Menstruation and Ovarian Maturity

The occurrence of menstruation in women indicates that the ovaries have developed maturely and can release mature eggs. Under normal conditions, the menstrual cycle of women is around 28 days, and ovulation occurs approximately 14 days after menstruation. Engaging in sexual activity during this period can increase the chances of conception. Some women may experience menstruation twice a month, and upon examination, it is discovered that menstruation also occurs during ovulation. What causes menstruation during ovulation? Let's explore it together.

Causes of Bleeding During Ovulation

Bleeding during ovulation can be attributed to two primary reasons. Firstly, physiological reasons: This is mainly due to hormonal imbalance in women, which leads to significant fluctuations in hormones during ovulation, resulting in bleeding symptoms. The bleeding is gradually expelled through the vagina and often cannot stop spontaneously, lasting for approximately 2 to 3 days. Apart from physiological reasons, there can also be pathological causes: This symptom can also be caused by various gynecological diseases in women, such as those related to the endometrium or ovaries, which can lead to bleeding during ovulation.

Management of Frequent Bleeding During Ovulation

Frequent bleeding during ovulation can be managed by taking small doses of estrogen orally, such as Bujiale, starting from the 8th to 10th day of the menstrual cycle for 3 to 7 days. Alternatively, minor hemostatic agents like Anluoxue can be prescribed. In traditional Chinese medicine, different syndromes are treated with various medications such as Zhibai Dihuang Pill (for yin deficiency), Jiawei Xiaoyao Pill (for liver depression), Ankun Granules (for damp-heat), Longxuejie Tablets (for blood stasis), and Shenling Baishu San (for spleen deficiency). Acupuncture can also be used as an adjunct for better efficacy. According to traditional Chinese medicine, the main causes of bleeding during the intermenstrual period include yin deficiency, liver depression, damp-heat, blood stasis, and spleen deficiency, which disturb the Chong and Ren meridians during the Yiyun phase, leading to instability of the Blood Sea.

Western medicine attributes bleeding during ovulation to a significant decline in estrogen levels after the maturation and ovulation of follicles. In some women, the lower estrogen levels cannot maintain the growth of the endometrium, resulting in local detachment and subsequent minor breakthrough bleeding. However, following ovulation, the formation of the corpus luteum secretes estrogen and progesterone, which quickly repairs the endometrium and transitions it to a proliferative phase, thickening the endometrium and stopping the bleeding.