Lower abdominal pain with a small amount of bleeding

There is a feeling of heaviness and pain in the lower abdomen, and there is a small amount of bleeding. For women, this may be a sign of ovulation bleeding. Ovulation is very important for women because it is related to their fertility. Therefore, if women have problems with ovulation bleeding, what they need to do is to find out the cause and treat it in time. Below, we will introduce you to the relevant knowledge about ovulation bleeding in detail!

1. 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.

2. 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.

Treatment

Small doses of estrogen can be taken orally. For example, Progynova should be taken from the 8th to 10th day of the menstrual cycle and last for 3 to 7 days. You can also take a small amount of hemostatic drugs, such as Anluoxue. In traditional Chinese medicine treatment, according to different syndromes, oral Zhibai Dihuang Pills (yin deficiency), Jiawei Xiaoyao Pills (liver depression), Ankun Granules (damp heat), Longxuejie Tablets (blood stasis), Shenling Baizhu Powder (spleen deficiency) etc. can be taken, orally, or decoctions can be taken orally, and good results can be achieved in combination with acupuncture.

4. Prevention

1. Understand the physiology of ovulation, pay attention to maintaining a happy spirit during ovulation, avoid mental stimulation and mood swings, pay attention to keeping warm, avoid cold stimulation, and avoid overwork.

2. Understand the causes of ovulation bleeding, pay attention to hygiene during ovulation, prevent infection, pay attention to the hygiene and cleanliness of the external genitalia, and absolutely do not have sexual intercourse during the bleeding period.

3. During the ovulation period, you should wear soft, cotton underwear with good ventilation and breathability. Wash and change the underwear frequently, and dry the changed underwear in the sun.

4. During the ovulation period, it is not advisable to eat raw, cold, sour, spicy and other irritating foods. Drink more boiled water and keep the bowel movements smooth. People with hot blood should eat more fresh fruits and vegetables before menstruation, and avoid eating foods that stimulate dampness and generate heat, such as onions, garlic, leeks, and ginger.