Delayed Period, Abdominal Pain, and Frequent Urination: What to Know

Delayed menstruation, abdominal pain, and frequent urination?

Hello doctor, my period is already six days late.
I have been very emotionally unstable recently and still feel easily sentimental and prone to anger.
My period was supposed to come on the 3rd of this month, but it hasn't arrived.
For the past few days, I've been experiencing abdominal pain.
I thought my period was about to start, but there hasn't been any bleeding on my pad, and my discharge has increased.
Today, I experienced intermittent sharp pain in my abdomen while urinating, and I have been urinating frequently.
I don't know what this situation means...
I had two children about six years ago, and since then, I've had difficulty conceiving.
My boyfriend and I have been trying for a baby with unprotected intercourse last year and this year; he is really trying hard...
I'm afraid to go to the hospital and feel embarrassed to buy a pregnancy test.
I would like to ask the doctor what this situation could be and why I am experiencing sharp pain while urinating.

Xiao Ting, 20~29 year old female. Ask Date: 2016/05/08

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle include environment, lifestyle, stress, emotional instability, diet, age, lesions in the uterus or cervix, pregnancy, etc.
For urinary tract symptoms, it is necessary to consult a physician for relevant examinations to confirm the diagnosis and treatment.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2016/05/08

More Info

It sounds like you're experiencing a combination of symptoms that can be quite concerning, including a delayed period, abdominal pain, and frequent urination. Let's break down these symptoms and explore potential causes, as well as the importance of seeking medical attention.

Firstly, a delayed period can be attributed to various factors, including stress, hormonal imbalances, pregnancy, or underlying health conditions. Given that you've mentioned experiencing emotional instability and mood swings, stress could be a significant contributor to your delayed menstruation. Stress affects the hypothalamus, which regulates hormones that control the menstrual cycle. Therefore, emotional distress can lead to irregularities in your cycle.

The abdominal pain you're experiencing could be related to several factors. If you suspect that your period is approaching, the pain could be due to premenstrual syndrome (PMS) or even ovulation pain, which can occur if you are nearing ovulation. However, since your period is delayed, it is essential to consider other possibilities. Conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease (PID) could also cause abdominal pain.
Frequent urination accompanied by abdominal pain can indicate a urinary tract infection (UTI), especially if you are experiencing a burning sensation or cramping during urination. UTIs are common and can cause discomfort in the lower abdomen, as well as an increased urge to urinate. In some cases, the pain may feel like cramping or spasms, which could explain the "pulling" sensation you described.

Given your history of difficulty conceiving and the fact that you have had two children in the past, it is also important to consider the possibility of pregnancy. If you have been sexually active and there is a chance of conception, it would be prudent to take a pregnancy test. While you mentioned feeling hesitant to purchase a test, it is a straightforward way to rule out pregnancy as a cause of your symptoms.

In summary, your symptoms of delayed menstruation, abdominal pain, and frequent urination could be linked to stress, hormonal changes, a potential urinary tract infection, or even pregnancy. It is crucial to address these symptoms with a healthcare professional who can provide a thorough evaluation and appropriate testing.
While it may feel uncomfortable to visit a doctor, especially if you are worried about the possibility of pregnancy, it is essential for your health and peace of mind. A healthcare provider can offer guidance, conduct necessary tests, and help you understand what is happening with your body. Remember, your health is a priority, and seeking medical advice is a proactive step towards addressing your concerns.
In the meantime, try to manage stress through relaxation techniques, such as deep breathing, meditation, or gentle exercise, which can also help regulate your menstrual cycle. Staying hydrated and maintaining a balanced diet can support your overall well-being as you navigate these symptoms.

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