Why does bleeding occur during ovulation? Let you know the real situation

Female friends will bleed not only during menstruation, but also during ovulation. However, the amount of bleeding during ovulation is relatively small, and sometimes they cannot even notice it. There are many reasons that lead to bleeding during ovulation in women, which are introduced to you one by one below.

1. Causes of ovulation bleeding

In fact, ovulation bleeding is a phenomenon that every female friend may experience. Generally, the amount of bleeding is very small and cannot be observed with the naked eye, but some people will have obvious bleeding symptoms, and the severity cannot be generalized. But in fact, the main reason for ovulation bleeding is that after the mature follicle ruptures and ovulates, the estrogen level drops sharply, which cannot maintain the growth of the endometrium, causing local ulceration and shedding of the surface layer of the endometrium, resulting in breakthrough bleeding in small amounts.

In another case, ovulation bleeding may also be caused by sex hormone imbalance, which causes large fluctuations in hormone levels during ovulation and obvious bleeding, chronic inflammation of the endometrium or inflammatory thickening of the ovarian surface, which causes obvious congestion of the endometrium during ovulation. This type of bleeding is not easy to stop on its own, or the inflammatory thickened surface of the follicle ruptures and bleeds more than normal, and flows back into the uterine cavity with the peristalsis of the fallopian tube and is discharged from the body through the vagina.

2. What is ovulation bleeding?

A woman's ovulation date is generally about 14 days before the next menstrual period. To be on the safe side, the 5 days before and 4 days after ovulation, together with the ovulation day, a total of 10 days are called the ovulation period. The rest of the time except the menstrual period is called the safe period. Why do many women bleed during ovulation? Ovulation bleeding, also known as mid-menstrual bleeding, refers to a small amount of bleeding between two normal menstrual periods, which may be accompanied by varying degrees of lower abdominal pain. Clinical manifestations are as follows:

1. Uterine bleeding. During the menstrual cycle with ovulation, ovulation uterine bleeding occurs. The amount of bleeding is small, and some are only brown secretions. It usually stops on its own in 2-3 days, and the longest time is 7 days.

2. Abdominal pain. Cyclic intermenstrual pain can be mild or severe and usually lasts for several hours, but in some patients it may last for 2-3 days.

3. Infertility. It may be caused by stopping sexual life due to ovulation bleeding, thus missing the opportunity of conception. Note: Generally there are no obvious positive signs. The diagnosis can be confirmed by diagnostic curettage, basal body temperature measurement (basal body temperature is biphasic, and bleeding occurs when low and high temperatures change), and laparoscopy. If the symptoms are mild, no treatment is needed. If the bleeding is heavy or affects fertility, medication can be used for treatment.

What is ovulation bleeding?

During the ovulation period, after the mature follicle ruptures and ovulates, the estrogen level drops sharply and significantly, which cannot maintain the growth of the endometrium, causing local ulceration and shedding of the endometrial surface, resulting in breakthrough bleeding. With the formation of the corpus luteum of the ovary, sufficient amounts of estrogen and progesterone are secreted to quickly repair the ruptured endometrial surface and stop the bleeding. Or during the ovulation period, the mature follicles may secrete more estrogen, causing endometrial congestion and leakage of red blood cells. It is also possible that when the egg is captured in the fallopian tube fimbria, the blood-containing follicular fluid is sent to the uterine cavity through the retrograde peristalsis of the fallopian tube and then flows out of the cervix through the vagina, resulting in ovulation bleeding.