I am not getting my days

The following text cannot replace medical advice.

The absence of the rule is called amenorrhea in technical terms. You speak of primary amenorrhea if a young woman did not get her period before she was seventeen. Secondary amenorrhea is the absence of disease for at least three months periodif the woman has already had her period. This can have different causes.

Usually absent due to pregnancy

The first step is to rule out pregnancy. During menstruation, the lining of the uterus is excreted if no fertilized egg has established itself. If an embryo grows in the mucous membrane, it is not excreted.

If you have had intercourse in the past month and have used contraception, consider the following: Have pill, Diaphragm, condom or another method of contraception used correctly or did a breakdown occur?

The pill can go through diarrhea, Vomiting or certain Medication like St. John's wort may be impaired in their effectiveness. A condom can slip or tear, and a diaphragm can be inserted too early. Those who use natural family planning usually know when ovulation took place and whether sexual intercourse took place during this period.

If there is a chance you might be pregnant, take a pregnancy test. Commercially available tests indicate pregnancy approximately 14 days after conception. About ten to 14 days pass between the possible time of fertilization and a new menstruation. If your days have been overdue for a week, the test on conception should show a positive result.

The test is not 100 percent reliable. A negative result despite symptoms such as tightness in the chest, nausea and fatigue get checked by a gynecologist.

Incidentally, it is normal for you to miss your period while breastfeeding.

If you are not getting your days because of a cyst

The same symptoms as early pregnancy can occur with a cyst on the ovaries or in the uterus. Cysts are fluid-filled cavities and, in most cases, are benign.

The gynecologist can make an initial diagnosis using ultrasound. If the cyst is still small, in many cases it is sufficient to wait as it can go away with the next cycle. If the cyst is extra due to its size complaints or if there is a risk of rotation, the doctor will try to treat the cyst with the help of hormones. If this is unsuccessful, surgery is an option.

Amenorrhea from stress

If there is no cyst or pregnancy, think about whether you have had in the past month stress have suffered. In case of stress, he can body switch to a "low flame mode", in which he does not allow himself any "extras" such as menstruation. The lack of ovulation prevents pregnancy, which would put more strain on the body in the event of stress. The exact connections between stress and amenorrhea are not yet fully understood.

Don't just think about time pressure when you're stressed. Emotional stress, changes in living conditions, family events or travel can all trigger stress.

Physical strain and overload lead to stress. These include competitive sports, excessive training or physically overwhelming work.

No menstrual bleeding after menopause

A woman is fertile until she no longer gets her period. The changeover during menopause is associated with a natural and permanent absence of periods. For some women they start Menopause from 40 years.

An examination of the hormone status at the gynecologist brings clarity.

When drugs affect the cycle

Certain medications can cause the hormonal balance to fluctuate, which can result in missed days. These include psychotropic drugs such as antidepressants or neurolepectics, cortisone preparations that have been used for longer, and drugs used in cancer treatment. Ask your doctor if you have to put up with amenorrhea.

The "pill" controls your cycle month after month. If you stop taking them, you may miss your period for a few months. The reason is the hormonal changes in the body.

Diseases that lead to the absence of menstruation

Behind the absence of the rule can be a long list of Diseases stand. The focus is on diseases that affect the endocrine system. The cause can be in the brain, for example in encephalitis, a benign tumor of the pituitary gland (pituitary gland) or a loss of function of the anterior pituitary gland.

Ovarian diseases such as tumors or malformations can lead to hormone shifts. Polycystic Ovary Syndrome is associated with impaired hormone production and cysts in the ovaries.

Other hormonal glands can be the cause. If the thyroid gland is over or underactive, the period may not occur. In Cushing's syndrome, the adrenal glands produce more cortisone, which can lead to menstrual disorders such as amenorrhea in women.

Other causes of amenorrhea can be kidney failure and diabetes mellitus. Diseases of the uterus or vagina are also possible.

Think of anorexia nervosa and bulimia when you think about possible illnesses. Missing periods is a typical consequence of anorexia. Even with underweight without anorexia nervosa and malnutrition, the body "saves" resources by not having the period.

If diseases in the genital tract have been ruled out by the gynecologist, see your family doctor, who will take the first diagnostic steps based on the anamnesis and a blood count.

If you don't get your days, there could be many causes behind it. In the case of sudden stress or when traveling, a harmless cause is obvious. You decide for yourself whether a pregnancy can be ruled out.