If, when your period is late, the test is negative and there is a pull in the lower abdomen. What to do if your period is late, the test is negative (pulling the lower abdomen and lower back)? If the test is negative and there is a pull in the lower abdomen

The main reason for missed periods is pregnancy. All other options are considered after the test shows a negative result. However, controversial situations often occur. For example, the delay is 4 days, the test is negative, but signs of pregnancy are present. How to find out the true cause of cycle disruption? When can you take a pregnancy test?

A woman can feel pregnant immediately after fertilization. After ovulation, progesterone levels increase in the second half of the cycle. It is he who is responsible for the normal development of the fertilized egg and its attachment to the walls of the uterus. While the sensations are insignificant and more related to the emotional sphere, there is an incomprehensible state of euphoria, calmness, and something new. For 7–10 days, the fertilized egg exists autonomously. Then comes the crucial period - attachment to the walls of the uterus. The egg moves through the tubes and enters the cavity of the genital organ. In this case, the integrity of the uterine mucosa is slightly damaged, and a few drops of blood are released. A woman may notice pink or brown streaks in the discharge. After this, the pregnancy is considered completed. Its full development depends on the level of the hormone.

On average, women ovulate on days 12–16 of the menstrual cycle. Then the strengthening of the fertilized egg occurs approximately a week before the start of the next menstruation. In this case, a pregnancy test can be performed from the first days of the delay.

Basal temperature during pregnancy

Many women, for one reason or another, use natural methods of birth control. In this case, the method of measuring basal temperature is often used. A correctly drawn up schedule allows you to determine the moment of ovulation, the consolidation of a fertilized egg in the uterus, and the pregnancy itself.

A woman should measure the temperature in the vagina or rectum every day at the same time in the morning, without getting out of bed. Then a graph is built based on the obtained indicators. In the first half of the cycle, the temperature stays below 37 degrees Celsius. On the eve of ovulation it drops a few degrees, then rises sharply. In the second phase, the temperature approaches 37 degrees. Before menstruation it falls again. In about 2–3 days, the woman should begin her period. A basal temperature of 37.0 degrees in the absence of alarming symptoms means pregnancy.
However, a woman does not have to take her temperature throughout the entire cycle to find out if she is pregnant. It is enough to measure it if your period is late. In addition to increased pregnancy, it can remain in a woman’s body in the presence of inflammatory processes in the body. If nothing hurts, the delay in menstruation occurred due to pregnancy.

Discharge during pregnancy

By the nature of the discharge, you can determine women's health, the period of the menstrual cycle, as well as pregnancy.

1. The discharge of the first half of the menstrual cycle is transparent, in small quantities, odorless.
2. During ovulation the intensity increases. And most often there is a viscous transparent discharge similar to egg white.
3. In the second phase of the menstrual cycle, the discharge becomes thick and distinctly white. On the eve of menstruation, they again become less intense and not as thick.
4. White discharge of a thick consistency in increased quantities with a delay in menstruation means pregnancy. Brown discharge also indicates its presence. This is facilitated by a woman’s unstable hormonal background. The body has not yet had time to rebuild itself, but menstruation cannot occur either.

Under certain conditions, doctors call brown discharge during pregnancy normal, but most often it poses a threat of miscarriage or indicates an ectopic pregnancy. The fertilized egg does not enter the uterine cavity, but is attached to the tubes, ovary, cervix, or elsewhere. It develops this way for about 2 weeks and increases in size. If it is attached to the ovarian tubes, they rupture, which is fraught with internal bleeding. Brown discharge can be its beginning. In other situations, brown discharge means an insufficient amount of progesterone in a woman’s body. Then there is a threat of failure. If a woman decides to continue the pregnancy, artificial progesterone is prescribed. For example, the drug Duphaston,.

When to take a pregnancy test

If the test is negative, can there be pregnancy? Unfortunately or fortunately, it can! All pregnancy tests are sensitive to the hCG hormone. It increases every day in a woman from the moment the egg is fertilized. Why can a pregnancy test be negative if there is a pregnancy?

It is better to carry out a pregnancy test several times with an interval of 3-5 days. A woman can expect a true result if her period is one week late. A negative result if there are signs of pregnancy can be double-checked with a test from other manufacturers. If the test is negative again, more than 4 days have passed, other reasons for the delay should be looked for.

Why do women of reproductive age not have periods?

The reason for the delay can be anything. From poor nutrition to a terrible disease.

Delayed menstruation due to illness

Every healthy woman should be examined by a gynecologist twice a year. If you have alarming symptoms, seek help immediately. Some diseases are hidden at first. The only alarming symptom is a delay in menstruation and disruption of the cycle as such. During the period of expected menstruation, general health worsens. Pulls the lower back.

A common cause of delayed menstruation is inflammation of the genital organs. It can be triggered by untreated infections, inflammatory processes in neighboring organs, or the presence of an intrauterine device. Frequent symptoms of the disease:

Menstruation is initially delayed, but then passes profusely. The delay can be from 4 days to several months.

Venereal diseases are often the cause of delay. In this case, there is abundant discharge, an unpleasant odor, pain during sexual intercourse, and at the end of urination. The woman experiences itching, burning of the genitals, and discomfort. A doctor can determine the type of disease by analyzing a smear.

Thrush can cause menstrual irregularities and delayed menstruation. It appears for a number of reasons. The disease is often associated with a decrease in a woman’s immunity.

The following may cause a delay:

• endometritis;
• endometriosis;
• candidiasis;
• vaginitis;
• cervical erosion;
• myoma;
• cyst.

These are not all dangerous diseases. Making a diagnosis on your own is very problematic. The woman will have to undergo a thorough examination.

Doctors called a delay of menstruation for 1 week a normal phenomenon. A woman’s body is a living system that is affected by a large number of different factors. Only a few can boast of a regular cycle. Surely these are women with great financial wealth and a good psycho-emotional situation in the family. However, these days there are few of them. Therefore, a delay of 4 days is not yet a time to panic. But a pregnancy test can be done. A negative pregnancy test result and subsequent delay is the reason for repeat testing.

The absence of the expected onset of menstruation can cause different reactions in the woman herself, because pregnancy is considered one of the most common reasons for this phenomenon. In any case, a delay of 4 days does not go unnoticed. If a pregnancy test is negative, then the onset of diseases or inflammatory processes may be suspected of menstrual irregularities. As for the body of a healthy woman, a temporary absence of menstruation can be provoked by a sudden change in climate, stress, or even unusual and too heavy physical activity. How much is acceptable for a patient to have a delayed period can only be determined by a doctor after an examination and receipt of test results.

Reasons for deviations

If a patient experiences a 4-day delay in menstruation and the pregnancy test gives a negative result, the fact of conception is still possible and this is one of the reasons for the delay in menstruation. In this case, the absence of a timely onset of menstruation, in addition to pregnancy, can be caused by:

• the patient’s young age, when the cycle is just getting better and delays are the absolute norm;
• suffered from severe stress, since prolonged and deep experiences can lead to a disruption in hormonal balance, which means slowing down the menstrual cycle and delaying the onset of discharge;
• serious physical activity, during which the body begins to produce more male hormones and thereby disrupts the balance and the fourth day may be without menstruation;
• existing excess weight, which implies the presence of numerous disorders in the body, while the duration of the delay directly depends on the severity of the diseases themselves (the hormone estrogen most often accumulates in fat deposits, due to fluctuations in the amount of which the overall hormonal background changes);
• anovulatory cycle, which is characterized by menstruation without ovulation;
• the period of breastfeeding, when the body gradually recovers and similar disturbances in the cycle remain the norm.

Gynecological

The group of gynecological reasons for the absence of menstruation includes disorders, diseases and inflammatory processes related to the functioning of the reproductive system of the body and the direct functioning of the genital organs. An existing delay in menstruation by 4 days with a negative pregnancy test result may be due to the presence of:

• frozen or ectopic pregnancy;
• cysts (benign tumors, often filled with fluid);
• tumors (malignant with cancer cells);
• endometriosis (pathological growth of areas of the mucous layer of the uterus);
• salpingitis (infectious inflammation of the fallopian tubes);
• vaginitis (inflammation of the vaginal mucosa);
• inflammation of the ovaries (polycystic disease, which provokes disturbances in the functioning of the body’s endocrine system);
• fibroids (benign tumors formed from muscle tissue).

The absence of critical days can also be facilitated by serious hormonal changes, when the body begins to produce increased production of one type of hormone, reducing the activity of others, thereby disturbing the overall balance. As a rule, the menstrual cycle lasts 28 -30 days. A delay is usually called the absence of menstruation for about 3–4 days. At the same time, shortened menstrual cycles of up to 2–3 weeks are also a strong argument to contact your gynecologist and conduct a detailed examination of the body.

If inflammatory processes are detected during the examination, it is extremely important to stop them in a timely manner and prevent the development of their chronic form.

Non-gynecological

The reasons for not having periods may also be physiological. First of all, this applies to both rapid weight gain and weight loss. Constant stressful situations and various experiences should not be ignored. Excessive physical stress on the body, especially with an abrupt onset and without any preparation, can also cause cause for concern.

If nothing hurts in your body and there are no visible reasons for the delay, you should reconsider your diet. This is especially true for women who adhere to strict or too limited diets. Long-term accumulated fatigue is also the cause of disruptions in the functioning of the body and the reproductive system in particular. Due to experiences of fatigue and physical stress, late ovulation may occur. In this case, visiting a doctor is not necessary, but the best prevention is proper rest.

No less serious disorders and even a false negative or positive pregnancy test result can cause problems with the thyroid gland, which lead to a general decrease in immunity, disruptions in the cyclicity of menstruation, as well as surges in hormone production.

Other diseases

Among other reasons for the lack of a timely onset of menstruation, it is worth highlighting a severe cold. This is especially true for infection with acute respiratory viral infections (ARVI), which directly affect the process of hormone production and thereby seriously disrupt the overall balance. If a delay of 4 days is associated with such a disease, the cold itself should be treated first. The process of full restoration of the menstrual cycle depends on the severity of the illness suffered and the duration of recovery. As a rule, the timeliness of the onset of menstruation is observed already in the 2nd – 3rd cycle. You should also not ignore climate change associated with flights, as well as taking medications that affect the functioning of the body’s reproductive system and the menstrual cycle in particular, for example, hormonal contraceptives.

In any case, when observing a delay in menstruation, the patient must take into account all disturbing symptoms. This concerns the presence of painful sensations in the abdomen and lower back, features of uncharacteristic vaginal discharge, the urge to vomit and nausea. In such cases, a visit to the doctor is mandatory and the examination should be carried out as early as possible.

Pregnancy

If there is a delay of 4 days, and the test is negative, the fact of fertilization of the egg should in no case be excluded. The relevance of testing begins already on the second day of the delay, especially if the woman has regular sex life. Regardless of the results of the tests, the most dangerous is the onset of menstruation while pregnant, as this can provoke abruption or even miscarriage. The main reason for a four-day delay in menstruation can be pregnancy with a period of 2–3 weeks.

The reason for an incorrect test result may be the poor quality of the material itself or its improper storage. In such cases, it is recommended to use several different product options from different manufacturers. Receiving a negative test result when pregnancy is likely to occur can also signal serious disturbances in the development of the embryo itself, which often causes spontaneous miscarriages. In this case, timely consultation with a doctor and scrupulous adherence to all his recommendations and instructions are extremely important. Signs of pregnancy include uncharacteristic calm for women who, at the beginning of their periods, suffered more from excessive irritability and neurosis, a sharp intolerance to certain smells and foods, and a feeling of anticipation.

When to test

As a rule, the most accurate analysis is obtained after a week's delay in menstruation. To obtain the most accurate result, a number of rules should be taken into account:

1. It is necessary to carry out a pregnancy test in the early morning, since it is at this time that hormone levels are most accurate and are not yet affected by the food consumed, and there are no impurities in the urine itself.
2. You cannot ignore the presence of brown discharge, which often signals an ectopic pregnancy and requires mandatory consultation with a gynecologist. In this case, nagging pain in the lower abdomen, a general deterioration in health, elevated body temperature, abnormal bowel movements, and frequent vomiting may also be observed.
3. In addition to using pregnancy tests, you should measure your basal temperature before your expected period. If it is 37 degrees, then most likely pregnancy is the cause of the worrying delay in menstruation.

What to do

If there is a 4-day delay in the functioning of the body’s reproductive system without any additional symptoms or pain, consulting a doctor is optional. Especially if physiological causes are suspected, and the test gave a negative result. Repeated independent research should be carried out after another 3–5 days and only based on its results choose further actions. As a rule, only a doctor can tell you what to do in such cases and what medications will help restore the menstrual cycle (in the absence of pregnancy). This is especially true for diagnosing any diseases of the genital organs.

Self-administration of any medications can cause bleeding during pregnancy, which is dangerous due to spontaneous miscarriage and complications. That is why a pregnancy test is an auxiliary way to determine the fact of conception if it is not possible to visit a doctor in the near future.

Girls, please tell me. The delay is 4 days, all tests are negative, the lower back and sometimes the lower abdomen hurt (about the same as during menstruation), sometimes I even wake up at night because of this, my chest hurts a little, I feel slightly nauseous. On the 4th day there was a slightly brownish discharge. My husband and I really want a baby.

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If the tests are negative, you are not pregnant. In general, it is best to consult a gynecologist.

I just never had any problems with the cycle.

your slightly brown ones haven’t flowed like a red river there yet?
you're definitely not pregnant at all

I often have delays. Somehow it was for half a year. And at the same time, brown discharge also occurs. This is most likely due to hormones.

Nothing like this has happened before, it confuses me. the fact that the lower back hurts terribly. This has never happened during menstruation

This happened to me, the delay was 3 days - the test was negative. A week later the pregnancy was confirmed. But it could also just be a delay.

I was also delayed. I went to the gynecologist. I knew 100% that this was not pregnancy, but some kind of malfunction, I took a test - negative. but the doctor said that the test can show in a week or two

I even have delays of 4 months. then everything is restored

My lower back hurts terribly. I’ve never had this happen during my period.

I know how much her lower back hurts when she has a cold, it’s not that kind of pain.

It’s better to donate blood for hCG and not guess.
because if you are pregnant, and suddenly there is discharge, then this is not very good

Good afternoon! I’m 4 days late, my chest hurts, it’s very swollen, nausea, frequent dizziness, pain in the lower abdomen, and I react to all smells, did I take a test, negative? I do not know what to do. tell.

I took LUTENIL tablets, the doctor prescribed it, nothing worked for 2 months, my husband and I really want a child, we are waiting for the test to show a positive result, and then... ((((very offensive, but I really don’t like how I feel. What should I do?

Girls, I also dream about a baby. Delay 2 days, basal temperature 36.9-37.3. Lower abdomen hurts, like during menstruation. The test is negative:(🙁 I’m all exhausted already. At least sit down and cry. I’m counting the minutes until the day is over.

Hello, please tell me! A couple of days before my period I had a temperature of 39 and vomiting, now the delay is 5 days, there are no signs of my period, only a slight pull in my back, I took a negative test! Is it possible there is a delay due to high temperature?

I’m already 4 months late, what should I do? What could this be, no pregnancy

My test showed a second line only at week 6, and even then it was weak. And signs of pregnancy appeared in the first week. First, my lower abdomen started to hurt, it was very painful and my breasts became larger, I became drowsy, I wanted to sleep all the time and ran to the toilet every half hour. So there was no doubt, but the tests denied everything. Although the tests were expensive. So it's different for everyone. Good luck to you. And it’s better not to torture yourself with guesses, but get tested.

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Every woman experiences a slight delay in her period in her life. At puberty, this is a normal phenomenon, which indicates the normalization of the adolescent’s hormonal levels. During the reproductive period, disruptions in the menstrual cycle can occur due to external factors: stress, overwork, acclimatization. Having discovered a delay in menstruation, a woman usually takes a pregnancy test. What to do if the test shows negative results, and the delay in menstruation is accompanied by pain in the lower abdomen?

On what day of delay should you take a pregnancy test?

All pharmacy pregnancy tests contain markers that react to the content of human chorionic gonadotropin in the urine. This hormone begins to be produced in a pregnant woman after the embryo exits the fallopian tube into the uterine cavity and attaches to the endometrium. Implantation occurs 7-9 days after conception. Already 3-4 days after the delay, a woman may feel a tightening in her lower abdomen, an aching back, and nausea - this is normal for the beginning of gestation.

At first, the concentration of hCG in urine is too low for the test to react to it. That is why the instructions for the tests indicate that a home test should be done only after a delay has occurred. On the second day after intercourse, the result may also be negative, regardless of whether fertilization has occurred or not.

The most sensitive is an electronic device. It can be used on the first day of the delay; it responds to a hCG concentration of 10-15 mIU/ml. Conventional strip strips, which are sold in pharmacies and some supermarkets, have low sensitivity, so they are recommended to be used on the 3-4th day of the delay, and then repeat the test a week later.

Nagging pain in the absence of menstruation and a negative test result: causes

If you haven't had your period for 3-5 days, women who are sexually active usually immediately think about pregnancy. Before going to the antenatal clinic, you can check your assumptions using a pharmacy test. What to do if the results are negative even a week after the start of the expected menstruation? Such symptoms may indicate the presence of diseases of the reproductive and urinary sphere, especially if they occur against the background of pain in the lower abdomen and lower back.

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Cycle failure

Not every woman can boast of a regular cycle in which menstruation occurs on the same day. A delay of 2-3 days, or even more, is the norm for many and does not at all indicate health problems. In addition to diseases, the following factors can affect a delay in menstruation:

1. Climate change. After long flights, a change in climate zone, especially from hot to cold, the cycle may lengthen, causing a delay in menstruation. This is due to the need for physical adaptation of the body to new conditions: air temperature, humidity, time, pressure. Sometimes regulations may arrive ahead of schedule.
2. Stress. Emotional shocks, prolonged stress and worries, including pleasant ones, affect hormonal levels. Often, menstruation does not occur until the woman gets out of a stressful state. For example, a delay may appear at the stage of final preparation in defending a thesis, and menstruation will begin only after the student has defended her thesis. Along with the delay, the lower abdomen may pull, as before menstruation.
3. Physical exercise. Exhausting physical labor and participation in sports competitions have an impact on a woman’s reproductive organs and hormonal levels. As a rule, due to heavy loads, menstruation, which is accompanied by severe pain in the abdomen and lower back, appears ahead of schedule, but may be delayed. The delay in menstruation is often 4-6 days, while the lower abdomen pulls.

Gynecological diseases and genital infections

Delayed menstruation and pain are characteristic signs of gynecological diseases of an infectious and non-infectious nature. Women complain that their stomach hurts, like before their period, but it never starts. The cause of illnesses can be inflammatory processes or sexually transmitted infections. If you suspect gynecological diseases, a woman should immediately contact a gynecologist and begin treatment.

The table shows a list of possible diseases:

No.	Name	Characteristic	Symptoms	Reasons for appearance
1	Endometritis	Inflammation of the endometrium	Absence of menstruation, purulent mucous discharge, pain in the lower abdomen, fever	Infection of the uterus due to abortion, surgery, sexual intercourse during menstruation.
2	Salpingo-oophoritis	Inflammation of the uterine appendages	Pain, high temperature, general malaise, menstrual irregularities.	Bacteria entering the fallopian tubes. The occurrence is due to decreased immunity and hypothermia.
3	Ovarian cyst	Cystic formation of the follicle or corpus luteum	Delayed menstruation, aching pain on one side, nausea, vomiting, diffuse pain in case of rupture.	Hormonal imbalance, diseases of the endocrine system.
4	Sexually transmitted diseases (gonorrhea, chlamydia, trichomoniasis)	Infectious diseases transmitted from one partner to another during sexual intercourse	Purulent discharge, pain during sexual intercourse, menstrual irregularities, pain when urinating, itching.	Pathogens: Trichomonas vaginalis, gonococcus, chlamydia.

Diseases of the gastrointestinal tract

Can diseases of the gastrointestinal tract cause lack of menstruation? Such ailments do not directly affect the organs of the reproductive system, but the stress that the body experiences can cause delay.

Gastrointestinal diseases are often accompanied by the following symptoms:

• cutting or aching pain in the stomach and intestines;
• nausea and vomiting;
• stool disorders;
• increase in temperature, fever.

Diseases that can affect the reproductive sphere:

1. Colitis is inflammation of the large intestine. Accompanied by diarrhea with blood, pain in the abdomen, cramps, and bloating. Colitis can be caused by infections, impaired blood supply to the intestines, autoimmune diseases, and drug poisoning.
2. Intestinal obstruction is a violation of the movement of intestinal contents through the gastrointestinal tract. The reason usually lies in intestinal adhesions and hernias, lack of innervation of a section of the intestine, and tumor processes. The earliest sign is abdominal pain. The abdomen swells asymmetrically, the intestines compress nearby organs.
3. Appendicitis is inflammation of the appendix. The acute form of the disease is characterized by sharp pain in the right side of the abdomen.
4. Tumor diseases. Oncological tumors often reach significant sizes and compress nearby organs, including the ovaries, tubes, and uterus. Due to general intoxication and exhaustion of the body, reproductive function is impaired.

Kidney and urinary tract diseases

The urinary system is closely connected with the genital organs. Due to the anatomically close location, infections from the urinary tract easily penetrate the vagina and vice versa. Some inflammatory diseases can cause a delay in menstruation.

Frequent symptoms of kidney and bladder diseases:

• pain in the lower back;
• pulling in the lower abdomen;
• burning, sharp pain when urinating;
• frequent, painful urge to go to the toilet.

Diseases that can cause reproductive dysfunction:

1. Pyelonephritis is an inflammation of the renal tubular system. Infection (escherichia coli, Pseudomonas aeruginosa, staphylococci) most often penetrates by hematogenous, less often urinogenic route. A woman has severe lower back pain, fever with high temperature, chills, nausea, and no menstruation.
2. Cystitis is inflammation of the bladder. The etiology is infectious, often resulting from vaginal infections. Hypothermia, hypovitaminosis or poor hygiene can be a provoking factor. With cystitis, a woman constantly feels the urge to go to the toilet, and every urination is accompanied by pain.

Ectopic pregnancy

Fertilization of the egg occurs in the fallopian tube, then the zygote moves into the uterine cavity and attaches to the uterine endometrium. Obstruction of the tubes, adhesions, immobility of the tube villi can lead to the fact that the zygote does not enter the uterus and becomes fixed in the fallopian tube.

Symptoms of tubal gestation:

• sharp pain in the lower abdomen;
• bleeding;
• temperature increase;
• drop in blood pressure.

During tubal gestation, the level of hCG in the blood is low, so tests may give a false negative result. This condition requires immediate medical intervention. Without timely help, there is a high risk of rupture of the fallopian tube, which can be fatal.

What to do?

The doctor first determines why the violations occurred. To do this, he examines the patient in a gynecological chair, takes a smear, sends her for an ultrasound and a general blood and urine test. Based on the results of examination and laboratory tests, a diagnosis is made. To treat infectious diseases, antibacterial therapy and means to maintain immunity are prescribed. Tumors, intestinal obstruction, and cysts often require surgical intervention.

Self-medication for gynecological or urological problems is unacceptable. At best, it will be useless, at worst, the woman will cause irreparable harm to her health.

✓ Article checked by doctor

Any delay in menstruation is always a cause for concern, especially if a woman does not plan to become a mother in the near future. Pregnancy causes this phenomenon only in 65-70% of cases. In other situations, the absence of menstruation may be the result of unsuccessful sexual intercourse, stress or gynecological diseases. The likelihood of disturbances in the functioning of the female body increases if the delay is more than 5-10 days, and nagging pain appears in the lower abdomen, while the pregnancy test shows a negative result.

Delayed menstruation, negative test, pulling in the lower abdomen

Menstrual cycle in women

The first menstruation in girls appears at the age of 11-13 years. With a hereditary predisposition and early maturation of the reproductive organs, menstruation may appear at 8-9 years of age. The irregularity of the cycle at this age is explained by the activity of hormonal levels, so the absence of menstruation in adolescence is considered normal.

Important! Stabilization of the menstrual cycle in adolescents occurs in approximately 6-8 months. If this does not happen, you should visit a pediatric gynecologist and get tested for hormones and hidden gynecological diseases.

In women of reproductive age who do not have health problems, the cycle ranges from 28 to 35 days. The countdown must begin from the beginning of the first menstruation. Doctors consider 1-2 days an acceptable deviation from this norm. If cycle failure occurs regularly, the woman needs a full examination in a hospital setting. Delaying the time to seek medical help is fraught with infertility and other health problems. Even if a woman has already given birth, you should not take this problem lightly, since a delay in menstruation in combination with painful sensations in the abdomen and lower back can indicate serious pathologies that can lead to the development of cancer.

Physiology of the menstrual cycle

On what day of delay should the test be done?

Most often, a delay in menstruation, if it occurs for the first time, means pregnancy, especially if a woman experiences nagging pain in the lower abdomen. A special test for home diagnostics can be done on the first day of the delay, since most of them are highly sensitive to hCG contained in the urine. But in some cases, the test may show a false result at short gestational ages, so to get a more accurate result it should be done after 3-5 days.

To get the correct result from the first day of absence of menstruation using home test strips, you must follow these recommendations:

• The test must be done in the morning immediately after waking up, since at this time the concentration of hCG reaches its maximum value;
• the container in which urine is collected must be sterile;
• Before the procedure, you must wash yourself thoroughly using gentle, fragrance-free products;
• to evaluate the result, the strip must be held horizontally with the test zone facing upward;
• the used strip should not be placed near sources of high temperatures, as this may distort the result;
• The maximum time to evaluate the result is 10 minutes.

How to take a pregnancy test

On the tenth day after the absence of menstruation, any test will show a reliable result, but to be on the safe side, it is better to contact an antenatal clinic.

Video: Signs of an ectopic pregnancy

If the test is negative and there is a pull in the lower abdomen

If the test shows one line, and an ultrasound examination confirms that there is no pregnancy, but nagging pain in the abdomen persists, you need to contact a gynecologist. This should be done after 7-10 days of absence of menstruation. In some cases, the delay can be explained by completely harmless factors, the elimination of which leads to the resumption of menstruation and stabilization of the cycle. Lack of discharge can be caused by:

• stress and anxiety;
• an abundance in the diet of harmful foods containing large amounts of carcinogens, preservatives, flavor enhancers, flavors and other synthetic additives;
• insufficient intake of iron and B vitamins, as well as ascorbic acid from food;
• smoking;
• drinking large doses of alcohol;
• lifting heavy objects;
• lack of oxygen (with rare and short walks).

Stress and anxiety can cause missed periods and pain in the lower abdomen

The lifestyle a woman leads is of great importance. Correcting eating behavior, increasing physical activity, and swimming have a positive effect on the functioning of the reproductive system. Reducing the calorie content of the daily diet due to fatty foods, as well as increasing the proportion of vegetables, herbs, fruits and berries in the daily menu helps control the synthesis of estrogen and progesterone - the main sex hormones that regulate the process of maturation of follicles and the release of eggs into the fallopian tube.

Video: Delayed menstruation for reasons other than pregnancy, test negative!

If lifestyle changes do not bring results, a woman needs the help of specialists. Gynecologists strongly recommend contacting an antenatal clinic in the following cases:

• the delay lasts more than 10 days;
• cycle disturbances are permanent;
• I haven’t had my period for several months now, but the possibility of pregnancy has been ruled out by a specialist.

Important! You should consult a doctor immediately if your missed period is accompanied by pain in the lower abdomen, lumbar region or gluteal muscles.

Video - Delayed menstruation, negative test, pulling in the lower abdomen. What could it be?

Nagging pain in the absence of menstruation: possible causes

Almost all causes of pain in the lower abdomen are pathological in nature, so you should not delay a visit to the clinic. For an accurate and correct diagnosis, a woman needs to undergo tests and undergo an examination, which includes a number of procedures performed only in a hospital setting.

Ectopic pregnancy

This is one of the most common reasons causing the absence of menstruation on time. In most cases, a pregnancy test will show a positive result, even if the fertilized egg is stuck in the fallopian tubes, but sometimes this diagnostic method turns out to be inaccurate, and only one strip appears on the surface of the test zone.

Types of ectopic pregnancy

An ectopic pregnancy is a dangerous phenomenon that can lead to rupture of the fallopian tubes at any stage and severe internal bleeding. To prevent the consequences of the pathology from leading to death, it is important to know the warning signs and symptoms. These include:

• pulling or stabbing pain in the lower abdomen and lower back;
• temperature increase;
• nausea, possible single vomiting;
• lack of appetite;
• cold sweat.

All these symptoms require immediate medical attention. Any delay can cause a pipe rupture and the death of a woman (if she is not provided with the necessary assistance in time).

Endometrial pathologies

Endometritis - inflammation of the uterine mucosa - often causes absence of menstruation, which is replaced by prolonged and heavy bleeding. The same clinical picture is characteristic of endometrial hyperplasia, a pathology that leads to excessive growth of epithelial tissue and thickening of the endometrium. Both pathologies are caused by hormonal disorders, so treatment consists of taking oral contraceptives (Yarina, Zhanin, Diane-35) and normalizing nutrition, which helps maintain the synthesis of female sex hormones. Bleeding is stopped using diagnostic curettage.

Hyperplasia and normal endometrium

The woman will also need special nutrition with a high iron content, which is actively lost during prolonged bleeding. To prevent anemia, you need to eat more veal, legumes, buckwheat dishes, and apples. Pomegranate and apple juice, as well as rosehip decoction, are useful.

Important! Using hematogen as a source of iron is only permissible if you are of normal weight. This product is contraindicated for women with carbohydrate metabolism disorders and excess body weight.

Sexual infections

The most common female problem is thrush. This disease is caused by yeast fungi of the genus Candida, so the medical name for thrush is candidiasis. The growth of pathogenic flora is facilitated by changes in the acidity of the vaginal environment and the death of lactic acid bacteria, which maintain an optimal balance of microorganisms on the surface of the mucous membranes of the genital organs. A common cause of this disease is poor hygiene and the use of care products that are not suitable for intimate hygiene. Frequent washing and douching also dry out the vaginal mucosa, creating favorable conditions for the growth of fungus.

Any sexually transmitted infections (gonorrhea, chlamydia, trichomoniasis) are accompanied by additional symptoms, so it is quite easy to suspect their presence.

Symptoms of gonorrhea in women

Symptoms of sexually transmitted infections

Sign Consistency of discharge Color of discharge Odor Painful sensations Candidiasis Curdled, possible inclusions and lumps White, cream May be absent, but more often a sharp sour milk smell (reminiscent of spoiled kefir) Burning and itching in the perineum, vagina or anus, nagging pain in the lower abdomen Gonorrhea , chlamydia, trichomoniasis Thick Green, yellow, brown Putrid, “fishy”, pronounced Pain when emptying the bladder, pulling sensations in the lumbar region Viral infections

Rotten egg smell

Mild itching may occur

Sexually transmitted infections must be treated immediately. If the disease becomes chronic, complications cannot be avoided.

Inflammation of the appendages

Inflammation of the appendages in women

At the initial stage, inflammatory processes in the fallopian tubes and appendages (adnexitis) are accompanied by slight nagging pain in the lateral part of the lower abdomen. As the pathology progresses, the intensity of the pain increases and it becomes acute and stabbing in nature. It is difficult to stop such sensations on your own, since this requires eliminating the cause, that is, getting rid of inflammation.

The delay with adnexitis can range from 3 to 7 days. By the end of this period, the pain becomes almost unbearable and reduces motor activity, so the woman requires qualified assistance in a gynecological hospital.

Important! Incorrect or insufficient treatment of adnexitis in 50% of cases ends in infertility and disturbances in the functioning of the reproductive organs.

Appendicitis

Sometimes a slight delay in menstruation and nagging pain may be the first signs of inflammation of the appendix. When the catarrhal stage ends, the pain becomes diffuse and intense. You can distinguish appendicitis by its characteristic position: the woman tries to lie on her left side and pulls her knees towards her stomach.

The absence of menstruation on time can be a completely harmless phenomenon that goes away after all provoking factors are eliminated. But if the delay is accompanied by pain, you need to go to the hospital as soon as possible. Effective treatment of any gynecological diseases is possible only in the initial stages, so any delay in this matter is unacceptable.

Every woman experiences a slight delay in her period in her life. At puberty, this is a normal phenomenon, which indicates the normalization of the adolescent’s hormonal levels. During the reproductive period, disruptions in the menstrual cycle can occur due to external factors: stress, overwork, acclimatization. Having discovered a delay in menstruation, a woman usually takes a pregnancy test. What to do if the test shows negative results, and the delay in menstruation is accompanied by pain in the lower abdomen?

On what day of delay should you take a pregnancy test?

All pharmacy pregnancy tests contain markers that react to the content of human chorionic gonadotropin in the urine. This hormone begins to be produced in a pregnant woman after the embryo exits the fallopian tube into the uterine cavity and attaches to the endometrium. Implantation occurs 7-9 days after conception. Already 3-4 days after the delay, a woman may feel a tightening in her lower abdomen, an aching back, and nausea - this is normal for the beginning of gestation.

At first, the concentration of hCG in urine is too low for the test to react to it. That is why the instructions for the tests indicate that a home test should be done only after a delay has occurred. On the second day after intercourse, the result may also be negative, regardless of whether fertilization has occurred or not.

The most sensitive is an electronic device. It can be used on the first day of the delay; it responds to a hCG concentration of 10-15 mIU/ml. Conventional strip strips, which are sold in pharmacies and some supermarkets, have low sensitivity, so they are recommended to be used on the 3-4th day of the delay, and then repeat the test a week later.

Nagging pain in the absence of menstruation and a negative test result: causes

If you haven't had your period for 3-5 days, women who are sexually active usually immediately think about pregnancy. Before going to the antenatal clinic, you can check your assumptions using a pharmacy test. What to do if the results are negative even a week after the start of the expected menstruation? Such symptoms may indicate the presence of diseases of the reproductive and urinary sphere, especially if they occur against the background of pain in the lower abdomen and lower back.

Cycle failure

Not every woman can boast of a regular cycle in which menstruation occurs on the same day. A delay of 2-3 days, or even more, is the norm for many and does not at all indicate health problems. In addition to diseases, the following factors can affect a delay in menstruation:

1. Climate change. After long flights, a change in climate zone, especially from hot to cold, the cycle may lengthen, causing a delay in menstruation. This is due to the need for physical adaptation of the body to new conditions: air temperature, humidity, time, pressure. Sometimes regulations may arrive ahead of schedule.
2. Stress. Emotional shocks, prolonged stress and worries, including pleasant ones, affect hormonal levels. Often, menstruation does not occur until the woman gets out of a stressful state. For example, a delay may appear at the stage of final preparation in defending a thesis, and menstruation will begin only after the student has defended her thesis. Along with the delay, the lower abdomen may pull, as before menstruation.
3. Physical exercise. Exhausting physical labor and participation in sports competitions have an impact on a woman’s reproductive organs and hormonal levels. As a rule, due to heavy loads, menstruation, which is accompanied by severe pain in the abdomen and lower back, appears ahead of schedule, but may be delayed. The delay in menstruation is often 4-6 days, while the lower abdomen pulls.

Gynecological diseases and genital infections

Delayed menstruation and pain are characteristic signs of gynecological diseases of an infectious and non-infectious nature. Women complain that their stomach hurts, like before their period, but it never starts. The cause of illnesses can be inflammatory processes or sexually transmitted infections. If you suspect gynecological diseases, a woman should immediately contact a gynecologist and begin treatment.

The table shows a list of possible diseases:

No.	Name	Characteristic	Symptoms	Reasons for appearance
1	Endometritis	Inflammation of the endometrium	Absence of menstruation, purulent mucous discharge, pain in the lower abdomen, fever	Infection of the uterus due to abortion, surgery, sexual intercourse during menstruation.
2	Salpingo-oophoritis	Inflammation of the uterine appendages	Pain, high temperature, general malaise, menstrual irregularities.	Bacteria entering the fallopian tubes. The occurrence is due to decreased immunity and hypothermia.
3	Ovarian cyst	Cystic formation of the follicle or corpus luteum	Delayed menstruation, aching pain on one side, nausea, vomiting, diffuse pain in case of rupture.	Hormonal imbalance, diseases of the endocrine system.
4	Sexually transmitted diseases (gonorrhea, chlamydia, trichomoniasis)	Infectious diseases transmitted from one partner to another during sexual intercourse	Purulent discharge, pain during sexual intercourse, menstrual irregularities, pain when urinating, itching.	Pathogens: Trichomonas vaginalis, gonococcus, chlamydia.

Diseases of the gastrointestinal tract

Can diseases of the gastrointestinal tract cause lack of menstruation? Such ailments do not directly affect the organs of the reproductive system, but the stress that the body experiences can cause delay.

Gastrointestinal diseases are often accompanied by the following symptoms:

• cutting or aching pain in the stomach and intestines;
• nausea and vomiting;
• stool disorders;
• increase in temperature, fever.

Diseases that can affect the reproductive sphere:

1. Colitis is inflammation of the large intestine. Accompanied by diarrhea with blood, pain in the abdomen, cramps, and bloating. Colitis can be caused by infections, impaired blood supply to the intestines, autoimmune diseases, and drug poisoning.
2. Intestinal obstruction is a violation of the movement of intestinal contents through the gastrointestinal tract. The reason usually lies in intestinal adhesions and hernias, lack of innervation of a section of the intestine, and tumor processes. The earliest sign is abdominal pain. The abdomen swells asymmetrically, the intestines compress nearby organs.
3. Appendicitis is inflammation of the appendix. The acute form of the disease is characterized by sharp pain in the right side of the abdomen.
4. Tumor diseases. Oncological tumors often reach significant sizes and compress nearby organs, including the ovaries, tubes, and uterus. Due to general intoxication and exhaustion of the body, reproductive function is impaired.

Kidney and urinary tract diseases

The urinary system is closely connected with the genital organs. Due to the anatomically close location, infections from the urinary tract easily penetrate the vagina and vice versa. Some inflammatory diseases can cause a delay in menstruation.

Frequent symptoms of kidney and bladder diseases:

• pain in the lower back;
• pulling in the lower abdomen;
• burning, sharp pain when urinating;
• frequent, painful urge to go to the toilet.

Diseases that can cause reproductive dysfunction:

1. Pyelonephritis is an inflammation of the renal tubular system. Infection (escherichia coli, Pseudomonas aeruginosa, staphylococci) most often penetrates by hematogenous, less often urinogenic route. A woman has severe lower back pain, fever with high temperature, chills, nausea, and no menstruation.
2. Cystitis is inflammation of the bladder. The etiology is infectious, often resulting from vaginal infections. Hypothermia, hypovitaminosis or poor hygiene can be a provoking factor. With cystitis, a woman constantly feels the urge to go to the toilet, and every urination is accompanied by pain.

Ectopic pregnancy

Ectopic pregnancy is a pathological condition in which immediate surgical intervention and termination of gestation are indicated. It is impossible to maintain a pregnancy in such a situation.

Fertilization of the egg occurs in the fallopian tube, then the zygote moves into the uterine cavity and attaches to the uterine endometrium. Obstruction of the tubes, adhesions, immobility of the tube villi can lead to the fact that the zygote does not enter the uterus and becomes fixed in the fallopian tube.

Symptoms of tubal gestation:

• sharp pain in the lower abdomen;
• bleeding;
• temperature increase;
• drop in blood pressure.

During tubal gestation, the level of hCG in the blood is low, so tests may give a false negative result. This condition requires immediate medical intervention. Without timely help, there is a high risk of rupture of the fallopian tube, which can be fatal.

What to do?

Delayed menstruation and discomfort in the abdomen and genital area most often indicate pathological processes in the body. If a woman has taken a test, it shows a negative result, and her period does not come even 1.5-2 weeks after the expected start date, then she should immediately contact a gynecologist.

The doctor first determines why the violations occurred. To do this, he examines the patient in a gynecological chair, takes a smear, sends her for an ultrasound and a general blood and urine test. Based on the results of examination and laboratory tests, a diagnosis is made. To treat infectious diseases, antibacterial therapy and means to maintain immunity are prescribed. Tumors, intestinal obstruction, and cysts often require surgical intervention.

Self-medication for gynecological or urological problems is unacceptable. At best, it will be useless, at worst, the woman will cause irreparable harm to her health.

A delay in menstruation is considered an invariable sign of pregnancy, as well as the fact that the lower abdomen is pulled at the same time, but sometimes a test carried out in such a situation turns out to be negative. This situation can be considered a serious reason, which requires immediate contact with a doctor. In this case, one should also take into account the presence of such signs as the appearance of nausea and pain, because in fact they can indicate a developing pathological process.

If there is a delay in menstruation and at the same time there is tension in the lower abdomen and lower back, and the test is negative, then in such a situation a female representative should still undergo an ultrasound examination in order to accurately exclude a possible pregnancy. In addition, if such signs appear, it is best for a woman to immediately seek advice from a specialist.

You should seek advice from a highly qualified specialist if your lower abdomen is tight and painful; the test indicates a negative result if your period is delayed by 7 to 10 days.

In some circumstances, such symptoms may indicate completely harmless factors. Basically, their elimination helps to normalize and stabilize the menstrual cycle.

If your period is late and the test is negative, you should undergo an ultrasound examination in order to accurately exclude a possible pregnancy.

The following situations can lead to such a situation and contribute to the absence of menstruation:

• systematic consumption of significant doses of alcoholic beverages;
• constant stressful situations that provoke excessive anxiety;
• lack of oxygen, which is caused by short and rare stays in the fresh air;
• unbalanced diet, when preference is given to the consumption of harmful foods that contain a huge amount of preservatives, synthetic additives, and taste enhancers;
• lifting disproportionately heavy objects;
• smoking.

In a situation where a woman has a stomach ache, as during menstruation, and there is a delay, this condition can in most cases be provoked by the stress she has experienced. Among other things, this condition can occur in women who lead an unhealthy lifestyle.

To normalize your menstrual cycle, you need to completely give up bad habits.

To get rid of this manifestation, a woman is recommended to radically change her lifestyle and completely abandon bad habits.

If this does not help to cope with the situation, then in this case you should definitely seek medical help, especially if the woman exhibits the following signs:

• a delay in menstruation lasts more than 10 days and at the same time pulls the lower abdomen;
• deviations from the norm in the menstrual cycle are persistent;
• there is no discharge for several months and pregnancy has been ruled out by a specialist;
• when menstruation is delayed, the lower abdomen is very tight, aching and painful, while white discharge is observed from the vagina, and the test result is negative.

Delay

A healthy female body works harmoniously, and menstruation comes regularly, but if there are any deviations, various types of failures occur.

When a woman’s period is delayed for more than 5 days and her lower abdomen is tight, the first thing the woman thinks about at such a moment is the onset of pregnancy. Currently, it is possible to determine the presence of pregnancy using a special test already on the third day of the delay, but it should also be taken into account that even the most expensive and ultra-sensitive test can make mistakes, therefore, you should not completely rely on its result.

To make sure whether pregnancy has occurred or not, you should consult a gynecologist, who, to determine the presence of pregnancy in the female body, will prescribe the woman to undergo an ultrasound examination, as well as donate blood for the hCG hormone.

If on the 6th day a woman still continues to have abdominal pain, and with a negative test, the delay still persists and the hCG is positive, then the development of an ectopic pregnancy should be assumed. This pathology is characterized by the fact that the attachment of the fetus occurs not in the uterus, but outside it.

Note! In most cases, diagnosing an ectopic pregnancy is very difficult, especially if the embryo is in the peritoneum.

Among other things, it is also accompanied by symptoms such as dizziness, nausea and fatigue.

• dizziness;
• nausea;
• the delay in menstruation is 3-4 days, while the lower abdomen hurts and pulls as during normal menstruation;
• spotting or bloody discharge appears, which is completely different from menstrual discharge.

If at least one of the above signs appears, you should under no circumstances hesitate and should consult a gynecologist.

When a woman’s body experiences pain in the lower abdomen, but she does not have pain, this may indicate the development of gynecological diseases in the body. Additional signs may also indicate the occurrence of this type of pathology, such as:

• the appearance of vaginal discharge, which has an unpleasant odor and also becomes brown or bloody;
• pain appears in the lumbar region, as well as in the abdomen, which can be of varying degrees of severity;
• discomfort appears during urination and sexual intercourse;
• a feeling of itching and burning appears in the area of ​​intimate organs, and the skin in the perineal area begins to itch;
• Menstrual flow is delayed for several days.

All of the above signs may indicate the development of an inflammatory process, as well as various types of infections.

When a woman experiences pain in the lower abdomen without discharge, this may indicate the development of gynecological diseases in the body.

If a woman does not have her period, but the pregnancy test is negative and her lower abdomen hurts, this may indicate diseases such as:

• vaginitis;
• adnexitis;
• endometritis;
• cystic formations;
• uterine fibroids;
• adhesions and polyps in the uterus;
• tumor formations in the pelvic area.

All of the above pathologies require timely diagnosis and treatment as they can cause serious complications.

Gastrointestinal pathologies

When a woman has a tightening in her lower abdomen, as during menstruation and the delay is 1-2 days, this may confirm damage to the gastrointestinal tract. These may be pathological processes such as colitis, appendicitis, hernia, or the formation of adhesions. To make an accurate diagnosis, you must immediately contact a medical facility.

The diseases listed above may also be accompanied by additional symptoms, such as bloating, constipation, diarrhea, fever and pain in the lumbar region.

Features of the female body

The absence of menstrual flow, which is accompanied by pain in the lower abdomen, can also be caused by the following factors:

• during prolonged use of antibacterial drugs;
• as a result of menopause, which occurs in every female body at a certain period of time;
• as a result of taking medications intended for emergency contraception;
• during the period of adaptation to a new oral contraceptive or as a result of its cancellation;
• after curettage or as a result of the development of various kinds of complications after forced or natural termination of pregnancy;
• during treatment of cervical erosion;
• after hysteroscopy or colonoscopy.

A disruption in the menstrual cycle, which is accompanied by pain in the lower abdomen, may also confirm developing problems with the endocrine system.

Among other things, various chronic diseases can lead to a delay in menstruation. That is why it is best not to ignore these types of signs and not to put off visiting a doctor. Since only timely diagnosis and effective treatment will help to avoid the development of serious pathological processes and complications that can lead not only to health problems, but also death.

A timely and qualified examination, as well as a correct diagnosis as a result of diagnostic procedures prescribed by a specialist, and effective treatment will allow you to maintain health and get rid of the disease without any consequences.

Conclusion

Many women, if they have tightness in the lower abdomen and this happens on the first or second day of the delay, the main thing that is assumed is the presence of pregnancy, but this condition does not always indicate exactly this. Of course, if the lower abdomen feels tight when menstruation is delayed, in which the test turns out to be positive, then in most cases this indicates a developing pregnancy, but if the delay is about 9-14 days and the test is negative, and the stomach hurts like before menstruation, then we can assume the development of a pathological process. In this case, it is absolutely impossible to independently find out the cause, therefore, in order to prevent complications from occurring, it is necessary to seek qualified medical help as soon as possible when such signs appear. Of course, if the delay is 1-2 days and the woman’s lower abdomen is tight and her lower back hurts, then there is no need to worry too much, since such signs may indicate a slight disruption in the menstrual cycle and the approaching menstruation.