What causes bleeding during ovulation?

Sep 24, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Luteal phase defect is caused by inadequate development of the corpus luteum. During the ovulation period, if the corpus luteum does not function properly and fails to secrete sufficient progesterone to support the endometrium, it may lead to endometrial shedding and bleeding. It is usually accompanied by symptoms such as headache and dizziness. Treatment under medical guidance may include medications such as progesterone injection, letrozole tablets, and clomiphene citrate tablets.

Under normal circumstances, bleeding during ovulation may be caused by hormonal fluctuations, changes in the ovulatory process, cervical polyps, luteal phase defect, or endometriosis. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Hormonal fluctuations

Before and after ovulation, levels of estrogen and progesterone in the body fluctuate. In particular, a drop in estrogen levels may cause slight shedding of the endometrial lining, leading to bleeding. Maintaining a healthy lifestyle and engaging in moderate exercise can help stabilize hormonal balance.

2. Changes in the ovulatory process

During ovulation, the rupture of the ovarian follicle to release an egg may damage blood vessels, resulting in minor bleeding. This typically does not require specific treatment; adequate rest and avoiding strenuous physical activity can effectively alleviate symptoms.

3. Cervical polyps

Cervical polyps are usually benign cervical lesions caused by inflammatory irritation. During ovulation, due to sexual intercourse or stimulation from vaginal secretions, blood vessels on the surface of the polyp may rupture and cause bleeding. Other possible symptoms include postcoital bleeding and increased vaginal discharge. Treatment may include medications such as amoxicillin capsules, levofloxacin hydrochloride tablets, or ciprofloxacin hydrochloride tablets, as directed by a physician.

4. Luteal phase defect

Luteal phase defect occurs due to inadequate luteal development or insufficient progesterone secretion by the corpus luteum. During ovulation, if luteal function is impaired, the body may fail to produce enough progesterone to support the endometrium, potentially causing endometrial shedding and bleeding. Additional symptoms may include headaches and dizziness. Under medical supervision, treatments may include progesterone injection, letrozole tablets, or clomiphene citrate tablets.

5. Endometriosis

Endometriosis is generally caused by the growth of endometrial tissue outside the uterine cavity—such as on the ovaries, fallopian tubes, or pelvic cavity—which may lead to bleeding during ovulation. Common accompanying symptoms include lower abdominal pain, dyspareunia (pain during intercourse), and irregular menstrual cycles. Treatment may involve medications such as ibuprofen tablets, medroxyprogesterone acetate tablets, or indomethacin tablets, as prescribed by a doctor.

In daily life, pay attention to proper care during the ovulatory period, eat plenty of healthy fruits and vegetables, and avoid excessive fatigue to help prevent ovulation-related bleeding.

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