Bleeding again one week after period

Some people write that after the menstruation ends, there will still be bleeding symptoms. Under normal circumstances, the amount of bleeding will not be too much and it will end after a small amount of bleeding. This is called ovulation bleeding and is a normal physiological phenomenon. This is generally caused by endocrine problems in the body or inflammation caused by thickening of the uterine wall. In this case, women only need to pay attention to their healthy diet and regular work and rest, and the symptoms will gradually disappear on their own.

There are often some young ladies who experience a small amount of blood flowing out of their vagina one week after their normal menstruation. The blood is dark red or bright red in color, with no special smell, and generally there is no special feeling. Sometimes there is abdominal bloating. They go to the local hospital for examination, but no cause can be found, and they become very nervous.

In fact, this is not a terrible pathological change in your body, but ovulation bleeding.

"Ovulation bleeding" refers to a small amount of vaginal bleeding between two menstrual periods caused by ovulation in the ovaries.

Normal menstruation for women occurs every 28 to 30 days (may also fluctuate by 3 to 5 days), and the menstrual period lasts for 3 to 5 days (may also fluctuate by 2 days). Regular ovarian ovulation is the fundamental guarantee for normal menstruation. Women have two ovaries, one on each side, located behind and below the fallopian tubes on both sides of the uterus. They produce eggs and sex hormones to maintain women's normal menstrual physiology and reproductive function. In a mature female, generally one follicle matures and releases a mature egg every month. Ovulation usually occurs in the middle of two menstrual periods, roughly about 14 days before the onset of menstruation.

A woman's menstrual cycle can be simply divided into four periods:

1. Menstrual period, which is the period from the onset of menstruation to the end of menstruation;

2. Preovulatory period, which is the period from the onset of menstruation to ovulation;

3. Ovulation period, which is the period of time when the egg is released;

4. Late ovulation is the period from the time the egg is released to the time before the next menstrual period.

During the preovulation period, the follicles gradually develop to maturity and secrete estrogen and a small amount of progesterone. Estrogen gradually repairs the endometrium during the bleeding period and stops the bleeding. As the secretion of estrogen increases, the repaired endometrium gradually thickens (called a proliferative reaction). Before ovulation, estrogen levels reach a peak. During ovulation, the mature follicle ruptures and the egg is released. The estrogen level drops rapidly, causing the endometrium, which has been proliferating due to the nourishment of estrogen, to lose support and cause a small amount of bleeding. Under normal circumstances, this bleeding is extremely short (about 1 to 2 hours), and only red blood cells can be seen in the leucorrhea under a microscope. After ovulation, the ruptured follicle quickly collapses and closes to form a corpus luteum, which secretes progesterone and a small amount of estrogen, causing the endometrium, which is in a proliferative reaction, to continue thickening (called a secretory reaction). If there is no pregnancy, the life span of the corpus luteum is generally no more than 14 days before it atrophies and loses its function. The estrogen and progesterone levels in the body decrease at the same time, causing the secretory endometrium to lose hormonal nutrition and completely fall off and bleed (this is called menstruation). Generally speaking, brief and light ovulation bleeding does not require treatment. If the amount of bleeding is heavy, lasts for a long time, or does not heal repeatedly, it can be regarded as a phenomenon of irregular menstruation.

There are two main reasons why ovulation bleeding occurs:

1. Imbalance in sex hormone secretion causes large fluctuations in hormone levels during ovulation, resulting in obvious bleeding.

2. Chronic inflammation of the endometrium or inflammatory thickening of the ovarian surface causes significant endometrial congestion during ovulation, and bleeding is difficult 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.

Vaginal bleeding visible to the naked eye may last for several hours, or 3 to 5 days, but rarely for more than 7 days. In severe cases, it may continue to occur until the next menstrual period. Some women have very little bleeding, which stops with a few drops, or there is blood mixed in the vagina. Generally, it rarely reaches the amount of menstruation. Bleeding may be accompanied by distension and discomfort, dull pain or obvious pain in one side of the lower abdomen, and may even involve the waist and inner thigh. Symptoms may occur continuously every month or every other month. For some people, they occur for several months each year, while for others, they only experience this phenomenon once in their lifetime. Repeated episodes of ovulation bleeding may affect pregnancy. If this is the case, treatment must be carried out under the guidance of a physician.