What causes ovulation bleeding?

History is a river, vast and turbulent, with dynasties rising and falling like menstruation. If each dynastic change is like menstruation, then each change of dynasty is accompanied by rivers of blood.

So, ovulation bleeding is essentially a temporary return of menstruation—a "false period." Let me tell you all about it: "History had a false period—all about ovulation bleeding!"

Throughout history and across the world, none can surpass it.

Let me start with Napoleon the Great.

A life of constant warfare, traversing the Alps, and conquering Europe—Napoleon the Great was a true military tyrant. Yet, even such a figure had his share of misfortunes. One was in the icy wasteland of Moscow, the other at the slippery Waterloo. Finally, the First French Empire came to an end. Despite the brief restoration under the Hundred Days, it was futile, and what followed was the restoration of the so-called Bourbon dynasty, preceding the Coup of 18 Brumaire.

In fact, the same is true of Chinese history!

In 1912, after the last emperor, Puyi, abdicated, the feudal system, which had lasted for over two thousand years, slowly drifted into a historical dead end. Did you think it meant a complete transition to a new society? A move towards the Four Modernizations? Wrong. Whether it was Yuan Shikai's Hongxian monarchy or Zhang Xun's puppet army, both were resurgences, a regression in history…

Have you noticed? Restoration is a social phenomenon that has been observed throughout human history. In fact, this phenomenon of restoration can also be used to understand the problem of ovulation bleeding in humans.

What is ovulation bleeding?

The interval between two regular menstrual periods is called the menstrual cycle, which is usually 28 days. Bleeding during the menstrual cycle refers to ovulation, which occurs every 28 days. Ovulation usually occurs 14 days before the next menstrual period. The 9 days before and after ovulation are called the fertile window. Subtracting the 9 days of the fertile window and the approximately 7 days of menstruation, the remaining period is the so-called safe period.

Is vaginal bleeding during ovulation the same as menstruation?

Wrong! That's false menstruation, which can be understood as a temporary resurgence of menstruation.

What are the common symptoms of ovulation bleeding?

(The first color from the left is brown discharge, the second color from the left is coffee-colored discharge, the third, fourth, and fifth colors from the left are normal menstrual blood, and the sixth color from the left is leftover dragon fruit...)

■ The first is abnormal uterine bleeding. Vaginal bleeding outside of menstruation during a menstrual cycle may be ovulation bleeding. Sometimes it is just brown or coffee-colored discharge that stops in 2-3 days, while other times it can be heavy and persistent, lasting for months.

■ Secondly, there is abdominal pain, which occurs periodically. The symptoms can be mild or severe, generally lasting 2-3 hours, but in severe cases lasting 2-3 days or even longer...

Where did you get this information? What are the causes of ovulation bleeding?

■ During ovulation, due to the rupture of blood vessels on the surface of the ovary, the amount of bleeding is more than normal. Accompanied by the peristalsis of the fallopian tubes, the blood refluxes into the uterine cavity and is then discharged from the body through the vagina.

■ Luteal insufficiency. Follicles develop and ovulate in the middle of the menstrual cycle, but insufficient progesterone secretion during the luteal phase or premature luteal regression leads to poor endometrial secretory response and a shortened luteal phase, resulting in a shortened menstrual cycle.

■ Incomplete luteal regression. Estrogen and progesterone levels do not decrease rapidly, leading to irregular shedding of the endometrium and spotting. This is because estrogen induces a proliferative response in the endometrium. However, due to the rapid decrease in estrogen secretion after ovulation, the endometrium cannot continue to thicken, and the unsupported endometrium sheds, resulting in slight bleeding.

Simply put, it means the endometrium and hormones are mismatched. To put it more elegantly, the hormones are overdue, but the uterus is still functioning, and the endometrium is not in the hormone's service area.

Today marks the 92nd anniversary of the founding of the People's Liberation Army. On August 1, 1927, the Communist Party of China launched an armed uprising in Nanchang, Jiangxi Province, firing the first shot against the Kuomintang reactionaries. To share in the joy of our motherland, let's use the analogy of war; once I explain, you'll understand perfectly.

In ancient times, warfare typically involved first breaching the city walls before striking at the heart of the enemy, a strategy akin to capturing the leader first. The uterine lining is like the city walls, while estrogen in the body is like the army. When the army is small, its fighting power is weak, and the resulting walls are flimsy and easily crumble under attack. Similarly, low estrogen levels cause the walls to collapse, leading to the shedding of the uterine lining and withdrawal bleeding.

Having discussed the reasons, let's talk about the potential harms.

■ Infertility. There are countless driving rules, but safe driving is paramount! Cases of women abstaining from sexual activity due to ovulation bleeding are all too common. This is tantamount to missing the optimal time for conception, affecting fertility and leading to infertility.

■ Anemia. Think about it, with this constant "dreary, rainy" weather, it's no wonder you get anemia. The dangers of anemia are all-encompassing and pervasive, affecting everything from the head to the feet, even the reproductive system. It can easily cause weakness in the limbs, like walking on cotton. Mild symptoms include dizziness and blurred vision, while severe cases can lead to ischemic encephalopathy, posing a life-threatening risk. In the short term, it can impact work and daily life, and in the long term, it can cause infertility.