What are the reasons for ovulatory bleeding?

Patient's question:

I have had my period for 15 days. Last night I had pink discharge and lower back pain. This morning when I got up to go to the bathroom, there was bright red blood. What could be the reason for this?

Doctor's answer:

The clinical manifestations of ovulatory bleeding are regular vaginal bleeding in the middle of the menstrual cycle, with a small amount of blood and lasting for half a day or a few days. It may be accompanied by mild abdominal pain or lower back pain. Ovulatory bleeding is caused by a temporary decline in estrogen levels in the middle of the menstrual cycle, leading to withdrawal bleeding. It is usually self-limiting and does not require medical treatment, nor does it affect health or fertility.

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