排卵期_两性知识

Entry overview: Ovulation refers to the process in which the egg cells and surrounding cumulus granulosa cells are expelled together. A woman's ovulation date is generally about 14 to 16 days before her next menstrua

Entry overview: Ovulation refers to the process in which the egg cells and surrounding cumulus granulosa cells are expelled together. A woman's ovulation date is generally about 14 to 16 days before her next menstrual period. After the egg is released from the ovary, it can survive in the fallopian tube for 1-2 days to wait for fertilization; the man's sperm can maintain the fertilization ability in the female reproductive tract for 2-3 days, so it is easy to conceive during intercourse in the days before and after the egg is released. To be on the safe side, we call the first 5 days and 4 days after the ovulation day, together with the ovulation day, a total of 10 days as the ovulation period. Because sexual intercourse during ovulation is easy to conceive, the ovulation period is also known as the fertile period or the risk period.

排卵期_两性知识

Basic Information

Chinese name: ovulation period

Foreign name: ovulatory period; ovulatory time

Also known as: fertile period or dangerous period

Ovulation date: about 14 days before the next menstrual period

Ingredient: egg

main performance

With the rise of sublingual basal body temperature devices, smart thermometers (pregnancy orange), which are mainly for women's pregnancy, have also appeared on the market. In a compact form, they can be connected to smart terminals such as mobile phones, automatically collect and draw basal body temperature maps, and provide recommendations. Recommendations are the main functional features.

1. Decreased appetite: Studies have shown that women's food intake during ovulation is the lowest in a menstrual cycle. Experts point out that this is the result of human natural instincts that have been retained to this day - ovulating female animals will pay more attention to finding Heterosexual mating, not looking for food.

2. High energy: This is also a natural instinct inherited from human beings. In order to successfully attract the opposite sex, women who are ovulating will become energetic and love to express themselves.

3. High libido: Generally speaking, women's libido will be particularly strong during the ovulation period, which is a manifestation of women's desire for pregnancy to reach the highest value.

4. Decreased resistance: During ovulation, women's vaginal mucus will become thinner, which is to allow sperm to pass more easily and increase the chance of successful conception. At the same time, women's nasal mucus will also decrease, which It increases the chance of bacteria invading the human circulatory system.

5. Anal bulge or lower abdominal pain on one side: The mature egg is discharged from the surface of the ovary and needs to break through the follicle that wraps the layer of film on the surface of the egg, and a small amount of fluid in the follicle will flow into the lowest part of the pelvic cavity. There is a slight feeling of falling, and there is also mild pain in one side of the lower abdomen.

6. Increased vaginal secretions: women have less vaginal secretions before ovulation, thick and opaque; with the approaching of ovulation, vaginal secretions gradually increase, which is thin and milky white; the amount of secretions increases significantly during ovulation, and it is watery, transparent and clear , Women will feel wet and slippery genitals, and there will be strips of mucus like egg whites when wiped with paper towels. This increase in vaginal discharge in women generally lasts 2-3 days, which is the most fertile time for women.

7. Bleeding and temperature rise during ovulation: The ovaries are also responsible for the secretion of female endocrine hormones. Therefore, due to the fluctuation of estrogen secretion in the body before and after ovulation, a small amount of uterine bleeding may be caused, which is called ovulation bleeding. Due to the secretion of progesterone after ovulation, the body temperature rises slightly after ovulation. If you can insist on measuring the basal body temperature every morning, you can find out your ovulation date according to the changes in body temperature.

testing method

Period estimation

Many women don't know which day they ovulate. It is easy to calculate after a period of testing using the following formula.

For a normal menstrual cycle:

Female ovulation is affected by the pituitary gland and the ovary's endocrine hormones and presents cyclical changes. The length of the two cycles is the same, one cycle per month, and ovulation occurs in the middle of two menstruation. Women's menstrual cycles are long or short, but the interval between the day of ovulation and the start of the next menstrual period is relatively fixed, generally around 14 days. Then, according to the relationship between ovulation and menstruation, the ovulation period can be calculated according to the menstrual cycle. The calculation method is to count from the 1st day of the next menstrual cramp, count down 14 days or subtract 14 days is the ovulation day, and the ovulation day and the 5 days before and 4 days after it are added together as the ovulation period. This is also the theoretical basis of the rhythm contraceptive method, because in the menstrual cycle, except for the menstrual period and the ovulation period, the rest of the time is the safe period.

For example, taking the menstrual cycle as an example of 30 days, the first day of this menstrual cramp is on September 29, then the next menstrual cramp is on October 29 (September 29 plus 30 days), and then from October 29 minus 14 days, October 15 is the day of ovulation. The ovulation day and the 5 days before and 4 days after it, that is, the ten days from October 10th to 19th, are the ovulation period. Using this method to calculate the ovulation period, you must first know the length of the menstrual cycle, that is to say, you must have a very normal or regular menstrual cycle, in order to calculate the start date of the next menstrual cramps and then calculate the ovulation period, so only For women with a normal menstrual cycle. If the menstrual cycle is irregular or abnormal, the date of the next menstrual cramp cannot be calculated, so it is impossible to calculate the ovulation day and ovulation period.

For irregular menstruation, the formula for calculating the ovulation period is:

The first day of ovulation = the shortest menstrual cycle days minus 18 days; the last day of ovulation = the longest menstrual cycle days minus 11 days. For example, the shortest menstrual period is 28 days, and the longest is 37 days. It is necessary to subtract 18 from the shortest regular period (28-18=10) and subtract 11 from the longest regular period (37-11=26). Ovulation occurs from days 10 to 26 after menstruation. It is very important for young women to correctly grasp the ovulation period: if you want to get pregnant, start on the first day of ovulation, maintain the frequency of having sex once every two days, and persist for a few months. If there are no special circumstances, you will usually become pregnant. And women who don't want to get pregnant need to miss these few days to have sex. At this time, the ovulation period will be called another term: the dangerous period.

Calculation formula

The first day of ovulation = the shortest menstrual cycle days minus 18 days; the last day of ovulation = the longest menstrual cycle days minus 11 days. For example, the shortest menstrual period is 28 days, and the longest is 37 days. It is necessary to subtract 18 from the shortest regular period (28-18=10) and subtract 11 from the longest regular period (37-11=26). Ovulation occurs from days 10 to 26 after menstruation. It is very important for young women to correctly grasp the ovulation period: if you want to get pregnant, start on the first day of ovulation, maintain the frequency of having sex once every two days, and persist for a few months. If there are no special circumstances, you will usually become pregnant. Women who do not want to get pregnant need to miss these days to have sex. At this time, the ovulation period will be called another term: dangerous period (prone to pregnancy)

cervical mucus observation

After menstruation is clean, cervical mucus is often thick and small, and there is even no mucus called "dry period", indicating non-ovulation period. In the middle of the menstrual cycle, with the change of endocrine, the mucus increases and becomes thinner, and the secretion of the vagina increases, which is called "wet period". When approaching ovulation, the mucus becomes clear, smooth and elastic, like egg white, with a high degree of drawing, and it is not easy to be broken. The last day of this mucus appears between ± 48 hours is the day of ovulation. Therefore, when the genitals feel wet The ovulation period, also known as the "fertile period". Plan to conceive should choose the "wet period" before ovulation.

Test paper self-test

Ovulation test strips predict ovulation by detecting peak levels of luteinizing hormone (LH). In 24 to 48 hours before ovulation, the luteinizing hormone (LH) in the urine will show a high peak, and the self-test with ovulation test strip will show a positive result. Enter the menstrual cycle and the start time of the last menstrual period, and start the test with the test strip on the date marked in red. If the test result is negative, you can test it every other day. If there is a weak positive, you need to test it once a day. When the control lines are obvious), it means that ovulation will occur within 24-48 hours. Generally, the strong yang will last for 2 days, and when the strong yang turns to yin, it means that you have ovulated. There are instructions on the back of the test strip package, please read the instructions carefully before use. Follicles mature under the action of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). In the 24 hours before PL, there will be a peak in LH, and it will definitely occur.

Therefore, we use PL test paper to detect this peak. When the color of the second line of the test paper is close to, the same as, or exceeds the color of the first line, you know that you will have PL within 24 hours. It's intuitive, understandable, and has plenty of time to prepare. It should be noted that when there are two lines (that is, positive), it is not necessarily ovulation. There are also weak positive and strong positive. only when there is strong positive (that is, the color of the two lines is almost the same or the detection line is darker than the control line) It indicates that you will ovulate within 24-48 hours. Therefore, when there is strong yang, test twice or more than twice a day. If the color starts to lighten, then the previous measurement was the peak.

The specific test methods are generally described on the ovulation test strip packaging (must be done in strict accordance with the instructions to minimize errors). Unlike early pregnancy test strips, morning urine should not be used, and urine samples at the same time every day should be used as much as possible. Water intake should be reduced 2 hours before urine collection, because diluted urine samples will also hinder the detection of LH peak. Then, for a relatively regular menstrual cycle, it should be measured 14 days before the menstrual period (that is, the estimated ovulation time), the first three days and the last three days of this time, for six consecutive days; if the menstruation is irregular or abnormal, it is generally Start the test on the third day after menstruation is clean. Until the two bars on the test strip are the same depth or the second bar is deeper than the first bar, it means that ovulation will occur within 24 to 48 hours. For other test results, please refer to the illustrations in the instruction manual. It should be reminded that this is a standard physiological phenomenon when ovulation occurs. Although the test strip is easy to use, the accuracy rate is only about 75% due to the production process and the self-testers themselves.

In addition, test results are not simply "yes" or "no". Some people may have strong Yang for several days in a row, so that ovulation may occur (usually after the last day of strong Yang), or there may be no ovulation at all. Scope of application: Women's insurance at all levels, family planning stations, supermarkets, pharmacies and personal testing. When the follicle is expelled from the ovary, it can tear the wall of the ovary, causing local bleeding. Usually, this little blood is quickly absorbed in the abdominal cavity. But there are also a small number of women who have a lot of bleeding, the blood will flow out of the body through the fallopian tubes, uterus, and vagina, and there will be drip-like blood stains on the underwear. Ovulation bleeding".

B-ultrasound monitoring

Through the B-ultrasound examination, an experienced doctor will see the process of the follicles being discharged from small to large. This method should be the most accurate. Among all the methods for measuring ovulation, the most accurate method is currently the vaginal B-ultrasound monitoring method, which can not only measure whether there are dominant follicles in both ovaries, but also measure the size of the dominant follicle and the thickness of the endometrium, etc. However, this method is generally only used when the patient really needs it. "For example, in some women with ectopic pregnancy, the left fallopian tube has been removed. In this case, if her left ovary ovulates, it is impossible to get pregnant, so it can be passed through Do a B-ultrasound to see which side of the ovary is ovulating."

"Using B-ultrasound to monitor follicles, it is best to find a fixed doctor to monitor." When a doctor observes a dominant follicle from a certain angle, it will be better to monitor the development of this follicle from the same angle next time. "Different Different medical institutions and different doctors may have different judgments.” Although B-ultrasound monitoring of eggs is the most accurate method at present, ovulation is only one of the elements of successful conception. At that time, "sowing" was a success, "in addition to physical conditions, psychological factors are also likely to affect the process of conception." On the twelfth day of each month, use B-ultrasound to continuously observe ovulation, and once every other day (once every two days) until the ovum is released, so that when ovulation and follicle development can be accurately determined, it is recommended that everyone can use it. This method for observation, B-ultrasound measurement of ovulation has high accuracy, convenience and economy.

Observation of leucorrhea

During a menstrual cycle, leucorrhea is not static. Most of the time, vaginal discharge is drier, thicker, and less frequent. On a certain day between the two menstrual periods, the leucorrhea is clear, bright, and abundant, like egg whites, more like the clear water-like snot of a cold, and this day is the ovulation period. This is because a higher concentration of estrogen is produced during ovulation, which acts on the columnar epithelial cells of the cervix, causing them to secrete a large amount of leucorrhea.

Basal body temperature

Basal body temperature measurement refers to the body temperature measured after waking up without any activity (such as speaking, eating or getting up, etc.) after 8 hours of sleep. The measured body temperature records are linked into a curve by date, called the basal body temperature curve. Wake up early every morning and take your body temperature immediately when there is no activity. This body temperature is called "basal body temperature". The basal body temperature measured every day is marked on the graph paper. Women with regular ovulation periods can find this phenomenon. The basal body temperature is often lower than 36.5 degrees Celsius about two weeks before the ovulation period, and the basal body temperature is often about two weeks after the ovulation period. above 36.5 degrees Celsius.

That is, in a month, there is a two-way curve of basal body temperature before and after the low, and the day when this two-way curve starts to increase is the ovulation period. Since the two ovaries ovulate alternately, it is generally necessary to measure at least three months to truly understand the ovulation of both ovaries. During the menstrual period, in case of cold, fever, diarrhea, insomnia, drinking alcohol, using electric blankets, etc., it is often easy to affect the basal body temperature. Pay attention when measuring, and pay attention to special marking instructions. It is worth noting that the measurement of basal body temperature must be taken after 6 hours of adequate sleep, and before waking up and before any activity, to measure and record the body temperature. Any special circumstances may affect the change of basal body temperature and should be recorded, such as the night before. Sex life, recent colds, etc. Need to repeat the test many times, and use the watch point line to connect.

If the menstruation is irregular or the life is irregular, such as night shift, business trip, insomnia, emotional changes, diseases, etc., this method cannot be used to determine whether there is ovulation. The mechanism of basal body temperature changes: the thermoregulatory center is extremely sensitive to the action of progesterone (also known as progesterone), and a certain amount of progesterone (12, 8nmol/L) can cause the body temperature to rise. The day after a woman ovulates, the corpus luteum is formed by the ovary, and the corpus luteum secretes progesterone, which will increase the body temperature by about 0.6 degrees Celsius, causing the body temperature to show a two-phase change. The high temperature period lasts for about 12-16 days (average 14 days). If there is no pregnancy, the atrophy of the corpus luteum stops the secretion of progesterone, the body temperature drops, returns to the basic line, and menstrual cramps occur.

If you are already pregnant, because the corpus luteum is supported by the hormones secreted by the embryo and continues to secrete progesterone, the body temperature will continue to be high. If the ovary is not functioning properly, there will be no ovulation and no corpus luteum formation, so the body temperature will continue to be low. Women's menstrual cycle starts with the first day of menstrual redness. The length of the cycle varies from person to person, ranging from 21 to 35 days, with an average of about 28 days. The day of ovulation is used as the separation, and the follicular phase is before ovulation. , the luteal phase after ovulation. The length of the follicular phase is not necessarily long, but the normal luteal phase is fixed about 14 days up and down two days.

The role of basal body temperature

1. Judging whether ovulation guides contraception. Generally, the basal body temperature in the follicular phase is 36.5 ℃, and the luteal phase rises by more than 0.5 ℃, so biphasic manifestations appear, indicating ovulation. The accuracy rate is 70%~80%. If within 24 hours, the body temperature increased by 0.3 ~ 0.6 ℃, or even higher, then it means ovulation. In addition, the basal body temperature can also roughly show the quality of the released eggs. If the basal body temperature high temperature period is long and can last for 13 to 14 days, it means that the quality of the eggs is good.

2. Diagnose early pregnancy and judge the safety of early pregnancy If the basal body temperature persists for more than two weeks, you should consider going to the hospital for a check, because you may be pregnant. If it is more than 20 days, it can be determined as early pregnancy. In the first trimester, the BBT curve gradually decreases, indicating that the function of the corpus luteum is insufficient or the function of the placenta is poor, and there is a tendency to miscarry.

3. After observing luteal function, BBT should rise immediately after ovulation, and continue to be at a high level for ≥ 11 days. If the BBT rises in a step-like manner and the curve takes 3 days to reach a high level or the BBT rises steadily for <11 days, the diagnosis of luteal phase defeoot (LPD) can be made.

4. prompt other lesions that BBT does not decrease during menstruation, and may have endometriosis or early subclinical abortion. Endometriosis lesions will produce heat of absorption after bleeding. When BBT is biphasic in patients with primary amenorrhea, uterine amenorrhea should be considered, such as congenital amenorrhea or genital tuberculosis that destroys the endometrium.

5. For patients with irregular endometrial biopsy time cycle, to know whether the endometrial secretion reaction and corpus luteum function, endometrial biopsy should be estimated 2 to 3 days before the next menstrual cramp after the BBT rises.

nipple tenderness

Women have an experience that sometimes the nipples are very sensitive. Pain is felt when the nipple is rubbed or squeezed, such as when taking a bath or changing underwear. This is because the nipples and breast ducts are very sensitive to estrogen. Under the action of estrogen produced during ovulation, the nipples become larger, redder, darker in color, and feel very sensitive. At the same time, the mammary ducts become thicker and darker. Larger, longer, and pushes the nipple outward.

Interim Pain Monitoring

Some women experience lower abdominal pain between menstruation, which is called "mid-term pain." Mid-term pain is the painful feeling of an egg being released from the ovary. Therefore, mid-term pain as one of the signals of ovulation has attracted widespread attention. Mid-term pain usually occurs 2-3 hours before ovulation, and some people feel like cramps or gas. Sensitive people can feel it the day before ovulation. The characteristics of mid-term pain are that the pain will increase during the period of ovulation. The peak of pain lasts for 30 minutes to 3 hours. The pain area is almost always in the right lower abdomen. Some people have alternating pain in the left and right lower abdomen every month, or near the upper pubic bone. Painful, sometimes mistaken for appendicitis. Mid-term pain is not easily noticed by people, but most people can feel it if they pay attention. If the mid-term pain and the basal body temperature method are well combined, the ovulation day can be accurately grasped.

psychological impact

Women's ovulation is not only a local physiological process, but also affected by the physical and mental state of the whole body. In turn, the physical and mental state further affects the quality of ovulation and eggs, so it is an interactive process. Women who want to become pregnant must calculate the ovulation time in advance, and adjust their psychological state before and after the ovulation period, so as to make the necessary mental preparations for pregnancy.

Dr. Davis, a female health expert at the University of California in the United States, found that women's bodies secrete oxytocin during childbirth, breastfeeding, and ovulation. The so-called oxytocin is a special hormone, and the brain is affected by this hormone, which can make women's creativity, sensitivity and insight rapidly improve. Because most women do not understand their own physiological characteristics, they often neglect to use the special ability of this period. It is said that in the United States, some women in high-level administrative positions often arrange some important meetings and key tasks during their ovulation period. Because they realize that their thinking seems to be much more agile than usual during ovulation, and their energy is more abundant. Therefore, from the perspective of prenatal education and heredity, since women are the smartest during the ovulation period, if they can maintain a good mental state such as optimistic, cheerful, aggressive, open-minded and humorous, capable of doing things, treating others with enthusiasm, and being happy at work at this stage, they will It will have a good impact on the child conceived during this period, and the good psychological quality endowed by innate will benefit the child for a lifetime. Dr. Davis' research found that in addition to the secretion of oxytocin by women during childbirth, breastfeeding, and ovulation, women's bodies can also secrete oxytocin during sex.

Dr. Davies warned women not to neglect sex because of excessive life pressure and heavy housework. It is necessary to create good conditions as much as possible to improve the quality of sexual life of couples. When it is confirmed and ready to become pregnant during the ovulation period, the couple should make preparations in advance, such as jointly managing housework, not using contraceptive measures, paying attention to rest, keeping physical strength, strengthening nutrition, and eating more high-quality protein, such as fish, meat, chicken, eggs , milk, etc., without tobacco and alcohol, the couple had a warm dinner in a harmonious atmosphere; after the meal, the couple exchanged feelings while listening to music, and had sex for several days in the evening. Moreover, during the same room, both parties are very happy and emotionally invested, and they have a good vision and have sexual activities under the condition of maximizing their potential. Get sexual pleasure, then the child conceived in this case is likely to become a "high-quality" fetus. Eager communication between husband and wife, happiness naturally arises, which can adjust the physical and psychological state of the whole body to the best, thereby increasing the wisdom of women. In addition, Dr. Davis also pointed out that women's memories of good, pleasant things can also make this hormone secreted. For this reason, women who want to be mothers should pay attention to adjusting their psychological and emotional state during the ovulation period. This is the minimum requirement for genetics, prenatal education and prenatal care.

B-ultrasound features

The cervix is open and there is fluid (the arrow in the upper left panel refers to the black anechoic area); the endometrium is thick and the line is clear like a lip line (the upper right panel); the diameter of the follicle is more than 1.8 cm (the lower left panel); the follicle tension Small, the wall has a shrinking feeling (lower right small picture); in addition, a small or large amount of pelvic effusion can be seen in some parts, mostly confined to the uterine rectal fossa or next to the ovary with mature follicles. During this period, some sensitive people will have lower abdomen, swollen vulva, thin and increased fluid; faint abdominal pain on one side (sometimes mistaken for urinary stones or appendicitis); even some people will have mild nausea and elevated body temperature , weakness and other symptoms.

bleeding phenomenon

In the middle of menstruation, that is, ovulation, due to the temporary drop in estrogen levels, the endometrial loses the support of hormones, and part of the endometrial shedding occurs, causing regular vaginal bleeding, which is called ovulatory bleeding. Chinese medicine calls it "intermenstrual bleeding".

reason

After the mature follicle ruptures and ovulates, the level of estrogen drops sharply, and the endometrial growth cannot be maintained, causing local rupture and shedding of the endometrial surface, resulting in a small amount of breakthrough bleeding. With the formation of the ovarian corpus luteum, the secretion of A large amount of estrogen and progesterone can quickly repair the ruptured endometrial surface and stop bleeding, or it may be during ovulation that mature follicles secrete more estrogen, resulting in endometrial hyperemia and leakage of red blood cells; it may also be in the fallopian tubes. When the umbrella part takes eggs, the blood-containing follicular fluid is sent to the uterine cavity through the fallopian tube and then flows out from the cervix through the vagina. Of course, there are also many possibilities that the secretion of sex hormones is imbalanced, which makes the hormone levels fluctuate greatly during ovulation and make the bleeding obvious.

Chronic inflammation of the endometrium or inflammatory thickening of the ovarian surface makes the endometrium congested during ovulation, and the bleeding is not easy to stop spontaneously, or the ruptured and thickened surface of the inflammatory follicle has more bleeding than normal, and flows back to the uterus with the peristalsis of the fallopian tube. cavity, excreted through the vagina. In fact, ovulation bleeding is a phenomenon that may occur in every female friend. Under normal circumstances, the amount of bleeding is very small and cannot be observed with the naked eye, but some people will have obvious bleeding symptoms, and the severity cannot be generalized. But in fact, the main cause of ovulation bleeding is that after the mature follicle ruptures and ovulates, the estrogen level drops sharply and the endometrial growth cannot be maintained, causing the local endometrial surface to rupture and fall off, resulting in breakthrough small amount of bleeding.

It secretes a sufficient amount of estrogen and progesterone, so that the ruptured endometrial surface can be repaired quickly and the bleeding stops, or it may be during the ovulation period that mature follicles secrete more estrogen, leading to endometrial congestion and red blood cell leakage; also It is possible that the blood-containing follicular fluid will be sent to the uterine cavity through the fallopian tube by anti-peristalsis and then flow out from the cervix through the vagina when the eggs are taken in the fimbria of the fallopian tube. For women with ovulation, when examining the mucus of the cervical canal in the middle of menstruation, it is found that about 60% of them have red blood cells under microscope observation, but there is no bleeding that may be seen with the naked eye, which is not a pathological phenomenon; but women with ovulation bleeding , Other diseases of the reproductive tract must be excluded, such as irregular menstruation, cervical erosion, cervical polyps, cervical cancer, endometrial polyps, uterine submucosal fibroids, endometrial adenocarcinoma and so on.

Of course, it is also possible that the secretion of sex hormones is unbalanced, which makes the hormone levels fluctuate greatly during ovulation and makes the bleeding obvious. Chronic inflammation of the endometrium or inflammatory thickening of the ovarian surface makes the endometrium congested during ovulation, and the bleeding is not easy to stop spontaneously, or the ruptured and thickened surface of the inflammatory follicle has more bleeding than normal, and flows back to the uterus with the peristalsis of the fallopian tube. cavity, excreted through the vagina. The duration of visible vaginal bleeding can be several hours, or 3 to 5 days, but rarely reaches more than 7 days. In severe cases, it can be dripping until the next menstrual cramp. Some bleeding is very small, and the drip is clean, or the blood is trapped in the belt. Under normal circumstances, it rarely reaches the menstrual flow. Bleeding may be accompanied by distention, discomfort, dull pain or obvious pain in one side of the lower abdomen, even involving the waist and inner thigh. Symptoms can occur continuously every month or once every other month. Some people have several months every year, and some people only have this phenomenon once in their lives.

diagnosis

1. Have typical symptoms.

2. The basal body temperature is biphasic, and bleeding occurs during the transition from low to high body temperature.

treat

1. Western medicine treatment: Diethylstilbestrol 0.25-0.5nmg/day, start taking 3 days before ovulation, and stop 1-3 days after bleeding stops.

2. Chinese medicine treatment

1) Kidney yin deficiency: vaginal bleeding during intermenstrual period, small amount, red color, weak waist and knees, dizziness, tinnitus, five upsets and heat, red tongue, little coating, rapid pulse.

Governing Law: Nourishes kidney and nourishes yin, clears heat and stops bleeding.

Recipe: Shengdi, Ligustrum lucidum; early lotus grass, raw yam, 15 grams each of Poria, 10 grams each of dogwood meat, paeonol, and Alisma.

2) Intrinsic dampness and heat: vaginal bleeding between menstrual periods, red in color, sticky in texture, or bloodshot in the vagina, usually in a large amount, yellow in color, thick in texture, foul smelling, fullness in the chest and epigastric cavity, sticky in the mouth, and in the mouth Painful upset, anorexia, bloating in the lower abdomen, unpleasant stool, red tongue, yellow greasy coating, wet or slippery pulse.

Governing Law: Clear dampness and heat, regulate menstruation and stop bleeding.

Recipe: Atractylodes, raw Yiren, Achyranthes sichuanensis, Citrus root bark each 15 grams, Treats, Alisma, psyllium (package) each 10 grams. 3) Blood stasis: intermenstrual bleeding, small amount, dark purple color, small blood clots, abdominal pain, refusal to press, emotional depression, dark purple tongue or petechiae, astringent pulse. Governing Law: Promote blood circulation and remove stasis, regulate menstruation and stop bleeding. Recipe: 15 grams of raw ground, 10 grams each of red peony root, peach kernel, angelica, paeonol, citrus aurantium, tortoise shell (fried first), and 1.5 grams of Panax notoginseng powder (red).

Prevention and Nursing

1. Pay attention to menstrual period and postpartum health care, keep the vulva clean, and prevent pelvic infection.

2. Stay comfortable and avoid excessive tension.

harm

Ovulation bleeding is a symptom that many women will experience. The amount of bleeding is small, and some are only brown discharge. Generally, it can stop on its own in 2-3 days. Since ovulation bleeding is more common, it does not mean that female friends can ignore it, because ovulation bleeding also has certain hazards. Clinically, the hazards of ovulation bleeding include the following:

The hazards of ovulation bleeding 1. Annoying symptoms: Although the bleeding during ovulation is less, it also makes female friends hard to prevent, thus affecting normal life and work.

Hazards of ovulation bleeding 2. Abdominal pain: Patients with ovulation bleeding are often accompanied by abdominal pain symptoms, periodic intermenstrual pain, which can be mild or severe, usually lasts for several hours, and individual patients can last for 2 to 3 days.

The hazards of ovulation bleeding 3. Cause infertility: Men and women may suspend sexual life due to ovulation bleeding, thus missing the opportunity to conceive and eventually leading to infertility.

Hazards of ovulatory bleeding Bleeding symptoms, therefore, if the primary disease causing ovulatory bleeding is not promptly and thoroughly treated, it can endanger women's health.

health care

During ovulation bleeding, you should avoid overwork and rest more; keep the area clean to prevent infection; apply heat to the abdomen when the abdominal pain is severe; and maintain emotional stability. Usually strengthen physical exercise, enhance physical fitness. Before and after ovulation (usually between two menstrual periods, when the basal body temperature rises), pungent, spicy, dry and other irritating foods should be fasted to avoid increased bleeding and prolonged ovulation. Sexual intercourse should be avoided as much as possible during ovulation bleeding, as infection may occur.

Ovulation bleeding occurs about 14 days before menstruation, but in most people, ovulatory bleeding is absent. The cause of ovulatory bleeding is the rupture of the follicle, the decline in estrogen levels after ovulation, and the failure to maintain the normal growth of the endometrium, resulting in endometrial breakthrough bleeding. You don't have to worry, this phenomenon is also a physiological phenomenon. Due to individual differences, only a few people will have ovulation bleeding. If it's only for a day or two, the bleeding and the amount are not much, and it doesn't affect your daily life, you don't need to worry too much. Relax. Bleeding during ovulation generally does not require treatment, and most of them can heal on their own without affecting health and fertility.

There are roughly two reasons for the occurrence of ovulatory bleeding: imbalance of sex hormone secretion, which makes the hormone levels fluctuate greatly during ovulation and causes bleeding; Bleeding is not easy to stop spontaneously, or the surface of the inflammatory thickened follicle ruptures and the bleeding increases more than normal, and flows back into the uterine cavity with the peristalsis of the fallopian tube, and is excreted through the vagina. The duration of visible vaginal bleeding can be several hours, or 3 to 5 days, but rarely reaches more than 7 days. In severe cases, it can be dripping until the next menstrual cramp. Some bleeding is very small, and the drip is clean, or the blood is trapped in the belt. Under normal circumstances, it rarely reaches the menstrual flow. Bleeding may be accompanied by distention, discomfort, dull pain or obvious pain in one side of the lower abdomen, even involving the waist and inner thigh. Symptoms can occur continuously every month or once every other month. Some people have several months every year, and some people only have this phenomenon once in their lives. Repeated ovulatory bleeding can affect pregnancy, if this is the case, preventive treatment must be carried out under the guidance of a physician.

1. Understand and master the knowledge of menstrual physiology and hygiene, pay attention to menstrual health care and menstrual hygiene.

2. Avoid overwork and rest more during ovulation bleeding; keep the area clean to prevent infection; apply abdominal heat when abdominal pain is severe; at the same time maintain emotional stability. Usually strengthen physical exercise, enhance physical fitness.

3. Before and after the ovulation period (usually between two menstrual periods, when the basal body temperature rises), pungent, spicy, dry and other irritating foods should be fasted to avoid increased bleeding and prolonged time.

4. Keep the vulva clean to prevent pelvic infection.

5. Don't eat spicy food, and apply hot compress to the abdomen when the abdominal pain is severe. 6. At the same time maintain emotional stability and avoid excessive tension. Usually strengthen physical exercise, enhance physical fitness.

Precautions

During the period of ovulation, women will feel energetic. Of course, this is also inherited from the natural instinct of human beings. Basically, this is in order to successfully attract the opposite sex. Therefore, women who are in the ovulation period will love themselves more and look good. fly.

There may be no appetite during ovulation. Scientific research shows that women's food intake during this period is the lowest in a menstrual cycle. It is said that this is the result of natural human instincts, which means that female animals will be more attentive during this period. Focus on finding heterosexual mating, not finding food. But for your health, you still need to pay attention to ingesting nutrients normally, and don't overdo it. You may feel your libido is high, and in general, women who are during this period will have a particularly high libido, which is the egg's whisper to you, telling you that your body desperately wants to get pregnant.

In addition, during this period, women's resistance will decline, because vaginal mucus will become thinner, which is also to allow sperm to more easily pass through the obstacles to combine with the egg, increasing the chance of successful conception. At the same time, women also have less nasal mucus, which increases the chance of bacteria invading the body's circulatory system. So pay attention to protect your respiratory system, so that bacteria and germs do not enter the body and cause illness.

A woman's ovulation period can be measured. When you find out that you are in the ovulation period, you should pay more attention to taking care of your body and mind, and be sure to maintain a good mood.

cycle

A woman's ability to become pregnant is determined by cyclical ovulation each month. With ovulation, there will be a period. Menstruation and ovulation are closely related, so you are always ready for pregnancy.

Menstruation is a continuous process with constant changes in hormones, which eventually lead to the thickening of the endometrium, ovulation, and shedding of the endometrium if pregnancy does not occur. During menstruation, important events occur every day in the ovaries and endometrium. An egg must be selected each month and then stimulated to mature, and the lining of the uterus must be prepared in case a fertilized egg (embryo) arrives, implants and grows.

Periods are commonly referred to as "menses" because for most women, such cycles occur approximately once a month. Some people believe that menstruation should be consistent with the normal calendar, but it does not happen on the same day of each month, because the months on the calendar are not equal in length, and because the human body is not a clock, every Every woman has some variation from cycle to cycle.

To measure the number of menstrual days, you can take the day when the blood begins to flow as the first day of menstruation. The average number of menstrual days is about 28 days. It is about 30 days, and about 26 days when approaching the age of 50 and approaching menopause. Very few women actually menstruate for 28 days, and a period of 24 to 35 days counts as a normal period. Women's bodies vary from one month to the next, and few women have the exact same length of each period.

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