What causes right lower abdominal pain and bleeding during ovulation?

Ovulation is a normal physiological phenomenon for every woman. It is easier to get pregnant during the ovulation period, but the body will also experience many uncomfortable symptoms. For example, lower abdominal pain on the right side during ovulation, bleeding during ovulation, etc. Some symptoms are normal, and some also represent abnormal diseases in the body. What is the reason for the patient's lower abdominal pain and bleeding symptoms on the right side during ovulation? Let the editor give you a detailed introduction, the details are as follows:

The ovulation period is a process of endocrine system regulation. Due to changes in hormone levels and different levels of body sensitivity, some people may experience abdominal pain during ovulation. Excluding pathological factors such as inflammatory infection, it is generally considered to be a normal reaction.

During the middle of the menstrual cycle, that is, during ovulation, due to a brief drop in estrogen levels, the endometrium loses hormonal support and some endometrium sheds, causing regular vaginal bleeding, which is called ovulation bleeding. Traditional Chinese medicine calls it "intermenstrual bleeding."

After the mature follicle ruptures and ovulates, the estrogen level drops sharply and significantly, which cannot maintain the growth of the endometrium, causing local rupture 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 it is possible that during ovulation, the mature follicles 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 retrograde peristalsis of the fallopian tube and then flows out of the cervix through the vagina. It has been reported that when examining the cervical mucus of women who ovulate during the mid-term period, it was found that about 60% of them had red blood cells under a microscope, but no bleeding was visible to the naked eye. This is not a pathological phenomenon; but women with ovulation bleeding must rule out other diseases of the reproductive tract, such as irregular menstruation, cervical erosion, cervical polyps, cervical cancer, endometrial polyps, submucosal uterine fibroids, endometrial adenocarcinoma, etc.

Of course, during the ovulation period, there is also a possibility that the secretion of sex hormones is imbalanced, causing the hormone levels to fluctuate greatly during ovulation and causing obvious bleeding. Chronic inflammation of the endometrium or inflammatory thickening of the ovarian surface causes significant endometrial congestion during ovulation, and bleeding is not easy to stop on its own, or the inflammatory thickened follicle surface 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.

Lower abdominal pain or bleeding on the right side during ovulation are both physiological and pathological phenomena. Patients must promptly identify the cause of the disease in order to determine whether it is a normal physiological phenomenon. If the patient's abnormal symptoms are caused by a disease, the patient must go to the hospital for a formal examination and then take effective treatment. During the treatment, the patient must regulate his body through diet, hygiene habits, etc.