deviation of the menstrual cycle for several days is considered the norm, even if abdominal pain began before the onset of bleeding. There are many factors that could cause the cycle to shift slightly.

However, if the delay is more than 4 days, then it is necessary to consult a doctor as soon as possible to exclude the possibility of infections and pathologies.

How does the lower abdomen pull during pregnancy

A young mother cannot immediately understand what changes are happening to her body, because sometimes the lower abdomen pulls even during menstruation, and there is no guarantee that with the onset of pregnancy, blood discharge will stop.

Therefore, you need to be more careful with this, otherwise you can accidentally miss one of the most important moments in a woman's life.

early term

In the early stages, a complaint of aching pain is a very common occurrence, and not all young mothers manage to avoid this symptom. It is not always clear to specialists what kind of sensation, physiological or pathological, since they arise for the following reasons:

• Enlargement of the uterus in size. The ligaments and muscles that hold the uterus are stretched and damaged, resulting in pain.
• Displacement of internal organs also provokes pulling pains.

Risk of miscarriage

Aching pains accompany a phenomenon called spontaneous miscarriage. This condition is purely individual, there is no clear list of reasons that would contribute to it - it can be both physical activity and stress of the mother, as well as some pathological disorders, for example, placental abruption.

If the lower abdomen pulls, and after some time the pain does not go away, accompanied by bleeding, similar to menstruation, then you need to urgently call an ambulance. No woman is immune from the threat of losing her child, and there is no need to talk about the importance of timely measures taken.

Ectopic pregnancy

The lower abdomen can pull during an ectopic pregnancy - this is a situation when the fetal egg begins to develop not in the uterus, but in the fallopian tube. Most often, this process goes up to 6-8 weeks, and then the pregnancy is terminated, because in this situation, the mother's life is a priority, and there is no way to save the fetus.

If the stomach pulls them, but there is no menstruation, then this may be an ectopic pregnancy

An ectopic pregnancy is accompanied by pain and bloody spotting, similar to menstruation.

The main symptom of such a pregnancy is the spread of pain to other parts of the body. Due to the specific location of the fetus, the body may begin to hurt in the right or left side of the abdomen; there may also be a feeling of unpleasant pressure on the rectum.

Pain in the lower abdomen in the absence of pregnancy

The reasons are partly understandable if aching pain occurs during pregnancy. But often women are faced with a situation where they pull the lower abdomen, but there is no menstruation, while the test is negative.

Delaying the cycle for a long time raises some concerns, since it is not known what could provoke such a condition. In this case, you should immediately contact a gynecologist in order to treat the disease that has arisen in the early stages.

Hormonal disorders

The lower abdomen can pull when the hormonal background is disturbed in a woman's body. There is nothing to worry about, usually after menstruation, it is sure to come, although more painful than usual.

Poor health and failure in the menstrual cycle are usually due to the following factors:

• Stress. Sometimes the emotional stress is so strong that there is no time for mental recovery, and in fact, the violation of hormone synthesis is directly related to this.
or its absence is fraught with a violation of the menstrual cycle, but in this case, abdominal pain is not dangerous, although this should not be the reason for less careful monitoring of one's health.
• Climate change. Changing the conditions of the surrounding world is a stress for the body of any person, so such a reaction is absolutely normal.
The body and mind are interconnected, and overexertion in one area can easily provoke malaise in another. The instability of the hormonal background can be caused precisely for this reason.

Diseases of the gastrointestinal tract

Sometimes abdominal pain and the absence of menstruation are associated with gastrointestinal diseases. Commonly diagnosed diseases:

The influence of these diseases is indirect, they only worsen the general condition of the body, which leads to pain. To alleviate the pain symptoms, it is enough to diagnose and cure the disease, then the pulling and aching pains in the lower abdomen will pass, and the cycle will normalize.

Gynecological diseases

A delay in menstruation can be caused by various gynecological diseases. These include vaginitis, adnexitis, endometritis, uterine fibroids, ovarian cysts, infections, etc.

Vaginitis is an inflammation of the walls of the vagina. In addition to pain, vaginitis is accompanied by burning and discomfort in the vagina, unusual discharge.

Adnexitis is a process of inflammation of the fallopian tubes, their appendages and ovaries. At the same time, the woman has pain when urinating, non-standard discharge and menstrual irregularities. The disease is treated with a course of antibiotics and painkillers.

Endometritis is a disease when the lining of the uterus becomes inflamed.. Accompanied by the following symptoms: fever, chills, discharge with an unpleasant odor from the vagina.

Fibroids and cysts are benign. Tumors are treated both conservatively and surgically.

Kidney and bladder problems

Another cause of pulling pain and delayed menstruation can be a disease of the kidneys and bladder. Inflammatory processes in these organs are also accompanied by pain during urination, fever. Experts do not advise self-medication, since the consequences of diseases can very badly affect the entire reproductive system of the patient.

Other reasons

Other reasons for not onset of menstruation and aching pains are:

1. Long course of antibiotic treatment. These drugs are designed to fight pathogenic bacteria, but the beneficial microflora - the microflora of the vagina - also suffers. Indirectly, the ovaries are also harmed.
2. Treatment of cervical erosion. The delay in menstruation in this case is a normal process, since a woman experiences psychological and physical stress, which cannot but affect the work of her internal organs.
3. Complications due to termination of pregnancy. Inhibition of ovarian function, damage to the layers of the uterus during curettage, and other complications in the process of terminating a pregnancy could affect the delay in menstruation. The cycle is normalized within two months, depending on the state of the woman's body.
4. The use of new oral contraceptives. Oral contraceptives affect the overall hormonal background, and therefore a sharp change in the drug can lead to pulling pains in the lower abdomen and the absence of menstruation. Doctors insist on consultation if unpleasant symptoms appear.
5. emergency contraception. Most often, after taking emergency contraceptives, menstruation is delayed - the body needs time to recover from a large dose of hormones. Sometimes it is possible to shorten the cycle depending on the phase in which the drug was taken. But if the delay exceeds 7 days or more, it is worth doing a pregnancy test - perhaps the pills did not work, and replenishment is expected soon.
6. The onset of menopause. In this case, you should not be afraid of delays, since menstrual irregularities during menopause are absolutely normal.

What to do if your period is late and your lower abdomen hurts

If the lower abdomen is pulled, but there is no menstruation, the only thing that can help to survive this symptom before the onset of menstruation or before coming to the doctor is attempts to reduce pain.

You can do this in the following way:

• First of all, you can not heat or cool the stomach, so as not to provoke the development of the disease, if any.
• You can use painkillers that relieve spasms. These include Papaverine, No-shpa, Drotaverine, Buscopan, Galidor, etc. They also use non-steroidal drugs, but, unfortunately, they will not help with acute pain, because they have a cumulative effect - if you start taking them a couple of days before the expected day of the onset monthly, then pain symptoms (associated with menstruation) will be very minor. These drugs include Aspirin, Paracetamol, Ibuprofen, Ketoprofen, etc.
• Ethnoscience. Use herbal preparations and infusions that can reduce pain in the body. The following decoctions are made: brewed raspberry leaves, currants, elecampane root decoction, horsetail tincture, celery root decoction, etc. Attention: you need to make sure that there is no allergy to any of the components of the decoction.
• Massage. Light stroking of the abdomen will help relieve pain for a while and allow you to get to the doctor if the sensations are too strong. Oriental practitioners massage at their own risk, but experts advise taking such actions only after consultation and under the strict supervision of a doctor.

In a healthy state, the female body works like a clock, but the slightest flaws in this mechanism destroy the entire system.

If a girl pulls her lower abdomen, but there is no menstruation and the possibility of conception is excluded, then this is a good reason to think about how long she has been at the gynecologist.

Health care is always important, especially when it comes to the female reproductive system.

Video clips of pulling pain in the lower abdomen in women

Tips on what to do if the lower abdomen is pulled, but there is no menstruation:

If the lower abdomen is pulled and there is no menstruation, then there may be several reasons for this:

A regular menstrual cycle is the main indicator of a woman's health. Every six months, you need to undergo a gynecological examination, which will help in time to identify pathologies and disorders in the work of the genital organs - it is mandatory. Depending on the stage of the cycle, women's moral and physical condition may change.

But it happens that on the right days there is a delay, the lower abdomen hurts, but there is no menstruation. Why is this happening and what could be the reasons?

Very bad stomach pain

If on the days when, according to the calendar, your period was supposed to begin, the delay and pain in the lower abdomen, the woman should pay attention to this and monitor her well-being more vigilantly.

Such pains may not always indicate some serious abnormalities, but it is still necessary to see a gynecologist. This is exactly the situation where it is better to make sure that everything is in order than to shed bitter tears later - this is still connected with the reproductive system.

Pain in the lower abdomen, when there is no menstruation, can be caused by a chaotic diet, fasting and dieting, stressful situations that have left their mark on the psychological system, an irregular lifestyle, lack of rest, work for days, etc.

Various types of female diseases are no exception. Common causes can also be considered PMS pain, painful critical days, strong pressure on the urea from the side where the uterus is located.

Malfunctions in the reproductive organs can lead to such pathologies:

• ovarian imbalance or dysfunction;
• myoma;
• salpingoophoritis;
• adnexitis;
• polycystic.

Pain in the lower abdomen can be of a different nature: be short, long, be quite tolerable or acute. There may be more serious causes, such as cancers in the uterus, ovaries.

Therefore, if the delay is a week or more, urgently visit a gynecologist. Probably, when the lower abdomen hurts, but there is no menstruation, then the inflammatory process has activated in the body. It can also cause a delay.

Stomach hurts like period

If a woman does not have problems in the genital area and she does not have gynecological diseases, then she should not experience pain. As a rule, girls who have gynecological diseases feel pain.

Also, pain can occur if an infection is introduced from a number of those that are sexually transmitted. Sometimes the fair sex notes that the lower abdomen hurts before menstruation if they have a hormonal failure.

A common problem in adolescence girls during puberty, when the cycle is just beginning to form.

Consider the possible causes that can cause pain in the lower abdomen:

Today we answered the question why there are no periods, and the stomach hurts, as if they would begin soon. At the same time, there is no menstruation for four days, five, six, and even a week.

The main thing in such a situation is not to panic. You should buy a test and if it is negative, immediately visit a gynecologist. He will refer you to an ultrasound of the pelvic organs, conduct an examination, give directions for the necessary tests to exclude the tumor process and the presence of cancers.

For preventive purposes, it is necessary to visit a female doctor every six months, to follow a healthy, balanced diet. You need to rest, physical activity should be adequate and in moderation, try to walk in the fresh air as often as possible and support your body.

The early onset of menstruation is determined by various symptoms. For many of the fair sex, a few days before menstruation, the lower abdomen begins to hurt. The intensity of sensations has an individual character. However, with the onset of menstruation, they pass. Sometimes the lower abdomen hurts, but there are no periods. Why is this happening? Should I be worried?

Causes of abdominal pain as with menstruation in their absence

Shortly before menstruation, the uterus prepares to reject the extra layer of endometrium, which was formed during the preparation of the body for fertilization. It spasms, blood flow to the pelvic organs is disturbed, unpleasant sensations arise. There is no menstruation when discomfort occurs 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 changes, so there may be a shift in the cycle. At the same time, premenstrual symptoms begin, but the regulation is absent in due time. The stomach hurts like during menstruation, but they are not there for the following reasons:

• Excessive physical activity. Due to the strong tension in the body, the speed of transmission of commands from the brain to other organs is disrupted. If a woman worked hard physically shortly before the start of the cycle, pains in the lower abdomen appear, but the regulation does not go. Discomfort may increase if the press area has been stressed.
• Stress and anxiety. A stressful situation also forces the brain to slow down the rate of reproductive processes. The uterus prepares for the rejection of the endometrium, but the processes that contribute to the release of secretions are not activated.
• Pregnancy. After fertilization of the egg, for some time there is discomfort in the abdomen, but menstruation does not come. Unpleasant sensations arise due to the fact that the embryo, when implanted in 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 egg, menstruation goes on, but with a delay of about a week. In this case, all premenstrual symptoms persist.
• Bad nutrition. The lack of vitamins and microelements in the diet negatively affects the formation of hormones and the contractility of the uterus. The abdomen may hurt, but the discharge does not begin.
• Change of climate, rhythm of life, moving. The body perceives new conditions as a threat. During the adaptation period, menstruation is delayed. However, in preparation for them, the lower abdomen still aches.
• Age changes. After 45 years, the production of estrogen in the female body decreases. The following symptoms appear: pain in the lower abdomen, dizziness, no menstruation.

Pathological processes

As a rule, if the lower abdomen hurts, but the regulation is 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 normal, diseases of the reproductive system may develop.

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

• Ectopic pregnancy. Violations in the work of the reproductive system lead to the fact that the fertilized egg is attached outside the uterine cavity. There are no periods, but unpleasant symptoms appear. The pain during ectopic implantation is very severe.
• Risk of miscarriage. If the pregnancy test showed a positive result, but the stomach hurts and pulls, there is a risk of fetal rejection.
• Hormonal imbalance. With a lack or excess of female sex hormones, menstruation is delayed or does not occur at all. In this case, 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, discomfort accompanies 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 the cyclicity.
• Appendicitis, diseases of the gastrointestinal tract.
• Hernia in the lower part of the spine, inflammation or pinched nerve.
• Benign and malignant tumors.

What symptoms should you see a doctor urgently?

Consultation with a gynecologist is necessary if changes are observed in the menstrual cycle for several months. The doctor will assess the condition of the woman, prescribe the necessary tests and, if necessary, refer her to another specialist.

Urgent medical attention is needed if you have the following symptoms:

• pain that prevents you from leading a normal life;
• discomfort in the lower abdomen that occurs during movement;
• heavy bleeding from the vagina (the need to change the pad every 1-1.5 hours or more);
• the appearance of discharge with an unpleasant odor;
• spotting on the day when menstruation should not be, or during pregnancy (we recommend reading:);
• sudden pains in the side;
• fainting;
• clouding of consciousness;
• increase in body temperature;
• vomit;
• pain when urinating and blood in the urine.

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

Treatment tactics

The principles of treatment of pain in the lower abdomen depend on their cause. If the lower abdomen hurts for natural reasons, special therapy is not needed. To restore the cycle, you need to establish nutrition, reduce physical activity, protect yourself from stress. To reduce painful symptoms, a single dose of No-shpa is allowed.

In the case of pathological abnormalities, the tactics of treatment are determined depending on the disease. You cannot self-medicate. What to do, the doctor will determine after making an accurate diagnosis. The type of drugs and the regimen from the reception are selected depending on the following factors:

• the severity of the pathology;
• patient's age;
• the presence of pregnancy;
• related manifestations.

Can there be no pain if menstruation has come?

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

Some of the fair sex do not have pain during menstruation. The absence of pain is not a pathology. If menstruation begins on time and is not accompanied by unpleasant symptoms, the woman is absolutely healthy. Anxiety should cause the emergence of new unpleasant sensations. To exclude pathology, you need to consult a doctor.