Bleeding like menstruation but ovulation test paper is positive

If the ovulation test paper shows a strong positive result, it means that the woman is in the ovulation period. By using ovulation test strips, you can correctly determine which stage of the menstrual period your body is in. However, if you use the symptom test and the ovulation test paper shows a strong positive result, but there is still vaginal bleeding, even like menstruation, then it may mean that the symptoms of ovulation bleeding have occurred. This is a normal physiological phenomenon.

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.

Clinical manifestations

It usually occurs on the 12th to 16th day of a regular menstrual cycle, usually lasts for several hours or 2 to 3 days, no more than 7 days, and the amount is significantly less than normal menstrual bleeding, and the bleeding can stop on its own. It may be accompanied by mild lower abdominal discomfort or back pain, or there may be no accompanying discomfort. Sometimes it occurs occasionally from the current menstrual cycle to the next menstrual cycle. For some individuals, it may last for a long time, with ovulation bleeding occurring in 4 to 5 menstrual cycles.