Unfortunately, for most women, the absence of menstruation, whose causes are unknown, does not become an occasion for an immediate visit to a gynecologist. Women of reproductive age who have an active sex life believe that a possible pregnancy becomes the reason for the absence of another menstrual bleeding, and ladies of a more mature age think that this is caused by natural age-related changes in the body, and they certainly do not need a doctor's consultation.
However, in all cases, you need to look for the reasons for the absence of menstruation. Then the obstetrician-gynecologist will be able to observe the development of a possible pregnancy from her very first days or in time to identify the patient’s disease and prescribe treatment. Symptoms such as a sharp cessation of menstruation in combination with sharp changes in body weight - an increase or decrease, with the appearance of pain in the pelvic organs should be especially alarming. In this case, the doctor should be consulted immediately, without waiting for the condition to worsen. With the development of malignant neoplasms of the genital area or atypical location of the fetal egg (ectopic pregnancy) every day and even an hour of delay at the beginning of treatment can be fatal.
Lack of menstruation - the most likely causes
Of course, the absence of menstruation, the reasons for which can be very diverse, can be explained by completely natural factors - monthly bleeding stops in almost all pregnant women. At the same time, the appearance of a small amount of blood at the time of implantation of a fetal egg into the uterine wall is considered a normal situation. In the future, any spotting, even in small amounts, requires a doctor's consultation. But when answering the question “No period - what to do?”, Especially in the absence of presumptive signs of pregnancy, there can only be one advice: the patient should immediately seek the advice of a qualified doctor.
If the absence of menstruation, the reasons for which cannot be explained by physiological circumstances, occurs in a woman of childbearing age, the doctor will first exclude the presence of pregnancy. Only then can an active diagnostic search be carried out to detect diseases of the endocrine organs, inflammation of the uterus and its appendages, serious diseases that deplete the body, including oncological pathologies of any localization.
It must be remembered that the absence of menstruation, the causes of which cannot be determined even after a thorough examination, may be hidden in the patient's desire to follow some new-fangled diets. With a lack of certain substances in the body (vitamins, fats, trace elements), menstruation stops precisely because the synthesis of sex hormones, hemoglobin and other metabolically active substances is disrupted.
Survey Program - A Way to Finding Reasons
In patients over the age of 40, menstrual bleeding also never ends abruptly - the extinction of reproductive function normally goes away gradually, and in modern conditions, in most women, the age of cessation of menstruation shifts to 50 years. Therefore, self-complacency is very dangerous - you can skip the first symptoms of a possible disease in which the timely provision of medical care will save a woman's life.
That is why the examination program necessarily includes both gynecological examinations and analyzes showing the state of reproductive function, as well as general clinical examinations and consultations of specialists in related fields of medicine - therapists, hematologists, endocrinologists, and surgeons.