What Is the Connection Between Ovulation and Mood Swings?

During the regular two menstrual periods, that is, during the ovulation period, the estrogen level caused by ovulation temporarily decreases, causing some women's endometrium to lose estrogen support, and endometrial shedding, which causes regular vaginal bleeding , Called ovulation bleeding. Chinese medicine calls it "intermenstrual bleeding".

Basic Information

English name

ovulation bleeding

Visiting department

Obstetrics and Gynecology

Common causes

Decreased estrogen levels

Common symptoms

Regular intermenstrual bleeding, generally less than 7 days, less volume

Causes of ovulation bleeding

1. Traditional Chinese medicine believes that the main causes of intermenstrual bleeding are yin deficiency, liver stagnation, damp heat, blood stasis, and spleen deficiency.

2. Western medicine believes that due to follicle maturation, the level of estrogen will decrease significantly. Individual women can not maintain endometrial growth due to low estrogen levels, causing local endometrial shedding, resulting in a small amount of breakthrough bleeding. However, in general, with the formation of the corpus luteum after ovulation, the corpus luteum secretes estrogen and progesterone, which will quickly repair the endometrium and change the endometrium toward the secretory phase. The endometrium will be thickened and repaired and bleeding will stop.

Clinical manifestations of ovulation bleeding

It usually occurs on the 12th to 16th days of the regular menstrual cycle, usually lasting several hours or 2 to 3 days, not exceeding 7 days, the amount is significantly less than the normal menstrual bleeding, and the bleeding can stop on its own. May be accompanied by mild lower abdomen discomfort or back pain, and may or may not be accompanied by discomfort. Occasionally, it will occasionally occur between this and the next menstrual cycle, and some individuals will continue for a longer period of time, in the 4 to 5 menstrual cycle. Ovulation bleeding occurred.

Ovulation bleeding check

1. Gynecological examination

Note whether there is erosion or bleeding in the cervix, if necessary, supplemented with cervical TCT examination, and whether the uterus and bilateral accessories have tenderness, thickening and mass (check if necessary, the operation should be gentle.).

2. Auxiliary inspection

(2) Signs of ovulation Bipolar body temperature, normal ovulation on B-ultrasound detection, ovulation changes can also be seen on ovulation test strips, and bleeding occurs during the conversion of body temperature from low to high and when the test strip changes from positive to negative, that is, ovulation.

(2) B-ultrasound Exclude other diseases that cause abnormal bleeding, such as endometrial polyps and submucosal fibroids.

(3) Hysteroscopy If necessary, hysteroscopy can be performed to exclude organic lesions such as cervical endometrial polyps and endometrial cancer.

Ovulation bleeding diagnosis

Diagnosis can be confirmed based on medical history, related inspections of ovulation and necessary auxiliary examinations.

Differential diagnosis of ovulation bleeding

Cervical lesions

Cervical lesions can also occur with a small amount of vaginal bleeding, but this bleeding mostly occurs in the same room or after gynecological examinations, without the regularity of menstrual cycle attacks, cervical TCT examination can identify.

2. Endometrial polyps and submucosal fibroids

Vaginal bleeding in patients often occurs during the menstrual period, leading to prolonged menstrual periods, unclean dripping, and abdominal pain. Ultrasound of the pelvis B shows polyp-like changes in the endometrium or submucosal fibroids. The diagnosis can be confirmed by hysteroscopy.

3. Frequent menstruation

The menstrual cycle is short. Unlike ovulation bleeding, there is no bleeding more than once and less. Shortening the ovulation detection will lead to ovulation prematurely.

Ovulation bleeding treatment

A small amount of estrogen can be taken orally. For example, Bujiale is taken from the 8th to 10th days of the menstrual cycle, and 3 to 7 days. Can also take a small amount of hemostatic drugs, such as Anluoxue. According to different types of TCM treatment, Zhibai Dihuang Pills (Yin Deficiency), Jiawei Xiaoyao Pills (Lanyu), Ankun Granules (damp-heat), Longxuejie Tablets (blood stasis), Shenling Baizhu Powder (spleen deficiency), etc. Or oral medicine, combined with acupuncture can also achieve better results.

Prognosis of ovulation bleeding

Ovulation bleeding usually occurs occasionally, and the amount of bleeding is small, and some are only brown secretions. Most of them can stop on their own in 2 to 3 days, and can be observed without treatment. For women with continuous ovulation bleeding, because it occurs during ovulation, it usually interferes with conception. After excluding other diseases, corresponding measures should be taken for treatment.

Ovulation bleeding prevention

1. Understand the physiology of ovulation, pay attention to keep the spirit happy during ovulation, avoid mental stimulation and emotional fluctuations, keep warm, avoid cold stimulation, and avoid overwork.

2. Master the causes of bleeding during ovulation, pay attention to hygiene during ovulation, prevent infection, pay attention to the hygienic cleanliness of external genitals, and absolutely cannot have sex during bleeding.

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

4. During the ovulation period, it is not advisable to eat cold, hot and sour irritating food, drink plenty of water, and keep the stool smooth. People with blood fever should eat more fresh fruits and vegetables before menstruation, and avoid onions, garlic, leek, ginger, and other things that stimulate dryness and heat.