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

One of the gynecological diseases that can send the most patient woman to the doctor is. They suffer from it mainly in the reproductive age. Therefore, with endometriosis, or rather, the changes that occur 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 removed, being 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. During examination, it is seen mainly within the boundaries of 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 shell, but also those neoplasms that are localized in other organs.

Hormonal disorders are both one of the causes and a consequence of the disease. Therefore, for menstruation with a similar diagnosis, it is also characteristic. Sometimes this makes one wonder if there is menstruation with endometriosis in principle, since the ailment affects the main organ involved in the process. Menstruation not only comes, but they are easy to confuse with. However, cycle failure and long delays in endometriosis are also not excluded.

The effect of endometriosis on the regularity of menstruation

The disease is characterized not only by the excessive number and abnormal distribution of endometrial cells. With it, the tissues of the uterus can become denser, and the organ itself can increase in size. The growth of the mucous membrane of the internal cavity of the uterus leads to the fact that the ovaries cannot function normally. When sex cell matures longer than usual, then with endometriosis it can be repeated more than once. Another reason for it is the germination of tissues in the area of ​​​​the cervix, which prevents secretions. The imbalance inherent in the disease, which prevents the endometrium from developing, contributes its share to the process. And to come to the state in which it is rejected, it takes more time, hence the delay.

Even more common feature caused by endometriosis. 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 does not happen normally.

Endometriosis during menstruation disrupts the normal balance, stimulating the secretion of organ cells. When the amount of estrogen decreases slightly, the upper layer of the mucosa begins to be shed.

How much menstrual flow occurs with endometriosis

The question of what menstruation is for endometriosis cannot be answered unambiguously. 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 to the uterine mucosa of estrogen, as well as the degree of growth of the endometrium, the places of localization of its tissues.

Abundant menstruation is one of the main signs

• 2 tablets 3 times a day. The gynecologist may prescribe a different dosage, based on specific circumstances. The drug promotes the formation of platelets, due to which the blood coagulates faster;
• . The dosage is the same as for the previous remedy, but it is allowed to take 4 times a day. The drug increases blood viscosity, which helps to reduce the volume and duration of secretions;
• . This is an analogue of Etamzilat, the number of tablets taken for prolonged periods caused by endometriosis is the same;
• . More effective intramuscularly, as in this form it acts faster. The effect of taking the pill will become noticeable only after 8 hours;
• Askorutin. Its hemostatic effect is based on the strengthening of the vascular walls. The drug contains rutin, which makes them less permeable and brittle;
• . It is used from the first day of the cycle, its hemostatic properties are based on the effect on the ovaries in order to correct the production of hormones;
• Oxytocin. Constricts blood vessels and increases the tone of the muscles of the uterus. Introduced intramuscularly 1-2 ml 2 times a day;
• Ergometrine. Strengthens the smooth muscles of the uterus. There are different forms of the drug for oral and injection. Enough for 0.2 g 3 times a day.

How and when is surgery for endometriosis

The disease at the initial stage with small foci of cell growth is treated conservatively using hormonal drugs. But in most cases, surgical methods are necessary to preserve reproductive capabilities, followed by the use of the same drugs. With the localization of cells of the uterine mucosa in its neck and cavity, scraping or cleaning is used. The functional layer is removed with tools and sent for examination. The germ cell remains, which retains the ability to form external cells, that is, all the functions of the organ are preserved.

Endometriosis must be cleaned during menstruation if it is an emergency operation for heavy bleeding. It can also be done in a planned manner on critical days, if a diagnosis was previously made, and the material has already been examined, and the diagnosis has been confirmed. This is a more physiological and gentle way, since the endometrium is already being rejected. during menstruation, it minimally injures the organ and allows you to restore its functions in a short time. A planned operation can be carried out a few days before them, then the resulting material is sent for research. In addition, endometriosis before menstruation is seen especially clearly, due to the cyclical nature of its development. This is important, because the accidental leaving of minimal foci will inevitably cause a relapse.

The spread of the disease to the ovaries, appendages, other organs will require a laparoscopic operation, a woman should be re-examined. It is likely that an infection was introduced during the operation or not all foci of the disease were eliminated.

Laparoscopy for endometriosis and menstruation

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

A little different in comparison with the consequences of curettage, menstruation after laparoscopy manifests itself, 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 delay menstruation by 2-3 months. Immediately after the operation, bleeding may occur, but this is not menstruation, but a negative consequence that needs to be eliminated. Delayed menstruation after laparoscopy for endometriosis may be due to

• The age of the patient;
• General health;
• Psychological mood.

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 plentiful, which indicates the restoration of the ovaries. But the intensity of the discharge is incomparable with what it was during the illness. There should not be 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 should avoid sexual intercourse, significant physical effort, hot baths and douching for at least a month.

The nature of the monthly discharge with endometriosis can make these days difficult and dangerous. Do not suppress the 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 increase the likelihood of cells degenerating into cancer cells. Endometriosis is better treated early stage, and in order to "catch" the disease in time, it is necessary to carefully examine it at the slightest change in menstruation and the cycle in general.

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

Article last updated 07.12.2019

Delayed periods with endometriosis are a common symptom for most women. The development of the disease is accompanied by a failure 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 fact that an excessive amount of the female hormone, estrogen, is produced. This in turn affects the ovaries, which cannot function properly due to excessive stress.

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

What are the periods for 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, may not stop for a long time, which is explained by the rejection of an excessively thick layer of the endometrium.

Types of menstrual disorders

Bleeding with endometriosis can vary. Depending on the severity of the course of the disease and the spread of lesions, endometriosis is characterized by the following types of menstrual bleeding:

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

How do periods go dysmenorrhea? Monthly bleeding is prolonged, pathologically abundant, when an individual intimate hygiene product (tampon or pad) is filled with blood within 1 hour.

Dysmenorrhea is accompanied by the following symptoms:

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

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

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

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, and pass on time. Another day after the end of the critical days, bloody mucus may be discharged.

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

Scanty periods with endometriosis – oligomenorrhea is a rather rare occurrence. 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 has been a total failure of the hormonal background, and the production of the female hormone estrogen has decreased. Characteristic signs:

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

Intermenstrual discharge

Endometriosis is most often accompanied by heavy menstruation. Due to the fact that a hormonal failure occurs, and the amount of the endometrium increases significantly, its rejection provokes the appearance of uterine discharge 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 go beyond the uterine cavity and affect neighboring internal organs, in particular the rectum, mucous secretions appear before menstruation from the anus. In women, the stool is disturbed, frequent constipation replaced by diarrhea.

Scarcity or lack of secretions

Sometimes menstruation with endometriosis can be quite scarce, although such a symptomatic picture of the disease is rare. The reason why little blood is released with an excessively thick layer of the endometrium is associated with a total violation 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 stops the process of endometrial separation (occurs every month after the follicle matures and the absence of a fertilized egg) stops.

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

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

Allocations after treatment of the disease

Based on the stage at which the uterine pathology occurs, treatment is prescribed either medication or surgical intervention. After the operation, the menstrual cycle does not return to normal immediately; restorative hormonal therapy is required. Within 1-2 months, dark brown discharge may still be present, the intensity and volume of which will gradually decrease.

If there is a foul-smelling discharge of mucus after surgery, this may be a sign of a problem with the suture or sutures (depending on the extent of the operation). Indicates rotting or damaged sutures severe abdominal pain, heat body, copious, offensive discharge.

Therapy Methods

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

• Diphereline;
• Traneksam;
• Askorutin.

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

The following herbs are used to restore the menstrual cycle:

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

Healing decoctions are prepared according to one recipe: pour a tablespoon of the crushed ingredient with 250 ml of boiled water, insist for half an hour under the 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 funds to stop bleeding, you can achieve the effect of "fastening" the organ, when menstruation completely stops, and opposite measures will have to be taken.

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

If the situation has led to endometriosis being too neglected and menstruation not normalizing, multiple cysts have formed, adhesions have clogged the passage of the fallopian tubes, the foci have penetrated the walls of the rectum, the only way to treat 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 reacts inadequately to the ongoing changes, and "wandering" endometrial cells are implanted in unusual places.

Delayed menstruation is an atypical condition for endometriosis. But the paradox is that the 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 the common beginning of their development.

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

Endometrial damage to the structures of the uterine body is called adenomyosis. In this case, the foci are found in the endometrium, the muscle layer and can "drill" the uterus through and through. 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: hormonal drugs are mainly used and surgical removal foci.

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

Appeared endometrial lesions on the ovaries over time, it transforms into cysts. They grow by constantly secreting a menstrual-like fluid inside, so their contents are always dark in color. Endometrioid cysts literally “eat up” the ovaries.

This is due to the following:

• The foci grow, new ones appear, this leads to the death of nearby tissue.
• Endometrioid cysts are recommended to be removed, as they are still prone to malignancy. Laparoscopic surgery is considered the ideal method. Cauterization leads to additional damage to the tissues of the ovaries. The function of the ovaries is disturbed, failures occur. Shortening the cycle, reducing the volume of secretions and the number of critical days after surgery is the first signal of ovarian exhaustion and an early (in the next 5-10 years) menopause.

Endometriosis often accompanies, where delay is a typical symptom.

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 may form in the path of blood outflow. Clinical picture while bright: a woman complains of pain in the lower abdomen, which are 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 cause of failures.

• there are signs of pregnancy;

Read more in our article on missed periods with endometriosis.

Endometriosis is the disease of women in the 21st century. It affects the lifestyle, the desire for career growth and many other factors. As a result, the immune system does not adequately respond to the ongoing changes, and "wandering" endometrial cells are implanted in unusual places.

Typical symptoms of the disease:

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

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

Causes of delay in endometriosis

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

Uterus

Endometrial damage to 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" 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 what is primary - endometrial pathology, endometriosis of the uterus or delay. The treatment is similar: hormonal preparations and surgical removal of pathological foci or growths are mainly used.

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

ovaries

Appeared endometrioid foci on the ovaries over time are transformed into cysts. They grow by constantly secreting a menstrual-like fluid inside, so their contents are all dark in color. Endometrioid cysts literally “eat up” the ovaries. This is due to the following:

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

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

As a result, the function of the ovaries is disturbed, failures occur. 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 exhaustion and an early (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 are suffering from infertility, should be treated with caution, carefully weighing all 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 may form in the path of blood outflow. The clinical picture is bright: the woman complains of pain in the lower abdomen, which are growing.

Expert opinion

Daria Shirochina (obstetrician-gynecologist)

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

What symptoms should you see a doctor for?

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 can be undertaken. Often, therapy coincides with one of the options for treating endometriosis, therefore, without going deep, the delay in menstruation is attributed to it. Seek medical attention immediately if you are concerned about the following:

• intense pain in the lower abdomen against the backdrop of a delay;
• deterioration in general well-being: weakness, lethargy, dizziness, pressure drop;
• there are signs of pregnancy;
• body temperature has risen, strange discharge from the genital tract is disturbing.

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

Useful video

Watch this video on what to do if you are diagnosed with endometriosis:

Delayed menstruation in a woman with endometriosis can cause a lot of unrest. One of the unpleasant gynecological diseases that is diagnosed in women of reproductive age is endometriosis. Such a pathology is characterized by the growth of tissue outside the uterine cavity, and this happens according to various reasons. The disease is accompanied 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 reproductive organ.

Features of the pathology

Endometriosis is a pathological proliferation of benign tissue that is similar to the mucous membrane of the reproductive 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:

• Formation of cysts in the ovaries;
• Delay of menstruation;
• Problems with conception.

Most often, endometriosis is detected in women of reproductive age, as well as in adolescents during the formation of menstruation and with 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 detection.

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

• genital form;
• extragenital form.

With the genital type, the pathological process is localized in the tissues of the reproductive system, and the extragenital type 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 muscle layer of the genital organ.

Changes in the various 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

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

Symptoms of pathology

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

• Carrying out 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 occurs without any characteristic symptoms.
The progression of the pathology leads to the fact that its character changes, and menstruation becomes:

• painful;
• plentiful;
• long;
• With an admixture of clots.

A feature of adenomyosis is that during menstruation, the tissue of the mucous membrane of the reproductive 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.

Effect 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 may be the result of changes in the hormonal background of the female body, and this is due to reduced production of progesterone and an increase in the amount of estrogen. The result of this is the appearance of bleeding at any time, and they resemble menstruation, so women often mistake them for the beginning of the menstrual cycle.

Another violation that provokes pathology may be a delay in menstruation. The reason for the development of such a deviation of the female body may also be 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:

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

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

Menstrual disorders

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 content of menstruation, so adenomyosis is accompanied by a significant increase in volume. There is an increase in the amount of estrogen in the body of a woman, and this makes menstruation plentiful. Under the influence of hormones, the endometrial tissue rapidly spreads beyond the inner surface of the reproductive organ, and a thickening of its volume is also observed. 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 condition of the body, menstruation becomes plentiful and is complemented by the appearance of a bloody daub, which can disturb a woman for several days. In addition, it can be the result of a change in the hormonal background of the body, when there is an uneven flow of substances into the blood.

Scanty menstruation with adenomyosis is considered a rather rare occurrence, and it is most often observed at the initial stage of the pathology, when additional symptoms do not yet occur.

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

• Is of a general nature;
• Can't be removed medicines, which are usually taken by women during menstruation;
• Often accompanied by a spasmodic condition of the walls of the reproductive 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 characteristic feature 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 supply of hormones is characterized by an intermittent character.

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

The state of the body after menstruation

In addition to changing the time of onset of menstruation and their consistency with adenomyosis, there may be a long daub. Usually she worries 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 nodular form of pathology may occur, during the development of which brown fluid accumulates in the foci of inflammation, and it cannot come out 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 menstruation, it is important to consult a specialist and find out the cause of such a pathological condition of the body. The progression of the disease can cause difficulties in the onset of pregnancy, as well as cause the formation of cancer cells in the 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 conduct timely drug treatment.

Endometriosis is the placement of cells of the inner layer of the uterus in other organs or germination inside the organ. During menstruation, pieces of the endometrium can enter the bloodstream and spread throughout the body. They are introduced into the organs and grow during menstruation. Hemorrhages occur, which provoke inflammation and severe pain. With each subsequent menstruation, the state of health worsens.

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

The impact of the disease on the menstrual cycle

Most often, endometriosis is diagnosed by ultrasound, when the patient goes to the gynecologist with a delay in menstruation. In this case, time is not lost, and the doctor immediately prescribes treatment. If you don't have a period, you should get tested for pregnancy. 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. Excessive endometrial cells are found inside the uterus, thickening its walls. During menstruation, they enter the fallopian tubes and abdominal cavity. Fixing on the ovaries, the cells of the inner layer of the uterus form cysts that affect the functioning of the organ, so the menstrual cycle is delayed. The growth of endometrioid tissue in the cervix blocks the release of bloody secretions.

The situation with the absence of menstruation occurs less likely than prolonged bleeding. Most often, the main reason for the delay is another disease. The appearance of endometriosis is considered as a consequence. Copious excretion bleeding during menstruation is considered more common. Endometrial cells actively grow in the uterine cavity, and it takes more time for them to exit.

Causes and possible time of absence of menstruation

The delay in menstruation can last from several days to several months. This is due to the fact that there is a decrease in the level of progesterone, 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, a delay for several menstrual cycles is possible.

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 (endometrial cysts) are formed, which inhibit the maturation of the follicle. Every month they bleed 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 in the deeper layers of the uterus, for example, in the myometrium, is called adenomyosis. At the same time, the amount of estrogens increases and the volume of endometrial cells increases. Not enough progesterone is released to start menstruation.

Ovulation of the egg does not occur or occurs with a delay.

Cycle recovery

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

Treatment of severe forms of endometriosis is carried out operatively using laparoscopy. This removes all visible lesions. After the operation, cycle disturbances are possible. Within 2-3 months, menstruation becomes regular. Recovery time is related to psychological state women and hormonal stabilization.

In special cases, doctors combine surgery and medical 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.

You can increase your progesterone levels with proper nutrition, moderate physical activity and healthy sleep. Boosting immunity is the primary focus of the recovery phase. The absence 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 consequences there will be. We must not forget that a long violation of the menstrual cycle can lead to infertility. If your period is more than 7 days late:

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

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