Bleeding again ten days after the menstrual period ends

Bleeding occurs again about ten days after the end of menstruation, which is usually ovulation bleeding. Ovulation bleeding can stop on its own and does not require special treatment, but women still need to pay attention and adjust their lifestyle and habits so that they can have enough physical fitness to cope with ovulation bleeding. Below we will introduce in detail the clinical manifestations, causes and coping methods of ovulation bleeding.

1. 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.

2. Causes of ovulation bleeding

In fact, ovulation bleeding is a phenomenon that every female friend may experience. Generally, the amount of bleeding is very small and cannot be observed with the naked eye, but some people will have obvious bleeding symptoms, and the severity cannot be generalized. But in fact, the main reason for ovulation bleeding is that after the mature follicle ruptures and ovulates, the estrogen level drops sharply, which cannot maintain the growth of the endometrium, causing local ulceration and shedding of the surface layer of the endometrium, resulting in breakthrough bleeding in small amounts.

Sufficient estrogen and progesterone are secreted to quickly repair the ruptured surface of the endometrium 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 fimbria of the fallopian tube, the blood-containing follicular fluid is sent to the uterine cavity through the 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 microscopic observation, 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.

Of course, it is also possible that the secretion of sex hormones is out of balance, causing the hormone levels to fluctuate greatly during ovulation and resulting in 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.

Vaginal bleeding visible to the naked eye may last for several hours, or 3 to 5 days, but rarely for more than 7 days. In severe cases, it may continue to occur until the next menstrual period. Some women have very little bleeding, which stops with a few drops, or there is blood mixed in the vagina. Generally, it rarely reaches the amount of menstruation. Bleeding may be accompanied by distension and discomfort, dull pain or obvious pain in one side of the lower abdomen, and may even involve the waist and inner thigh. Symptoms may occur continuously every month or every other month. For some people, they occur for several months each year, while for others, they only experience this phenomenon once in their lifetime.

Ovulation bleeding is caused by a brief and rapid drop in estrogen levels after ovulation, which causes the endometrium, which is proliferating under the influence of estrogen, to lose support and cause a small amount of bleeding. Or during ovulation, the blood vessels on the surface of the ovary rupture and bleed, flowing into the uterine cavity through the fallopian tube and out through the vagina. The amount of bleeding was very small, just a few drops. If a woman experiences heavy bleeding that lasts for a long time, it may be caused by reproductive tract disease. It is not normal ovulation bleeding and she needs to seek medical attention promptly.

3. What to do if you have bleeding during ovulation

Ovulation bleeding usually lasts for 2-3 days, with a small amount of bleeding. Generally, no special care is required. However, women should still keep their vulva clean, avoid excessive fatigue, avoid eating irritating foods, keep a good mood, and avoid excessive tension. If the amount of bleeding is heavy, you must seek medical attention immediately as it may be caused by other diseases.