Causes of prolonged bleeding during ovulation

I believe that most female friends must not be too unfamiliar with the symptom of prolonged ovulation bleeding. Prolonged ovulation bleeding is a common symptom. The occurrence of this symptom can easily bring many troubles to patients. Therefore, we suggest that most female friends should pay attention to such symptoms as prolonged ovulation bleeding. Below we introduce the reasons for prolonged ovulation bleeding.

The reason for 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 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 middle of their menstrual 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.

Ovulation bleeding may also be caused by:

1. Uterine bleeding. During the menstrual cycle with ovulation, ovulation uterine bleeding occurs. The amount of bleeding is small, and some are only brown discharge. It usually stops on its own within 2 to 3 days, and the longest time is 7 days.

2. Abdominal pain. Cyclic intermenstrual pain can be mild or severe and usually lasts for several hours, but in some patients it can last for 2 to 3 days.

3. 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.

In the above article, we introduced a common symptom, that is, prolonged ovulation bleeding. We know that prolonged ovulation bleeding can easily cause many problems for patients. The above article introduces the reasons for prolonged ovulation bleeding in detail.