Patient's question:
Director Shi, hello. I've been married for over two years and haven't been able to get pregnant. Before getting married, I always had the problem of irregular menstruation, which has improved somewhat since then—I no longer have it, but about a week or even more than ten days before my period starts, there's a small amount of bleeding (sometimes brown, sometimes pink or red), and then my period officially starts. It takes about seven or eight days to go from heavy flow to the end. I've had artificial cycles and taken a lot of traditional Chinese medicine. When I was on medication, it was fine, but once I stopped, it went back to this.Doctor's answer:
You are experiencing ovulatory bleeding, which occurs during the mid-cycle, or ovulation period. Due to a temporary decline in estrogen levels, the endometrium loses hormonal support, leading to partial shedding of the endometrium and resulting in regular vaginal bleeding, known as ovulatory bleeding. In fact, ovulatory bleeding is a phenomenon that can occur in every woman. Generally, the bleeding is minimal and not visible to the naked eye. However, some women may experience noticeable bleeding symptoms, with varying degrees of severity. The duration of visible vaginal bleeding can range from a few hours to 3 to 5 days, but it rarely exceeds 7 days. In severe cases, it may persist as spotting until the next menstrual period. Some women experience very minimal bleeding, which stops after a few drops, or bleeding mixed with leukorrhea. Generally, the bleeding volume rarely reaches the level of a menstrual period. As long as the bleeding volume is not too heavy, sexual activity is still possible. Moreover, since it is during ovulation, the chances of conception are higher. However, it is best for the male partner to clean the penis before sexual activity to ensure hygiene and health during intercourse.