Bleeding one week after period ends

Menstruation is also called period. Menstruation is a normal process for women. Girls will have menstruation from puberty as they grow up. During menstruation, girls may experience abdominal pain, weakness in the waist, or sore calves. These are all caused by menstruation and will get better after the period. Generally speaking, menstruation has a normal cycle of about a week, so why does bleeding occur a week after the menstrual period ends?

Don't worry about this situation, it should be normal. The bleeding you are experiencing now is most likely ovulation bleeding. Vaginal bleeding occurs during ovulation due to the shedding of a small amount of the uterine lining caused by the drop in estrogen levels. Ovulation bleeding usually occurs about 14 days before the next menstruation. The bleeding time is relatively short and the amount of bleeding is relatively small, so no treatment is required.

During the period between two regular menstrual cycles, that is, the ovulation period, the estrogen level drops temporarily due to ovulation, causing the endometrium of some women to lose the support of estrogen, resulting in endometrial shedding and causing regular vaginal bleeding, which is called ovulation bleeding. Traditional Chinese medicine calls it "intermenstrual bleeding."

Causes

1. 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 stasis and the blood sea is not solid.

2. Western medicine believes that after the follicles mature and ovulate, 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 secretory phase, allowing the endometrium to thicken and repair and the bleeding to stop.

examine

1. Gynecological examination

Pay attention to whether the cervix has erosion and bleeding, and perform cervical TCT examination when necessary to check whether the uterus and bilateral adnexa are tender, thickened, or have lumps (check when necessary and be gentle).

2. Auxiliary examination

(2) Signs of ovulation: The basal body temperature is biphasic, B-ultrasound shows normal ovulation, and ovulation changes can be seen in ovulation test strips. Bleeding occurs when the body temperature changes from low to high and when the test strip changes from positive to negative, that is, the ovulation period.

(2) Ultrasound examination should be used to exclude other diseases that may cause abnormal bleeding, such as endometrial polyps, submucous uterine fibroids, etc.

(3) Hysteroscopy: Hysteroscopy can be performed when necessary to rule out organic lesions such as cervical polyps and endometrial cancer.