Abdominal Pain When Periods Are Delayed: Causes and Solutions

Menstrual delay with pelvic pain?

If your girlfriend is experiencing lower abdominal pain that radiates from her pelvic area, it could be due to several reasons.
Possible causes may include menstrual cramps, ovarian cysts, pelvic inflammatory disease, or other gynecological issues.
It is important for her to consult a healthcare professional for a proper diagnosis and appropriate treatment.

Pan, 10~19 year old female. Ask Date: 2015/12/27

Dr. Lin Wenbin reply Obstetrics and Gynecology

Please go to the hospital for an examination.

Reply Date: 2015/12/27

More Info

Abdominal pain, especially when associated with a delayed menstrual period, can be concerning and may arise from various underlying causes. It is essential to consider a range of possibilities, as the symptoms can be indicative of both gynecological and non-gynecological issues.
Firstly, one of the most common reasons for abdominal pain in women of reproductive age is related to the menstrual cycle. If your girlfriend's period is delayed, it could be due to several factors, including hormonal imbalances, stress, significant weight changes, or even pregnancy. In cases of pregnancy, abdominal pain can occur due to the stretching of ligaments or other changes in the body. A missed period combined with abdominal pain should prompt a pregnancy test to rule out this possibility.

Another potential cause of abdominal pain when periods are delayed is ovulation pain, also known as mittelschmerz. This occurs when an ovary releases an egg, and some women experience pain during this process. If the pain is localized to one side of the abdomen, it might be related to ovulation.

Additionally, conditions such as polycystic ovary syndrome (PCOS) can lead to irregular menstrual cycles and abdominal discomfort. PCOS is characterized by hormonal imbalances that can cause cysts to form on the ovaries, leading to pain and delayed periods. Other gynecological issues, such as endometriosis, can also cause significant abdominal pain and irregularities in the menstrual cycle. Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, leading to inflammation and pain.

Non-gynecological causes should also be considered. Gastrointestinal issues, such as irritable bowel syndrome (IBS), constipation, or gastrointestinal infections, can cause abdominal pain that may be mistaken for gynecological pain. Stress and anxiety can exacerbate these symptoms, leading to a cycle of discomfort.

In terms of solutions, it is crucial for your girlfriend to consult a healthcare provider for a thorough evaluation. A healthcare professional can perform a physical examination, take a detailed medical history, and possibly recommend imaging studies or blood tests to determine the underlying cause of her symptoms. If pregnancy is suspected, a urine or blood test can confirm this.
For immediate relief, over-the-counter pain medications, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, these should not be used as a long-term solution without medical advice. Lifestyle modifications, including stress management techniques, regular exercise, and a balanced diet, can also contribute to overall well-being and may help regulate menstrual cycles.

In summary, abdominal pain associated with a delayed menstrual period can stem from various causes, including hormonal changes, ovulation, gynecological conditions, and gastrointestinal issues. It is essential for your girlfriend to seek medical attention to identify the cause and receive appropriate treatment. Early intervention can lead to better outcomes and alleviate discomfort.

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