The delay in rules: the different possible causes

The delay in rules: the different possible causes

You should have had your period a few days ago, but still nothing.Multiple reasons can explain a small discrepancy, a decrease in their frequency, even a disappearance of several months of your menstruation.And it's not always worrying!Decryption.

DERMAND OF RULES: You may be pregnant

A delay in rules is one, if not the first symptom of pregnancy.The ovulation took place, the ovum was fertilized by a sperm, and the embryo born of this union was established in the uterine mucosa.The hormones it secretes will maintain the body yellow, residue from ovulation, and thus prevent the elimination of the endometrium, the uterine mucosa.

Therefore, if you are pregnant, it is quite natural that your rules disappear.The hormones secreted during the nine months of pregnancy prevent the mucous membrane from the uterus from degenerating, as is usually the case when there was no fertilization.Pregnancy is characterized by the absence of menstrual rules and cycle.The return of diapers, and with it the return of the rules, occurs on average 6 to 8 weeks after childbirth, if you do not go.

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Absence of rules: What about breastfeeding?

When we breastfeed, prolactin, hormone secreted during feeding, blocks the normal functioning of the menstrual cycle and delays the appearance of the return of layers.Suddenly, your rules can take 4 or 5 months (or even more for those who practice exclusive breastfeeding) before returning after childbirth.We consider that breastfeeding is contraceptive if is exclusive (not mixed, without artificial milk), that a baby is breastfeeding less than six months and that there is no more than six hours between two feedings.However, beware of the use of breastfeeding as a contraceptive alone: it is not uncommon to make a "surprise" baby shortly after giving birth, due to a return of diapers and an unexpected ovulation.

Absent rules: Progestive hormonal contraception

Do not be surprised to see your periods, or even disappear, if you use contraception only based on progesterone (microprogestative, macroprogestative, IUD or implant).Their contraceptive effect is partly due to the fact that they oppose the proliferation of the uterine mucosa.It becomes less and less thick, then atrophy.Therefore, the rules are becoming increasingly rare and can thus disappear.No worries, however!The effect of hormonal contraception is reversible.When you decide to stop it, the cycles restart more or less spontaneously, ovulation resumes its natural course and your rules reappear.For some, from the following cycle.

Le retard de règles : les différentes causes possibles

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Absence of rules: dystovulation, or polycystic ovaries

Polycystic ovary syndrome is a hormonal disruption that affects between 5 and 10 % of women, and which is characterized by the presence of multiple immature follicles on ovaries (called language abuse cysts) and an abnormally high rate of male male hormones(Androgens).This leads to ovulation disturbances and irregular, even absent rules.

Absence of rule: being too thin can play

Stopping rules is common in women with anorexia or undernutrition.Conversely, excessive weight gain can also lead to menstruation spacing.

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Absence of rules: a lot of sport in question

Too intensive sports training can disrupt the normal cycle operation and provisionally cause a rules.Some high -level athletes do not often have their rules.

Can stress delay the rules?And how many days?

Stress can interfere on hormonal secretion produced by our brain - conductor of our menstrual cycle - and block your ovulation, delaying your rules and making them irregular.Likewise, an important change in your life, such as a move, an emotional shock, a trip, marital problems ... can also play tricks on your cycle and disturb its regularity.

I no longer have my period: what if it was the beginning of menopause?

A natural cause of the menstruation, menopause appears around 50-55 years.Our stock of ovarian follicles (cavities of the ovary in which an ovum develops) exhausting over the years, as menopause approaches, ovulations are becoming increasingly rare.The rules become less regular, then disappear.However, in 1 % of women, menopause is abnormally early, starting before the age of 40.

Absence of rules: taking medication

Certain neuroleptics or treatments used against vomiting (such as Primpeéran® or Vogalene®) can act on dopamine, a chemical of the organism which regulates the rate of prolactin (hormone responsible for lactation).In the long term, these drugs are likely to result in the disappearance of the rules.

Absence of rules: an anomaly of the uterus

An endoterin medical gesture (curettage, abortion, etc.) can sometimes damage the walls of the uterus cavity and cause a sudden disappearance of the rules.

A lire aussiAuteur : Isabelle Hallot Article mis à jour par Hélène Bour, Journaliste scientifique