What causes menstrual bleeding during ovulation?

The ovulation period of menstruation refers to the ten days before menstruation. The specific ovulation period varies from person to person. Women can easily get pregnant if they have sex during their menstrual and ovulation period. If you bleed during your menstrual period or ovulation, there is a high probability that you have uterine fibroids or even uterine lesions. There are many reasons for menstrual ovulation bleeding. The editor has collected some causes of menstrual ovulation bleeding and their differential diagnosis.

Causes

1. Western medicine believes that after the follicle matures and ovulates, the estrogen level will drop significantly. For some women, the lower estrogen level cannot maintain the growth of the endometrium, causing local shedding of the endometrium and a small amount of breakthrough bleeding. However, under normal circumstances, after ovulation, with the formation of the corpus luteum, the corpus luteum secretes estrogen and progesterone, which will quickly repair the endometrium and change it to the proliferative phase, allowing the endometrium to thicken and repair and the bleeding to stop.

2. Traditional Chinese medicine believes that the main cause of intermenstrual bleeding is Yin deficiency, liver depression, damp heat, blood stasis, spleen deficiency, etc., which cause the Chong and Ren meridians to be disturbed during the period of mist and the blood sea is not solid.

Differential Diagnosis

1. Cervical lesions

Cervical lesions may also cause a small amount of vaginal bleeding, but this bleeding mostly occurs after intercourse or a gynecological examination and does not occur regularly with the menstrual cycle. Cervical TCT examination can help identify it.

2. Endometrial polyps and submucosal fibroids

Vaginal bleeding often occurs during the menstrual period, resulting in prolonged menstruation, spotting, and may be accompanied by abdominal pain. Pelvic B-ultrasound shows polypoid changes in the endometrium or submucosal fibroids, which can be confirmed through hysteroscopy.

3. Frequent menstruation

The menstrual cycle is short. Unlike ovulation bleeding, there is no bleeding, with more bleeding at one time and less bleeding at another. Ovulation detection shows that a shortened menstrual cycle will result in early ovulation.

When we have frequent menstruation, it means ovulation bleeding. We cannot ignore it. We need to go to the hospital to see a doctor to diagnose whether there is a uterine fibroid. In the early stages, the fibroids are not that big and can be removed as soon as possible if they are benign. In the late stages, it will seriously affect women's fertility, and some may even lead to sterilization, so women should pay more attention to their physical health in life.