Does ovulation bleeding occur before or after ovulation?

Everyone knows that bleeding during ovulation is normal, but sometimes bleeding occurs before, after or even during ovulation. So what are the reasons? Does ovulation bleeding affect ovulation if it occurs before or after ovulation? When is the normal time period for bleeding during ovulation? Let's let the experts give us the answers. I hope female friends can always pay attention to this phenomenon.

Causes of ovulation bleeding

The main cause of ovulation bleeding is that 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 surface layer of the endometrium, resulting in breakthrough bleeding of a small amount.

Ovulation bleeding may be caused by the secretion of sufficient amounts of estrogen and progesterone to quickly repair the ruptured surface of the endometrium and stop the bleeding, or it may be that during ovulation, the mature follicles secrete more estrogen, causing endometrial congestion and leakage of red blood cells; it may also be 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. When examining the cervical mucus of women who ovulate during the mid-term period, it is found that about 60% of them have red blood cells under a microscope, but no bleeding can be seen with the naked eye. This is not a pathological phenomenon; but women with ovulation bleeding must rule out other reproductive tract diseases, such as irregular menstruation, cervical erosion, cervical polyps, cervical cancer, endometrial polyps, submucosal uterine fibroids, endometrial adenocarcinoma, etc.

Ovulation bleeding may also be caused by an imbalance in sex hormone secretion, which causes large fluctuations in hormone levels during ovulation and leads to 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.

So, what are the symptoms of ovulation bleeding?

Symptoms of ovulation bleeding

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.

stomach ache. 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.

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.

Finally, let’s take a look at how to deal with ovulation bleeding.

What to do if you have ovulation bleeding

If ovulation bleeding occurs occasionally, it is not harmful to the body. Most of the time it is due to excessive fatigue or low immunity, which affects the endocrine balance. All you need to do is pay attention to conditioning.

In addition, for friends who are planning to have a baby, if you have a small amount of bleeding during the ovulation period, remember to grasp the timing, because you are ovulating at this time, you can get pregnant at this time, don't miss the opportunity to have sex with your husband.

However, if ovulation bleeding occurs frequently, it should be considered to be caused by endocrine disorders. At this time, you can use some estrogen supplement drugs under the guidance of a doctor. Once the amount of bleeding is too much, even exceeding the normal menstrual volume, you need to go to the hospital for a comprehensive examination in time to rule out other organic diseases.

If ovulation bleeding exceeds normal menstrual volume and lasts for more than 2 weeks, it is best to do six hormone tests on the 2nd to 5th day of menstruation, and do a vaginal B-ultrasound examination 3-5 days after the end of menstruation, and then do a progesterone test on the 21st day of menstruation to clarify endocrine and ovarian function, make a clear diagnosis, and provide symptomatic treatment.

During the ovulation period, women's estrogen levels will drop slightly, causing the shedding of the endometrium. As a result, periodic and regular bleeding symptoms will appear, and the amount of bleeding is small. This situation usually lasts for two to three days and then slowly stops. Therefore, female friends do not need to worry too much about whether their ovulation bleeding is before or after ovulation.