Abdominal cramps but no menstruation

Symptoms of lower abdominal cramps in women about 2 days before menstruation are called primary dysmenorrhea, which is related to increased uterine tension and spasmodic contractions. If the menstrual period is delayed for no more than 7 days, it is mostly normal; if the menstrual period does not enter for more than 7 days, women who have sex may be pregnant, or it may be due to endocrine disorders caused by excessive weight loss, long-term staying up late, etc., which lead to delayed menstruation or even amenorrhea.

1. Pregnancy: When the patient is pregnant, the menstruation is generally delayed for more than 10 days. Because the embryo is implanted in the uterus, the endometrium is in a thickened state and no longer sheds, so physiological amenorrhea will occur during pregnancy. At this time, no treatment is required and the fetus is normal;

2. Premenstrual syndrome: It may occur about a week before the patient's menstruation, the most serious is 2-3 days before menstruation, and some patients may continue to 3-4 days during the menstrual period, mainly manifested by abdominal pain, nausea, inattention, anxiety, tension and other symptoms. If the life pressure is high, the early syndrome caused by mental tension and anxiety can be psychologically cared for to relieve the mood, and the comfort of the patient can be promoted by playing music, talking about the patient's favorite movies and other methods. If it is caused by ovarian hormone level disorder, appropriate treatment can be carried out according to the cause of the disorder, or appropriate drug treatment can be selected according to the patient's condition, such as levonorgestrel;

3. Endocrine disorders: Endocrine disorders caused by factors such as diet, malnutrition, excessive exercise, staying up late, stress, and emotional excitement affect the ovarian secretion function, abnormal estrogen and progesterone levels, and thus affect the length and volume of menstruation. Severe patients may have temporary amenorrhea, so even if the lower abdominal pain disappears, there may be no menstruation. Endocrine regulation mainly starts with diet and exercise. Develop good eating habits, eat more fresh fruits and vegetables, high-protein foods, drink plenty of water, participate in various sports, avoid staying up late, avoid excessive fatigue, and maintain a happy spirit. If necessary, estrogen can be supplemented for regulation according to the doctor's advice.