Ovulation bleeding during menopause

If a female friend enters menopause, she generally will no longer have an ovulation period because she has already reached menopause. The bleeding symptoms that occur at this time are not normal. It may be disordered uterine bleeding, which is what we call irregular menstruation. When it comes to treating symptoms that occur during menopause and ovulation, we should make adjustments so that we can alleviate the condition. Let us now understand the effects and symptoms of ovulation bleeding.

Generally speaking, menopausal women almost stop ovulating after menopause, but it does not rule out that some women still ovulate or have ovulation bleeding. Moreover, menopausal women often suffer from dysfunctional uterine bleeding (abbreviated as "dysfunctional uterine bleeding"), which is mainly anovulatory functional uterine bleeding. Ovulatory functional uterine bleeding is common in the following situations:

1. Ovulatory menstrual disorders:

1. Ovulatory oligomenorrhea: seen in adolescent girls. After menarche, the follicular phase is prolonged, the luteal phase is normal, the cycle is ≥ 40 days, and the menstruation is infrequent and scanty, which is often a precursor to polycystic ovary. This disease is rare in perimenopausal women and often progresses to natural menopause.

2. Ovulatory frequent menstruation: The ovaries of adolescent girls are more sensitive to gonadotropin, which accelerates the development of follicles, shortens the follicular phase, and causes frequent menstruation, but ovulation and luteal phases remain normal. If the patient is a menopausal woman, both the follicular phase and the luteal phase will be shortened and there will be early menopause.

2. Corpus luteum dysfunction:

1. Unhealthy corpus luteum: the corpus luteum degenerates prematurely and the luteal phase is shortened to ≤10 days. The clinical manifestations are frequent menstruation, shortened menstrual cycles, premenstrual bleeding and menorrhagia, combined with infertility and early miscarriage.

2. Incomplete luteal atrophy: also known as prolonged luteal function, that is, the corpus luteum cannot completely degenerate within 3-5 days, or the degeneration time is prolonged, or a certain amount of progesterone continues to be secreted during the menstrual period, resulting in irregular detachment of the endometrium. When the menstrual period is prolonged and continuous, and the corpus luteum degenerates prematurely, the symptoms are frequent and menorrhagia.

3. Mid-menstrual bleeding:

Also known as ovulation bleeding, it is often accompanied by ovulation pain. It is caused by ovulation stimulation and estrogen fluctuations, resulting in a small amount of bleeding (1-3 days) and abdominal pain. In some cases, bleeding is heavy and continues until the menstrual period, resulting in frequent pseudomenstruation.