Abdominal Pain and Delayed Period: A Guide for Women

Abdominal stabbing pain?

Hello doctor, my menstrual period was originally due on May 21, but it has been eight days and it still hasn't arrived.
I started experiencing abdominal stabbing pain on May 15.
Recently, I visited a traditional Chinese medicine practitioner and have been taking herbal medicine to help regulate my cycle and alleviate menstrual pain.
However, after three days of treatment, my period still hasn't come, and I feel a bit uncomfortable in my stomach and somewhat fatigued.
There hasn't been an increase in discharge, and I don't have much discharge at all.

A Yong, 20~29 year old female. Ask Date: 2020/05/28

Dr. Cai Yonglong reply Obstetrics and Gynecology

It is recommended to first visit the obstetrics and gynecology outpatient clinic for an examination and ultrasound.
Thank you.

Reply Date: 2020/05/28

More Info

Understanding abdominal pain and a delayed period can be quite complex, especially for women who experience these symptoms regularly. Your situation, where your period was due on May 21 and is now delayed by eight days, combined with abdominal pain starting on May 15, raises several important considerations.

Firstly, it's essential to understand that a delayed menstrual cycle can be caused by various factors, including hormonal imbalances, stress, changes in weight, excessive exercise, or underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. In your case, the abdominal pain you are experiencing could be related to ovulation, as some women experience pain during ovulation (known as mittelschmerz), which typically occurs around the middle of the menstrual cycle. However, since your pain started earlier than your expected period, it may also be indicative of other issues.

The abdominal pain you describe as "刺痛" (sharp pain) could be due to several reasons. It might be related to gastrointestinal issues, such as gastritis or irritable bowel syndrome (IBS), especially since you mentioned feeling some discomfort in your stomach. Stress and anxiety can also exacerbate gastrointestinal symptoms, leading to discomfort that may be mistaken for menstrual pain.

It's also worth noting that you mentioned seeing a traditional Chinese medicine practitioner and taking herbal remedies. While some women find relief through alternative therapies, it's crucial to monitor how your body responds to these treatments. If the abdominal pain persists or worsens, or if you experience additional symptoms such as fever, severe nausea, or vomiting, it would be advisable to seek further medical evaluation.

In terms of your menstrual cycle, if you are sexually active, consider the possibility of pregnancy, as this could explain both the delayed period and abdominal pain. A home pregnancy test can provide clarity on this matter. If the test is negative and your period still does not arrive, it may be beneficial to consult with a healthcare provider who can perform a thorough evaluation, including blood tests to check hormone levels and possibly an ultrasound to rule out any structural issues.

Additionally, lifestyle factors such as diet, exercise, and stress management play a significant role in menstrual health. Maintaining a balanced diet, regular physical activity, and effective stress management techniques can help regulate your menstrual cycle and alleviate some of the discomfort associated with abdominal pain.

In summary, while your symptoms of abdominal pain and a delayed period can be concerning, they can arise from various causes. It's essential to keep track of your symptoms, consider potential lifestyle factors, and consult with a healthcare provider for a comprehensive evaluation. They can help determine the underlying cause of your symptoms and recommend appropriate treatment options tailored to your needs. Remember, your health is paramount, and seeking professional advice is always a wise decision when faced with persistent or concerning symptoms.

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