What's wrong with my stomachache when I haven't had my period?

Absent menstruation accompanied by stomach pain may be related to pregnancy, endocrine disorders, pelvic inflammatory disease, endometriosis, ovarian cysts and other factors.

1. Pregnancy

When women of childbearing age experience menopause accompanied by dull pain in the lower abdomen, they need to first rule out the possibility of pregnancy. Implantation of the fertilized egg may cause slight uterine contraction pain, which can be confirmed by early pregnancy test paper or blood HCG test. If abdominal pain persists after a pregnancy is diagnosed, you need to be alert to ectopic pregnancy or threatened abortion, and it is recommended to seek medical advice in time for an ultrasound examination.

2. Endocrine disorders

Excessive mental stress, excessive dieting or obesity may lead to hypothalamic-pituitary-ovarian axis dysfunction, manifested as delayed menstruation accompanied by lower abdominal distension and pain. This situation can be adjusted by improving lifestyle. If necessary, the doctor may prescribe progesterone capsules (such as Yimaxin) or estrogen and progesterone compound preparations (such as Yasmin) for artificial cycle treatment.

3. Pelvic inflammatory disease

Pelvic inflammation caused by ascending infection of pathogens can cause persistent pain in the lower abdomen, which may be accompanied by fever and abnormal secretions. Levofloxacin tablets (Colobital) combined with metronidazole tablets (Metronidazole) are commonly used in clinical anti-infection treatment. In severe cases, intravenous injection of ceftriaxone sodium (Rocefen) is required. In the acute stage, you should stay in bed and avoid sexual intercourse.

4. Endometriosis

Ectopic growth of endometrial tissue can cause progressively worsening dysmenorrhea, often accompanied by menstrual disorders. Your doctor may recommend taking ibuprofen extended-release capsules (Fenbid) for pain relief, or dienogest tablets (Visanin) to inhibit endometrium growth. Laparoscopic surgery to remove the lesion should be considered when conservative treatment fails.

5. Ovarian cysts

Physiological luteal cysts or pathological cysts may interfere with the menstrual cycle, and severe abdominal pain may occur when the cyst is torsion or rupture. Ultrasound examination can confirm the diagnosis, and smaller cysts can be observed. Larger cysts need to be taken with Guizhi Fuling capsules or surgically removed. Sudden severe abdominal pain requires immediate emergency treatment.

It is recommended to maintain a regular schedule, avoid cold and spicy foods, and use a hot water bottle to apply heat to the lower abdomen to relieve pain. If menopause lasts for more than 2 months or the pain worsens, you should see a gynecologist promptly and complete six sex hormones, pelvic ultrasound and other examinations. Pay attention to record the menstrual cycle and pain characteristics, avoid taking menstrual medication by yourself, and all treatments must be carried out under the guidance of a doctor.