Is it possible to delay menstruation with endometriosis. The nature of menstruation at each stage of endometriosis. Heavy periods as a clear sign of endometriosis

One of the gynecological diseases that can send the most patient woman to the doctor is. Suffer from it mainly in the reproductive age. Therefore, with endometriosis, or rather, the changes occurring with them, one of the reasons to suspect the disease.

Read in this article

Briefly about the disease

The endometrium is the upper layer of the inner cavity of the uterus, part of which is regularly separated and excreted, replaced by a new one. Under the influence of various factors, whose nature is not fully understood, this tissue begins to grow outside the organ. On examination, it is seen mainly within the genitourinary system, and sometimes in different parts of the intestine. Naturally, menstruation with endometriosis of the uterus contains not only its cells of its inner membrane, but also those neoplasms that are localized in other organs.

Hormonal disorders are both one of the causes of occurrence and a consequence of the disease. Therefore, for menstruation with such a diagnosis, it is also characteristic. Sometimes this makes one wonder if there are periods with endometriosis, in principle, since the ailment affects the main organ involved in the process. Menses not only come, but they can be easily confused with. However, cycle failure and long delays with endometriosis are also not excluded.

Influence of endometriosis on menstruation regularity

The disease is characterized not only by an excess and abnormal proliferation of endometrial cells. With it, the tissues of the uterus can become denser, and the organ itself can increase in size. The proliferation of the mucous membrane of the inner cavity of the uterus leads to the fact that the ovaries cannot function normally. When the germ cell matures longer than usual, then with endometriosis it may be repeated more than once. Another reason for this is the germination of tissues in the cervical region, which prevents secretions. The imbalance characteristic of the disease, which prevents the endometrium from developing, contributes to the process. And it takes more time to come to the state in which it is rejected, hence the delay.

An even more common feature that endometriosis causes is. Moreover, this does not mean the maturation of the egg in both cases. It's just that estrogens at all stages of the cycle prevail over progesterone, which normally does not happen.

Endometriosis during menstruation upsets the normal balance, stimulating the secretion of organ cells. When the amount of estrogen decreases slightly, the upper layer of the mucous membrane begins to be rejected.

How many menstrual flow occurs with endometriosis

The question of what periods with endometriosis cannot be answered unequivocally. We can say that they are different, but this is too vague and not informative. The nature of menstruation is due to the long exposure of the uterine mucosa to estrogens, as well as the degree of proliferation of the endometrium, the localization of its tissues.

Heavy menstruation is one of the main signs

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It is worth paying close attention to what happens immediately after laparoscopy. A bad smell and brown discharge indicate an inflammatory process that requires immediate intervention and elimination.

A little differently in comparison with the consequences of curettage, menstruation manifests itself after laparoscopy, endometriosis in these cases captures a significant part of the reproductive system. This means that surgical intervention is more extensive and traumatic. Therefore, the stress associated with it can postpone menstruation by 2-3 months. Bleeding may occur immediately after the operation, but this is not a period, but a negative consequence that needs to be eliminated. Delayed menstruation after laparoscopy for endometriosis may be associated with

• The age of the patient;
• General health condition;
• Psychological attitude.

In most cases, after the operation, a course of hormones is prescribed, which postpone it for the entire period of admission. After it, menstruation is usually quite abundant, which indicates the restoration of the ovaries. But the intensity of the discharge is incomparable with that of the disease. There should be no clots in them either, with this symptom you need to immediately see a doctor. Normally, the consistency of the discharge is uniform.

At any level of intervention, a woman must avoid sexual intercourse, significant physical effort, hot baths and douching for at least a month.

The nature of menstrual discharge with endometriosis can make these days difficult and dangerous. Do not suppress pain with pills and use only hemostatic drugs. All these are half measures that will not relieve suffering for a long time, but will give time for the disease to develop and capture large areas of the reproductive system, lead to infertility, and bring the likelihood of cell degeneration into cancer cells closer. It is safer to treat endometriosis at an early stage, and in order to "catch" the ailment in time, it is necessary to be carefully examined at the slightest changes in menstruation and the cycle in general.

Before using any drugs, you should consult with a specialist doctor. There are contraindications!

Last updated article 07.12.

A delay in menstruation with endometriosis is a standard symptom for most women. The development of the disease is accompanied by a malfunction of the menstrual cycle, menstruation is characterized by abundance and duration. In addition to heavy bleeding, which leads to anemia, with endometriosis there is a discharge in the middle of the cycle that is not related to menstruation.

With endometriosis of the uterus, the mucous membrane thickens, as a result of which the organ itself changes its shape and volume. This condition leads to the production of an excessive amount of the female hormone estrogen. This, in turn, affects the ovaries, which cannot function normally due to excessive stress.

Due to the disrupted work of the ovaries, the process of maturation of the egg and the release of follicles is significantly delayed, as a result, with endometriosis, and a delay in menstruation occurs. Violation of the menstrual cycle is also due to the fact that the overgrown layer of the endometrium clogs the passage of the uterine cervix, interfering with the unhindered exit of blood.

What periods are there with endometriosis? The nature of menstruation depends on the stage of development of the pathological process, the presence or absence of complications. In most cases, despite the fact that with endometriosis there may be a delay in menstruation, the discharge itself becomes abundant and may not stop for a long time, which is explained by the rejection of an excessively thick layer of the endometrium.

Types of menstrual irregularities

Bleeding with endometriosis can be varied. Depending on the severity of the disease and the spread of foci, endometriosis is characterized by the following types of menstrual bleeding:

• dysmenorrhea;
• menorrhagia;
• oligomenorrhea;
• hypomenorrhea.

How are your periods with dysmenorrhea? Monthly bleeding is prolonged, pathologically profuse, when an individual means of intimate hygiene (tampon or pad) is filled with blood within 1 hour.

Dysmenorrhea is accompanied by such signs:

• pulling pain in the lower abdomen;
• increased pain symptom during the entire period of menstruation;
• peak intensity of discomfort - the day of the onset of menstruation.

Pain in endometriosis with dysmenorrhea is a standard symptom that is almost always present, and intensifies during menstruation.

What discharge is present in endometriosis with menorrhagia? At first, menstruation is scanty, there is an intense pain symptom. On days 2-3, when the pain passes, bleeding intensifies, there is a lot of discharge, and there are multiple clots.

The duration of menorrhagia is standard for menstruation - 4-6 days. On the fifth day, the pain can go away completely, the discharge becomes moderate by the end of menstruation, passes on time. Another day after the end of the critical days, bloody mucus can leave.

This symptomatic picture is observed after surgical treatment of endometriosis, when there is a relapse of the disease, characterized by the germination of newly formed foci after partial removal of the uterine cavity.

Lean menses with endometriosis – oligomenorrhea - a rather rare phenomenon. It is observed in cases where endometriosis has damaged the ovaries and led to disturbances in the endocrine system. Menstruation lasts 2-3 days, there is discharge, but there are very few of them, there is a pain symptom.

Hypomenorrhea - pathological course of menstruation. It is observed in the case when endometriosis has completely spread to all organs of the reproductive system, there was a total failure of the hormonal background, and the production of the female hormone estrogen decreased. Typical signs:

• brown discharge with endometriosis (see photo);
• nausea;
• often vomiting;
• severe pain in the lower abdomen, extending to the lower back;
• a rapid deterioration in general condition.

Intermenstrual discharge

Endometriosis is most often accompanied by heavy menstruation. Due to the fact that hormonal disruption occurs, and the amount of endometrium increases significantly, its rejection provokes the appearance of uterine secretions not only during menstruation, but also in the middle of the cycle.

A few days before the onset of menstruation and within 2-3 days after menstruation, discharge of a mucous consistency is observed, which may have a reddish or brown color. The appearance of such secretions is associated with trauma to the mucous membrane on the cervix.

With the development of endometriosis, when the foci of the disease extend beyond the uterine cavity and affect neighboring internal organs, in particular the rectum, mucous discharge appears before menstruation from the anal passage. In women, stool is disturbed, frequent constipation is replaced by diarrhea.

Scarcity or absence of discharge

Sometimes menstruation with endometriosis can be quite scanty, although such a symptomatic picture of the disease is rarely observed. The reason why little blood is released with an excessively thick layer of the endometrium is associated with a total disruption of the condition and functioning of the ovaries and the absence of ovulation.

When the ovaries stop producing eggs, the concentration of the pregnancy hormone progesterone decreases in the blood, which is why the process of endometrial separation (occurs every month after the maturation of the follicle and the absence of a fertilized egg) stops.

Thus, a failure of the hormonal system leads to the onset of infertility.

The absence of menstruation in endometriosis is an even more alarming sign than profuse discharge, since this condition indicates total ovarian dysfunction.

Discharge after treatment of the disease

Based on the stage in which the uterine pathology proceeds, the treatment is prescribed either medication or surgery is performed. After the operation, the menstrual cycle does not return to normal immediately; restorative hormone therapy is required. For 1-2 months, a dark brown discharge may still be present, the intensity and volume of which will gradually decrease.

If there is a foul-smelling mucus discharge after surgery, this may be a sign of problems with the stitches or sutures (depending on the extent of the operation). Indicates decay or damage to the seams; severe abdominal pain, high body temperature, profuse, foul-smelling discharge.

Therapies

With heavy bleeding accompanying menstruation with endometriosis, which can lead to the development of anemia, drugs are prescribed that have a hemostatic effect:

• Diphereline;
• Tranexam;
• Ascorutin.

It is allowed to use traditional medicine methods - decoctions based on medicinal herbs that help stop bleeding, have a beneficial effect on the organs of the reproductive system, and reduce the intensity of the symptomatic picture.

The following herbs are used to restore the menstrual cycle:

• stinging nettle;
• viburnum bark;
• field horsetail;
• yarrow.

Healing decoctions are prepared according to one recipe: pour a tablespoon of the chopped ingredient with 250 ml of boiled water, insist for half an hour under a lid, strain through a sieve or cheesecloth before use. It is recommended to take decoctions to stop bleeding 50 ml up to 4 times a day.

It is important to consult in advance with the attending gynecologist regarding the duration of the use of such decoctions. With frequent and prolonged use of drugs to stop bleeding, you can achieve the effect of "bonding" the organ, when menstruation will stop altogether, and you will have to take the opposite measures.

If a woman has profuse menstruation, against which anemia began to develop, and medications and decoctions based on medicinal herbs do not give positive dynamics, the issue is solved by a cardinal method - an operation during which the excess growth of the endometrium is scraped off. This type of surgical intervention is rarely used due to the high risks of complications, since such a procedure is traumatic for the mucous membrane of the organ.

If the situation has led to the fact that endometriosis is too neglected and menstruation does not normalize, multiple cysts have formed, adhesions have blocked the passage of the fallopian tubes, the foci have penetrated the walls of the rectum, the only treatment is to remove the uterus and appendages affected by the pathological process.

The development of endometriosis is influenced by the lifestyle of modern women. The immune system responds inadequately to the changes taking place, and "wandering" endometrial cells are implanted in unusual places.

Delayed menstruation is an atypical condition for endometriosis. But the paradox is that pathology is very often associated with other diseases of the reproductive systems, which can be the cause of the delay. Most likely, the connection here lies in a single beginning of their development.

Endometriosis is a “traveler” disease. The lesions can theoretically be found in any place and organ. Cases of endometriosis of the eye, brain, liver are described, foci on the intestines, bladder, abdominal cover of internal organs are often found.

Endometriotic lesion of the structures of the body of the uterus is called adenomyosis... In this case, the foci are found in the endometrium, the muscle layer and can "drill" through the uterus. For a number of reasons, adenomyosis is often associated with endometrial polyps of various nature, glandular hyperplasia. All these conditions are associated with delays in menstruation. The treatment is similar: mainly hormonal drugs and surgical removal of lesions are used.

Endometriosis in half of the cases is combined with myomatosis, for which hormonal disorders and cycle failures (delays, bleeding) are common.

The emerging endometriotic lesions on the ovaries over time transforms into cysts. They grow due to the constant secretion of fluid into the interior, similar to menstrual fluid, so their contents are always dark in color. Endometrioid cysts literally "eat" the ovaries.

This is due to the following:

• The foci grow, new ones appear, this leads to the death of the nearby tissue.
• It is recommended to remove endometrioid cysts, as they are still prone to malignancy. Laparoscopic surgery is considered the ideal method. Cauterization leads to additional damage to the ovarian tissue. The function of the ovaries is disrupted, failures occur. A shortening of the cycle, a decrease in the volume of secretions and the number of critical days after the operation are the first signal of ovarian depletion and imminent (in the next 5-10 years) menopause.

Endometriosis is common, where delay is typical.

For endometriosis of the cervix, in general, delays are not characteristic. This is possible only in the case of a large focus or continuous tissue damage, as a result of which a mechanical obstacle can form in the path of blood outflow. The clinical picture is bright: the woman complains of pain in the lower abdomen, which is growing.

With ultrasound, a secret is found in the uterine cavity, which creates pressure on the walls and initiates pain. The restoration of the outflow of menstrual flow immediately leads to relief and disappearance of symptoms.

A delay in endometriosis, especially during treatment with hormonal drugs, should always alert a woman. First of all, you need to do a urine test or take a blood test for hCG to exclude pregnancy, and then look for another reason for the failures.

• there are signs of pregnancy;

Read more in our article on delayed menstruation with endometriosis.

Endometriosis is a disease of women in the 21st century. Lifestyle, striving for career growth and many other factors affect. As a result, the immune system responds inadequately to the changes occurring, and "wandering" endometrial cells are implanted in unusual places for this.

Typical symptoms of the disease:

• Pain whenever and wherever: in the lower abdomen, in the rectum, during sexual intercourse, during menstruation, etc.
• Spotting before and after menstruation as a sign of delayed endometrial rejection.

Delayed menstruation is an atypical condition for endometriosis, since, in fact, the ailment is not provoked by hormonal disorders. But the paradox is that endometriosis is very often associated with other sexually transmitted diseases, which can cause delay. Most likely, the connection here lies in a single beginning of the development of the pathological process, which has not yet been established.

Reasons for delay in endometriosis

Endometriosis is a “traveler” disease. This is explained by comparison by the fact that endometrioid foci can theoretically be found in any place and organ. Cases of endometriosis of the eye, brain, liver are described, foci on the intestines, bladder, abdominal cover of internal organs are often found. For each case, the reason for the delay in endometriosis can be explained in different ways.

Uterus

Endometrioid damage to the structures of the body of the uterus is called adenomyosis. In this case, foci are found in the endometrium, the muscle layer and can "drill" the uterus through and through, reaching the serous cover of the organ and affecting adjacent structures. For a number of reasons, adenomyosis is often associated with endometrial polyps of various nature, glandular hyperplasia. And all these conditions are associated with delays in menstruation.

It is sometimes difficult to say that the primary thing is endometrial pathology, endometriosis of the uterus or delay. The treatment is similar: mainly hormonal drugs and surgical removal of pathological foci or growths are used.

In half of the cases, endometriosis is combined with myomatosis, for which hormonal disturbances and cycle failures (delays, bleeding) are common.

Ovary

The endometriotic foci that appear on the ovaries transform into cysts over time. They grow due to the constant secretion of fluid into the interior, similar to menstrual fluid, so their contents are all dark in color. Endometrioid cysts literally "eat" the ovaries. This is due to the following:

• The foci are constantly growing, new ones appear, this leads to the death of the nearby ovarian tissue.
• It is recommended to remove endometrioid cysts, since although in a small percentage, they are still prone to malignancy. Laparoscopic surgery is considered the ideal method. So it is possible in the most gentle way and under magnification to excise all the affected tissues and identify all foci of other localizations.

However, the cauterization used in this case leads to additional damage to the remaining ovarian tissue. There is never a guarantee that a new cyst will not develop on a recently operated ovary, which often happens if additional long-term hormonal therapy is not prescribed.

As a result, the function of the ovaries is disrupted, there are malfunctions. And a shortening of the cycle, a decrease in the volume of secretions and the number of critical days after surgical treatment of endometrioid cysts is the first signal of ovarian depletion and imminent (in the next 5-10 years) menopause, even if the girl is a little over 20. Therefore, surgery for endometriosis, especially in women who have not given birth or suffer from infertility, should be treated with caution, carefully weighing the pros and cons.

In addition, endometriosis often accompanies polycystic disease, where delay is a typical symptom.

Watch this video for symptoms and treatment options for an endometrioid cyst:

Cervix

For endometriosis of the cervix, in general, delays are not characteristic. This is possible only in the case of a large focus or continuous tissue damage, as a result of which a mechanical obstacle can form in the path of blood outflow. The clinical picture is bright: a woman complains of pain in the lower abdomen, which is growing.

Expert opinion

Daria Shirochina (obstetrician-gynecologist)

A delay in endometriosis, especially during treatment with hormonal drugs, should always alert a woman to a possible pregnancy. Therefore, first of all, you need to do a urine test or take a blood test for hCG.

What symptoms do you need to see a doctor

Violation of the menstrual cycle is already a reason for a thorough examination by a specialist. Only then can the cause be established and the most rational treatment undertaken. Often, therapy coincides with one of the treatment options for endometriosis, therefore, without going deeper, the delay in menstruation is attributed to it. You must immediately go to the doctor if you are worried about the following:

• intense pain in the lower abdomen against a background of delay;
• deterioration in general health: weakness, lethargy, dizziness, pressure drop;
• there are signs of pregnancy;
• increased body temperature, strange discharge from the genital tract.

Endometriosis can rarely become an independent cause of delayed menstruation. However, illness is an indicator of pathological changes in the body, often the condition is accompanied by other gynecological problems that the girl may not know about, but they become the cause of failures. Only a specialist can understand the situation and prescribe a competent correction, therefore, to maintain reproductive health, you need to contact him.

Useful video

Watch this video on what to do if endometriosis is diagnosed:

A delay in menstruation in a woman with endometriosis can cause a lot of unrest. One of the unpleasant gynecological diseases diagnosed in women of reproductive age is endometriosis. This pathology is characterized by the proliferation of tissue outside the uterine cavity, and this happens for various reasons. The disease is accompanied by characteristic symptoms and often there may be a delay in menstruation. One of the varieties of endometriosis is adenomyosis and the place of its localization is the internal muscle tissue of the genital organ.

Features of pathology

Endometriosis is a pathological growth of tissue of a benign nature, which is similar to the mucous membrane of the genital organ. The progression of this pathology can occur in various parts of the reproductive system, and it is also possible to go beyond it. The appearance of certain symptoms is determined by the location of the pathological process.
In the event that endometriosis affects the genital area, then the following deviations in the work of the female body may develop:

• The formation of cysts in the ovaries;
• Delay of menstruation;
• Problems with conceiving.

Most often, endometriosis is detected in women of reproductive age, as well as in adolescents during the formation of menstruation and at the onset of the climatic period. Often such a disease is accompanied by the absence of pronounced symptoms, which creates serious difficulties in its timely identification.

In modern medicine, there is a classification of endometriosis, taking into account the place of its localization in the female body. Experts point out:

• Genital form;
• Extragenital form.

In the genital type, the pathological process is localized in the tissues of the reproductive system, and the extragenital one is characterized by the development of inflammation outside the reproductive system. In the genital form of pathology, adenomyosis is isolated, in which the endometrium penetrates deep into the muscular layer of the genital organ.

Changes in the different nature of the reproductive system have a significant impact on the menstrual cycle. Adenomyosis causes the appearance of various unpleasant moments and there may be a delay in menstruation.

Characteristics of adenomyosis

Experts classify adenomyosis as a type of endometriosis, the development of which occurs when the endometrium does not develop properly into the cavity of the genital organ, but into its thickness.

Symptoms of pathology

Adenomyosis refers to hormonal diseases and certain conditions are necessary for its development:

• Surgical interventions on the cavity of the genital organ;
• Decreased protective functions of the body;
• Progression of gynecological diseases.

Adenomyosis at the initial stage of its development often proceeds without any characteristic symptoms.
The progression of pathology leads to the fact that its nature changes, and menstruation becomes:

• Painful;
• Abundant;
• Long-lasting;
• With an admixture of clots.

A feature of adenomyosis is that during menstruation, the tissue of the mucous membrane of the genital organ passes to the myometrium.

In the event that adenomyosis passes to the next stage of its course, then this is accompanied by an increase in the listed symptoms.

Effects on the menstrual cycle

With adenomyosis, there may be a violation of the periodicity of menstruation and this occurs under the influence of certain factors. Violation of menstruation can be a result of a change in the hormonal background of the female body, and this is due to a reduced production of progesterone and an increase in the amount of estrogen. The result is bleeding at any time, and it resembles a period, which is why women often mistake it for the beginning of the menstrual cycle.

Another violation that pathology provokes is a delay in menstruation. The reason for the development of such a deviation of the female body may also be an insufficient production of sex hormones.

However, a delay in menstruation can be caused by other pathologies, therefore, with the development of such a deviation, a woman is recommended to be examined for other gynecological diseases.
Most often, a delay in menstruation can be triggered by such pathological conditions of the female body as:

• Development of fibroids;
• Inflammatory processes of a different nature;
• Malignant neoplasms.

In some cases, a delay in menstruation at the initial stage of adenomyosis can be caused by pregnancy. This pathology does not create obstacles to carrying a pregnancy, however, irregular periods create obstacles to conception.

Menstrual irregularities

Depending on the stage of the disease and the characteristics of the body, certain failures occur in the monthly cycle of a woman.

The nature of menstruation

Endometrial tissue makes up a significant part of the contents of menstruation, so adenomyosis is accompanied by a significant increase in volume. There is an increase in the amount of estrogen in a woman's body, and this makes menstruation abundant. Under the influence of hormones, the endometrial tissue rapidly spreads beyond the inner surface of the genital organ, and its volume thickens. The suppression of such a pathological process can occur under the influence of progesterone, however, with adenomyosis, its production in the patient's body is reduced.

With such a pathological state of the body, menstruation becomes abundant and is complemented by the appearance of a bloody daub, which can bother a woman for several days. In addition, it can be the result of a change in the hormonal background of the body, when an uneven flow of substances into the blood occurs.

Scanty periods with adenomyosis are considered a rather rare phenomenon, and it is observed most often at the initial stage of pathology, when additional symptoms do not yet arise.

A common occurrence in adenomyosis can be severe pain before menstruation, which has its own characteristics:

• Is of a general nature;
• Cannot be eliminated by drugs that women usually take during menstruation;
• Often accompanied by a spasmodic state of the walls of the genital organ;
• Provokes bouts of vomiting and fainting;
• May indicate foci of localization of the inflammatory process.

Many women are concerned about the question of whether there can be prolonged menstruation with adenomyosis. In fact, such periods are a characteristic feature of such a pathology and can last more than a week. This is due to the fact that the germination of the endometrium occurs in places, and the uneven flow of hormones is characterized by an intermittent nature.

Changes in the hormonal background of the female body cause bleeding between days of menstruation.

The state of the body after menstruation

In addition to changing the time of the onset of menstruation and their consistency with adenomyosis, there can be a prolonged daub. It usually bothers a woman for several days and has a thick consistency. The reason for the appearance of such a daub is a change in the hormonal background of the female body, which creates serious obstacles to the normal development of the endometrium.

In addition, a nodal form of pathology may occur, with the development of which there is an accumulation of brown fluid in the foci of inflammation, and it cannot come out along with menstruation.

The insidiousness of adenomyosis lies in the fact that it cannot be diagnosed without an ultrasound examination. In the event that women experience a change in the nature of their periods, then it is important to consult a specialist and find out the reason for such a pathological state of the body. The progression of the disease can cause difficulties in the onset of pregnancy, as well as become the cause of the formation of cancer cells in tissues. It is unlikely that it will be possible to completely get rid of the pathology, therefore, it is necessary to constantly monitor the state of the female body and carry out timely drug treatment.

Endometriosis is the placement of cells in the inner layer of the uterus in other organs or the growth of the inside of an organ. During menstruation, pieces of the endometrium can enter the bloodstream and spread throughout the body. They invade the organs and grow during your period. Hemorrhages occur, which provoke inflammation and severe pain. With each subsequent menstruation, the health condition worsens.

Sometimes there is a delay in menstruation with endometriosis. This is due to the fact that hormonal levels change. The menstrual cycle is a litmus test for women's health. A deviation from the norm determines the development of the disease.

The effect of the disease on the menstrual cycle

Most often, endometriosis is diagnosed by ultrasound, when the patient turns to the gynecologist with a delay in her period. In this case, time is not wasted, and the doctor immediately prescribes treatment. If menstruation is absent, a pregnancy test should be done. If the test is negative, then the next step is a visit to the doctor.

Against the background of hormonal changes in endometriosis, ovulation may be delayed. An excess number of endometrial cells are found inside the uterus, thickening its walls. During menstruation, they enter the fallopian tubes and abdominal cavity. Attaching to the ovaries, the cells of the inner layer of the uterus form cysts that affect the functioning of the organ, therefore, the menstrual cycle is delayed. The proliferation of endometrioid tissue in the cervix blocks the release of bleeding.

Lack of menstruation is less likely to occur than prolonged bleeding. Most often, the underlying cause of the delay is another medical condition. The onset of endometriosis is seen as a consequence. Excessive bleeding during menstruation is considered more common. Endometrial cells are actively growing in the uterine cavity, and it takes more time for them to exit.

Causes and possible timing of the absence of menstruation

A delay in menstruation can last from several days to several months. This is because progesterone levels decrease and the egg does not leave the follicle. The endometrium is not rejected, but grows inside the uterus. The norm is a delay in menstruation up to 7 days. With endometriosis, there may be a delay of several menstrual cycles.

Ovarian cysts are considered a companion of endometriosis. During retrograde menstruation, endometrial cells migrate. They take root in the tissues of the ovaries and fallopian tubes. Growths (endometriotic cysts) are formed, which inhibit the maturation of the follicle. They bleed every month and prevent the body from secreting the required amount of hormones. There is a decrease in the ovarian reserve, and every year it decreases.

Germination of the endometrium into the deeper layers of the uterus, such as the myometrium, is called adenomyosis. At the same time, the amount of estrogen increases and the volume of endometrial cells increases. Not enough progesterone is released to start menstruation.

Egg ovulation does not occur or is delayed.

Cycle recovery

Conservative treatment of endometriosis is carried out with drugs containing gestagens or progestins. These hormones artificially create menstruation by controlling their regularity. They prepare women's bodies for pregnancy. Additionally, non-steroidal anti-inflammatory drugs are used to relieve pain during menstruation.

Treatment of severe forms of endometriosis is carried out by surgery using laparoscopy. This removes all visible foci. After the operation, the cycle may be disturbed. Within 2-3 months menstruation becomes regular. The duration of recovery is associated with the psychological state of the woman and the stabilization of the hormonal background.

In special cases, doctors combine surgery and medication support for the body. The gynecologist prescribes contraceptives to regulate the menstrual cycle. If new foci of endometriosis do not arise, then the delays pass.

Increasing progesterone levels can be achieved through proper nutrition, moderate exercise, and healthy sleep. Improving immunity is the main task of the recovery phase. Lack of stress has a positive effect on the female body.

Conclusion

The pathological condition of a woman, characterized by endometriosis, should not be ignored. The sooner the diagnosis and treatment of the disease is carried out, the less the consequences will be. We must not forget that prolonged disturbance of the menstrual cycle can lead to infertility. If your period is delayed for more than 7 days, you must:

• take a pregnancy test;
• undergo an ultrasound examination;
• get tested for hormones and tumor markers.

The timing of the restoration of hormonal levels depends on the degree of endometriosis, age and desire to have children.