Why don’t menstruation occur when uterine erosion forms? The female body is very fragile and the coherence of its work depends on many factors, for example, a delay in menstruation can lead to serious problems in a woman’s health, so this is a reason to consult a doctor. There are a lot of reasons for this pathology and to understand this issue, you need to study a lot of information. In this article we will try to study why menstruation is delayed and how to deal with this pathology.
Menstrual cycle: characteristics and phases
The menstrual cycle refers to cyclical changes in the body of a woman (who is in reproductive age) aimed at the possibility of conception. In this case, bleeding is the final stage of menstruation, which indicates that during the menstrual cycle the fertilization of the egg did not occur and pregnancy did not occur. The duration of the cycle is calculated individually for each woman, but normally it is 28 days. Depending on various factors, the deviation from the norm may be plus or minus 7 days. Doctors consider the first day of menstruation to be the beginning of the cycle.
The first menstrual cycle, which occurs between the ages of 12 and 14 years, is an important event in a woman’s sexual development. This is due to the fact that it indicates the body’s ability to reproduce. In turn, the cessation of menstruation occurs between the ages of 40 and 58 years, when reproductive function fades away during menopause. During the menstrual cycle, processes occur in a woman’s body that are associated with various changes in the ovaries and endometrium. Depending on these changes, several phases are distinguished.
The first day of menstruation falls on the follicular phase of the ovary or the menstrual phase of the uterus, during which the dominant follicle matures. At 7 days of menstruation, the dominant follicle matures and secretes the required amount of estradiol. The development of this follicle is completed during ovulation, which is characterized by the release of luteinizing hormone. All these processes are necessary to rupture the follicle wall and release the mature egg. The time interval between the end of the ovulatory phase, which lasts about 3 days, and the beginning of the follicular phase is called the luteal phase, which lasts 13-14 days.
During this phase, the ruptured follicle forms a corpus luteum, which actively produces progesterone. Together with tarragon, progesterone prepares the uterus for egg implantation by thickening the lining of the uterus. If fertilization occurs during the menstrual cycle, a natural delay in menstruation occurs. The delay in menstruation continues until childbirth. In the case when the egg has not been fertilized, the corpus luteum no longer produces progesterone, then decreases, after which the mucous layer of the uterus is rejected. The detachment of mucus leads to damage to the blood vessels, which is the cause of bleeding.
What is cauterization?
Cauterization is performed to remove ulcerated tissue in order to trigger the activation of healthy cells and restore the epithelium. The procedure is effective, but is accompanied by a delay after cauterization of the erosion.
Cauterization is the process of exposing an ulcer to chemical solutions. What means are used and how cauterization occurs is described in the table.
The patient often experiences pain after the procedure. As a rule, No-Spa or regular painkillers help. A competent doctor will definitely anticipate the occurrence of discomfort and prescribe the necessary antispasmodic in advance. Red or brown spotting may occur. If blood is released quite profusely, this indicates damage to the blood vessel. In this case, you should immediately contact a doctor to stop the bleeding, as it poses a danger to the woman’s health and life.
Treatment should be carried out by an experienced doctor
Delayed menstruation during pregnancy
The most likely reason for a missed period is pregnancy. A delay in menstruation can continue not only during pregnancy, but also after it. The reason for delayed menstruation after childbirth may be an increase in the level of the hormone prolactin, which is responsible for lactation. But if a woman does not breastfeed, then the delay in menstruation will be minimal. On the contrary, if a woman is breastfeeding, the delay in menstruation will last until the end of the lactation period. It must be remembered that for some women, even when they are breastfeeding a newborn, the delay in menstruation does not last more than 1.5-2 months.
A missed period is one of the main signs of pregnancy. If a woman does not start bleeding at the appointed time, and in the previous month she had unprotected sexual intercourse, then it is possible to determine whether pregnancy is the reason for the delay in menstruation using a special test. The purpose of pregnancy tests is to determine the level of a hormone in the urine, the production of which is activated 7 days after fertilization of the egg. But a reliable result can be obtained no earlier than 12-14 days after conception. If a woman is sexually active, the risk of becoming pregnant is quite high, even if she uses contraception. Therefore, it is necessary to carefully monitor the course of the menstrual cycle.
How to recognize the cause?
If menstruation due to cervical erosion is absent or delayed, then the cause must be accurately established. With erosive lesions of the cervix, other signs will be present:
- Bloody discharge 2-3 days before menstruation;
- Bloody discharge during and some time after sexual intercourse;
- Change in normal vaginal discharge;
- Pain or discomfort during sexual intercourse.
These symptoms of erosive lesions occur at its advanced stages.
What are the dangers of regular delays in menstruation?
A disorder such as delayed menstruation, the causes of which can be very different, is not in itself a dangerous condition. It is worth paying attention to a delay in menstruation, first of all, because it can be a symptom of a dangerous disease. Most diseases, one of the symptoms of which is menstrual irregularities, must be diagnosed in the early stages. Many women are interested in whether uterine fibroids can cause a delay in menstruation. Indeed, delayed menstruation is one of the symptoms of this tumor. However, uterine fibroids are generally characterized by a health condition when menstruation becomes irregular, since delayed menstruation alternates with bleeding.
You should also consult a doctor if the cause of delayed bleeding is inflammation of the genital organs, endocrine or gynecological disease. For example, during inflammation of the ovaries, a disruption in the synthesis of hormones occurs in them, which causes a delay in menstruation. In addition, it is worth noting that it is much more convenient for a woman to have a regular menstrual cycle. In this case, it will be easy for her to diagnose pregnancy at an early stage. A delay in menstruation is a signal that can indicate both conception and various diseases and deterioration of health. Therefore, it is extremely important not to miss this signal and react to it in time. To do this, it is enough to go for examination several times a year.
Why is there a delay?
As mentioned above, a delay in menstruation after cauterization of cervical erosion also occurs. This is due to several factors:
- individual reaction of receptors located in the uterus to the aggressive effect of the cauterizing component;
- general stress caused by the diagnosis and the manipulation performed.
This feature is considered normal and can persist for four cycles. In most cases, the delay does not exceed 10 days.
In the second cycle after cauterization of erosion, the delay is due to the stressful state of the body. The first menstruation may differ in character from the usual ones. The discharge may be darker or heavier, with many clots. This is not considered a pathology. Clots are pieces of crusts peeled off from the restored epithelium. To prevent heavy discharge, you should avoid heavy lifting, avoid hypothermia, refrain from intimacy and do not take a hot bath.
You can't take a hot bath
Reasons for missed periods other than pregnancy
Although pregnancy is the most common cause of missed periods, it is far from the only one. If there is a delay in menstruation, the test is negative, the cause of this problem may be hidden in various diseases of the genital organs or disorders. These may include mental illness and shock, obesity, vitamin deficiency, genetic diseases, genitourinary tract injuries and much more. To begin with, it is worth noting that girls practically do not have regular periods in the first two years after the start of menstruation. Therefore, a delay in menstruation and menstrual dysfunction during these years is a natural state of the body, which is caused by hormonal instability.
Many women are interested in what causes a delay in menstruation, other than pregnancy. One of the most common reasons for missed periods is stress and nervous tension. In addition to stress, delayed menstruation can also be caused by lack of sleep and overwork. Problems with menstrual function can also be a consequence of an extreme diet. Wanting to get rid of extra pounds, many women torture their bodies with diets. Prolonged fasting, which leads to a sharp reduction in weight, is perceived by the woman’s body as an extreme condition, so in this case it is possible not just a delay in menstruation, but even its complete cessation.
It is also worth noting that in some situations a woman may experience a shift in her periods several times a year. Such a shift, which can happen once or more per year, is a reason to contact a gynecologist. A delay in menstruation can also be caused by intoxication of the body, which is a consequence of drinking alcohol, drugs, smoking or long-term work in chemical production. The occurrence of a delay in menstruation can also be facilitated by taking various medications, among which the most common are antidepressants, anabolics, diuretics, and anti-tuberculosis drugs.
The natural cause of delay and cessation of menstruation is menopause. But it is worth remembering that during this period the risk of unwanted conception is especially high, since menstrual function malfunctions and periods become irregular. In this regard, it is advisable to be examined by a doctor at least twice a year.
Many women also experience a delay in menstruation in the spring, the reasons for which are obvious: an acute lack of vitamins in the spring negatively affects immunity and metabolic processes. Against this background, the hormonal system also malfunctions, so late menstruation in the spring is a common problem.
Treatment of pathology and favorable period for this
If a woman notices that her periods have become more scanty, the menstrual cycle has been disrupted, and the discharge itself has begun to be delayed by several days, it is worth seeking help from a specialist. Such manifestations may indicate cervical erosion.
Cervical erosion must be treated without fail, otherwise the pathology can lead to deformation of the cervix and the uterine cavity itself, and provoke cervical cancer.
If the pathology was detected in the early stages, drug therapy is prescribed - suppositories, tablets, ointments, douching. In this case, menstruation will quickly recover after erosion, and the menstrual cycle will return to normal.
If drug treatment is not enough, cauterization of the damaged mucous layer is prescribed. When exactly is the procedure done - before, during or after menstruation? You can answer this question by using cauterization at different periods of menstruation.
The cauterization procedure is almost painless, but after it is carried out, small wounds form on the walls of the cervix, which take some time to heal. In this case, cauterization of erosion before menstruation is not recommended, because it can provoke irritation of the epithelial layer. This occurs because the resulting wounds have to come into contact with bloody secretions, which form a favorable environment for pathogens and can cause inflammatory processes in the uterus and cervix.
Thus, in order to avoid the spread of infection in the reproductive organs, cauterization of erosion before menstruation is not carried out.
The most favorable phase when it is recommended to cauterize erosion is considered to be the period during menstruation itself. The tissues are just soft, relaxed, and the cervix is slightly open. At this time, the specialist clearly sees the affected areas of the epithelium and can easily eliminate them, practically without damaging the healthy cells of the mucous membrane of the cervix.
If we talk about the day on which cauterization occurs, then everything depends on the duration and abundance of menstruation. It is better to do the manipulation when the cervix is still slightly open, but the discharge is already insignificant, so that it does not interfere with seeing the affected areas of the cervix. Therefore, cauterization of erosion is best done on the second or third day of menstruation.
Gynecological causes of delayed menstruation
- Polycystic ovary syndrome. One of the most likely gynecological diseases of the genital organs, which negatively affects the menstrual cycle, is polycystic ovary syndrome. It is worth noting that this disease can occur when the functions of the pituitary gland, hypothalamus, thyroid gland, adrenal glands and ovaries are impaired. In addition to problems with menstruation, signs of the disorder also include seborrhea, excess weight, and excessive hair growth.
- Corpus luteum cyst of the ovary. After ovulation, the formation of the corpus luteum occurs. If immediately after it there is a hormonal imbalance, a disruption of the menstrual cycle occurs. To restore it and resolve the corpus luteum, the doctor usually prescribes a course of therapy.
- Inflammation of the genital organs. Inflammation of the internal genital organs often leads to disruption of the processes of follicle maturation, ovulation and the functioning of the corpus luteum. The cause of delayed menstruation in this case may be tumors of the genital organs, endometriosis, or inflammation of the uterine appendages. All these conditions require urgent treatment as they can cause infertility. That is why experts advise women to undergo preventive examinations several times a year.
- Abortion. A delay in menstruation after an abortion occurs due to hormonal imbalance. In addition, as a result of curettage of the uterus, a large amount of tissue is removed. This includes damage to the part of the uterus that grows during menstruation and is released during bleeding. It may take more than 40 days for tissue recovery. In any case, you should definitely consult a doctor who will diagnose the presence or absence of problems with menstrual function.
- Taking hormonal contraceptives. Since these drugs contain hormones, they are able to regulate the menstrual cycle. Moreover, menstrual function over time begins to obey the schedule of taking pills. Therefore, if a woman stops taking the pill, she may experience menstrual irregularities for several months. This is primarily due to changes in hormonal levels.
How is the recovery process going?
After cauterization of erosion, menstruation may be delayed. Immediately after the manipulation, the vessels are clogged, so there is no bleeding. A crust forms, which prevents pathogenic microflora from penetrating open tissues and causing inflammation. The healing period depends only on the speed of the body in recovery, as well as the depth and size of the damage. As a rule, on the eighth or 20th day the epithelium is restored and the crust peels off
In the first days, a clear liquid or streaked with a brownish tint may be released. They last a week, maximum 10 days. By the tenth day, the discharge becomes pinkish and has a thicker consistency. The hue may be red for some.
An indicator of the next stage of recovery is spotting, thick, dark brown discharge, which stops after a week.
Do not be alarmed if, closer to the tenth or 20th day, the bleeding intensified, but stopped within two hours. This is an indication that the crust has completely peeled off, resulting in damage to the integrity of the blood vessels. If the bleeding increases, consult a doctor immediately.
After cauterization, bleeding may occur
After cauterization, discharge lasting about three weeks is considered normal. During this time, their characteristics change. The reason to contact a specialist is the presence of itching, burning and an odor unusual for normal discharge. After 20 days, the discharge becomes normal, characteristic of the premenstrual phase. After some time, your period comes. However, some women with erosion may experience a delay in menstruation.
Diagnosis of delayed menstruation
If you are experiencing a late period, you should definitely take a home pregnancy test. Please note that the test produces a false negative result more often than a false positive result. If the test is negative, your missed period could be caused by some medical condition. Therefore, in any case, you should consult a doctor. At the clinic, the doctor will conduct an ultrasound diagnosis of the pelvic organs to determine the onset of pregnancy, tumor lesions of the uterus or other reasons that caused a delay in menstruation and deterioration in health. In addition, it will be necessary to determine the level of hCG in the blood, as well as the level of hormones of the ovaries, pituitary gland and other glands. To exclude a tumor of the ovaries or pituitary gland, you need to perform an MRI and CT scan of the brain.
Depending on the diagnostic results, consultations with other doctors are prescribed - a nutritionist, an endocrinologist, a psychotherapist. A delay in menstruation is quite rarely a natural process. Often, a delay in menstruation signals the onset of pregnancy or illness, so it is advisable to diagnose its causes as early as possible. After a woman notices a delay in menstruation, she should immediately consult a doctor who can determine the causes of this problem. You can find out from your doctor why the test is negative, whether the missed period was caused by pregnancy or is a symptom of an illness.
When should menstruation start after moxibustion?
When the cauterization heals without obvious pathologies, menstruation occurs approximately three or four weeks after the manipulation. The period depends on what phase of the cycle the intervention was performed and how extensive the tissue damage was. Therefore, in individual cases, the delay in cervical erosion, or more precisely, in its treatment, can be up to two months.
It is very important that the woman is constantly monitored by a doctor, so that a qualified specialist monitors the healing and restoration of all processes. Before menstruation, a woman feels as usual - her stomach pulls, mood swings occur, her breasts swell. The duration of menstruation in most cases does not change, but some note longer and heavier discharge.
Cervical erosion - when is it best to treat
There is no need to delay the therapeutic treatment of this disease, as it is very insidious and dangerous in its consequences.
As a rule, the disease leads to the formation of malignant cells. If there is slight damage to the epithelium in the vaginal cavity, the doctor will prescribe treatment in the form of ointments, suppositories and solutions. And then the critical days go normally, and the woman will return to her normal lifestyle. Since the disease predominantly affects the main female organ, a completely fair question arises: when should the affected areas of the epithelium be cauterized before or after the cycle? Despite the fact that this technique is very painful, after its use a kind of crust forms on the cauterized areas, which takes time to heal. Cauterization before or during critical days will lead to bloody discharge that will greatly irritate the treated area of tissue. Since spotting is considered a favorable environment for various pathogenic bacteria, all this creates a great danger of an inflammatory process. Therefore, using this technique before a cycle is absolutely not rational since it will certainly lead to complications that we do not need.
On which day of the cycle to carry out this procedure depends on the abundance of discharge; it is necessary that the vagina is as open as possible.
One way or another, before using such treatment, you must first pass all the necessary tests, consult a doctor, find out the reason for the absence of critical days, and only then make some attempts to treat this pathology. Definitely, the disease cannot be ignored, since it leads not only to infertility, but also to cancer, which is deadly for humans.
Source: matka03.ru
Abundance and scarcity of menstruation after treatment of pathology
After cauterization of erosion, women may initially observe bloody and profuse discharge with large clots. If this phenomenon is isolated and there will be no repetitions in the next month, then there is nothing to worry about.
Another reason for heavy periods after cauterization of erosion can be damage to the scab (wounds after cauterization) caused by a stressful situation, overwork or heavy physical exertion.
As for monthly discharge in small quantities after treatment of erosion, this also happens. The factor that provokes this phenomenon may be damage to areas of healthy cells of the epithelial layer due to prolonged exposure to a special cauterization apparatus.
Scanty menstruation may be accompanied by pain in the lower abdomen or lower back. In this case, excessive narrowing of the cervix could occur, which could lead to the complete disappearance of discharge, which would collect in the uterine cavity and not be able to exit. This condition is extremely dangerous to health and requires surgical intervention by doctors.
Cervical erosion is a dangerous disease that can cause cancer of the reproductive organ. In advanced cases, cauterization of the damaged layer of the mucous membrane of the cervix is performed. This procedure entails some changes in menstruation, which consist in their delay or, conversely, their onset ahead of schedule. Also, manipulation can provoke an increased abundance of discharge, and sometimes its scarcity or significant deviations in timing. All these moments are normal if they do not occur again in the next cycle. Otherwise, you need to consult a doctor to rule out complications or pathologies.
Treatment of erosion
The pathology needs to be treated as quickly as possible. In gynecology, two approaches are used for this - conservative medical and radical surgical. The first is more applicable in the early stages and is much less effective. The second helps at almost any stage of pathology development.
Medication
With this approach to administration, drugs of several groups are prescribed. They must be taken in combination and strictly according to the scheme.
- Antibiotics, anti-inflammatory and antiseptic agents are used because with erosion there is a high probability of developing an inflammatory process (see Tablets for cervical erosion and Suppositories for erosion);
- Immunostimulating drugs are used to increase the body's strength to fight pathology;
- Local preparations (usually creams) that stimulate the exfoliation of the affected epithelium;
- Local preparations (ointments, creams) to stimulate the active growth of healthy epithelium.
The method is quite controversial. It helps only in the very early stages, and such treatment is very lengthy. In addition, the risk of relapse is much higher (than with surgery).
Surgical
This type is the most preferred. This is done in different ways. But the most popular and least traumatic at present are the following:
- Cryodestruction. Cauterization or, more precisely, freezing of the erosion zone using liquid nitrogen. Inexpensive and effective method;
- Laser vaporization is a targeted effect on the affected area with a laser. In this case, the affected tissues are “sealed” and their renewal is stimulated;
- Diathermocoagulation is also cauterization, but under the influence of extremely high temperatures. The principle of operation is the same as for cryodestruction;
- Chemical coagulation - cauterization using chemical compounds, is used infrequently;
- Radio wave treatment is the effect of a beam of targeted radio waves on the affected area. As a result, active healing of the affected area is stimulated.
The methods are effective and indicated for all stages and types of erosion. The likelihood of relapse is low (if the intervention is performed efficiently).
Sources:
https://mesyachnie.com/zaderzhka/posle-prizhiganija-jerozii.html https://vash-ginecolog.ru/pri-erozii-mozhet-byt-zaderzhka-mesyachnyh.html https://vashamatka.ru/zabolevaniya/ eroziya/zaderzhka-mesyachnyh-pri-erozii-shejki-matki.html
