{"id":36434,"date":"2020-01-29T09:50:52","date_gmt":"2020-01-29T17:50:52","guid":{"rendered":"https:\/\/www.avawomen.com\/?p=36434"},"modified":"2020-02-20T15:09:51","modified_gmt":"2020-02-20T23:09:51","slug":"ovulation-bleeding","status":"publish","type":"post","link":"http:\/\/www.avawomen.com\/avaworld\/ovulation-bleeding\/","title":{"rendered":"Ovulation Bleeding: What Does it Mean About Your Fertility?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">You may wonder whether the spotting you see at the midpoint of your cycle is ovulation bleeding or something else. If you\u2019ve done any Googling, you\u2019ve seen this form of spotting referred to as mid-cycle bleeding, ovulation spotting, and intermenstrual bleeding.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But what is it \u2014 and what does it mean? Ovulation bleeding is somewhat common and usually nothing to fret about. Most of the time, it\u2019s a sign your menstrual cycle is working as it should.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What does it mean when you bleed during ovulation?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ovulation bleeding happens shortly after ovulation in the middle of your cycle, about <\/span><a href=\"https:\/\/www.medscape.com\/viewarticle\/475437_3\"><span style=\"font-weight: 400;\">10 &#8211; 16 days after your period<\/span><\/a><span style=\"font-weight: 400;\">. It\u2019s due to a rapid surge of the hormone estrogen at ovulation, followed by a swift plunge in estrogen.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That said, other factors besides a dip in estrogen may cause mid-cycle bleeding, which we\u2019ll get to.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is it normal to spot during ovulation?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It&#8217;s somewhat common, occurring on a more or less regular basis in <\/span><a href=\"https:\/\/www.uptodate.com\/contents\/abnormal-uterine-bleeding-in-reproductive-age-women-terminology-and-palm-coein-etiology-classification\/abstract\/28\"><span style=\"font-weight: 400;\">up to 9% of healthy, menstruating women<\/span><\/a><span style=\"font-weight: 400;\"> \u2014 although a 2012 paper found it occurred in just <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3299419\/\"><span style=\"font-weight: 400;\">4.8% of women<\/span><\/a><span style=\"font-weight: 400;\"> during the study period, which covered two menstrual cycles. One leading OB\/GYN told <\/span><i><span style=\"font-weight: 400;\">Medscape<\/span><\/i><span style=\"font-weight: 400;\"> she sees ovulation bleeding fairly often \u2014 in <\/span><a href=\"https:\/\/www.medscape.com\/viewarticle\/475437_3\"><span style=\"font-weight: 400;\">10 &#8211; 30% of menstruating women<\/span><\/a><span style=\"font-weight: 400;\"> in clinical practice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(There\u2019s frustratingly little research on the menstrual cycle, and clinical research represents a snapshot in time of a sample of women, making it difficult to say how common ovulation bleeding is with any degree of certainty.)<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What causes ovulation bleeding?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To understand it, we first need to backtrack to the process of ovulation. Ovulation, which <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/how-long-does-ovulation-last\/\"><span style=\"font-weight: 400;\">lasts a few minutes or hours<\/span><\/a><span style=\"font-weight: 400;\">, is triggered by a cascade of hormonal responses in your body. Estrogen is one of the most critical hormones in ovulation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Estrogen is low at the beginning of your cycle, around the time you have your period. Then it rises through the first part of your cycle, eventually reaching a peak where it signals the release of luteinizing hormone, which tells the ovaries to release an egg.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With a surge of luteinizing hormone comes a sharp plunge in the level of estrogen. The swift drop in estrogen destabilizes the endometrium, the lining of the uterus, and may cause a bit of the lining to shed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When your entire endometrium sheds, that\u2019s how you have a period. But just a bit of shedding leads to ovulation bleeding.\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is ovulation bleeding healthy?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Research in the <\/span><i><span style=\"font-weight: 400;\">American Journal of Epidemiology<\/span><\/i><span style=\"font-weight: 400;\"> found <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3299419\/\"><span style=\"font-weight: 400;\">higher levels of estrogen, luteal progesterone, and luteinizing hormone<\/span><\/a><span style=\"font-weight: 400;\"> (LH) around ovulation in regularly menstruating women who experienced mid-cycle ovulation spotting.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In this sense, consider ovulation bleeding a sign your hormones are working as they should.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How can I tell it\u2019s ovulation bleeding?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There\u2019s probably no definitive way to know if the bleeding is due to ovulation or another cause, but that doesn\u2019t mean you can\u2019t hunt for clues to understand what\u2019s happening.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Check to see whether the bleeding is accompanied by <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/ovulation-symptoms\/\"><span style=\"font-weight: 400;\">signs of ovulation<\/span><\/a><span style=\"font-weight: 400;\">, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.avawomen.com\/avaworld\/ovulation-pain\/\"><span style=\"font-weight: 400;\">Mittelschmerz<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.nature.com\/articles\/s41598-017-01433-9\"><span style=\"font-weight: 400;\">Increased heart rate<\/span><\/a><span style=\"font-weight: 400;\"> leading up to ovulation, and continuing to increase after<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Rise in basal body temperature after ovulation<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vaginal discharge resembling egg whites before ovulation<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.avawomen.com\/avaworld\/lymph-node-ovulation-sign\/\"><span style=\"font-weight: 400;\">Swollen inguinal lymph nodes<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.avawomen.com\/avaworld\/sore-nipples\/\"><span style=\"font-weight: 400;\">Nipple or breast tenderness<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Higher sex drive<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Changes in the position of your cervix<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Experiencing some of these signs and ruling out other potential causes of mid-cycle spotting may help to confirm that the bleeding is related to ovulation. If you don\u2019t see these signs, then mid-cycle spotting could be due to one of the following reasons:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hormonal contraception\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pregnancy<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Uterine growths (polyps, fibroids)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Infection<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sexually transmitted disease<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bleeding disorders<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Blood-thinning medications<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cancerous changes<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">What is the color of ovulation bleeding?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It&#8217;s different from period bleeding. It was described as small amounts of\u00a0 clinically evident bleeding or blood-stained discharge in a widely used doctor\u2019s manual called <a href=\"https:\/\/www.uptodate.com\/contents\/approach-to-abnormal-uterine-bleeding-in-nonpregnant-reproductive-age-women?search=ovulation%20bleeding&amp;source=search_result&amp;selectedTitle=1~150&amp;usage_type=default&amp;display_rank=1\">UpToDate<\/a><\/span><span style=\"font-weight: 400;\">\u00ae<\/span><span style=\"font-weight: 400;\">. Typically, it\u2019s reddish, brown, or pink in color.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How long can ovulation bleeding last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It&#8217;s brief. <\/span><span style=\"font-weight: 400;\">It <\/span><a href=\"https:\/\/www.medscape.com\/viewarticle\/475437_3\"><span style=\"font-weight: 400;\">lasts 12 &#8211; 72 hours<\/span><\/a><span style=\"font-weight: 400;\"> at most, unlike a period, where your flow may last up to a week, although <\/span><a href=\"https:\/\/www.cdc.gov\/ncbddd\/blooddisorders\/women\/menorrhagia.html\"><span style=\"font-weight: 400;\">4-5 days is considered \u201cnormal.\u201d<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Does ovulation bleeding happen before or after you ovulate?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It usually appears very shortly after ovulation. The bleeding is triggered by a sharp drop in estrogen after the release of an egg.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You may also experience other signs of ovulation (rise in BBT, <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/hidden-messages-cervical-mucus\/\"><span style=\"font-weight: 400;\">fertile cervical fluid<\/span><\/a><span style=\"font-weight: 400;\">) around this time in addition to bleeding or spotting.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Can ovulation bleeding be heavy?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It&#8217;s not like your typical period. Instead, it\u2019s more accurately described as spotting.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It may be so light that you only notice it when you wipe after using the bathroom, or it may be a trickle that requires wearing a menstrual product. When a research team investigated the menstrual cycle, they defined ovulation spotting as a light flow that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3299419\/\"><span style=\"font-weight: 400;\">required a sanitary pad<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Can I spot during ovulation without realizing it?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Yes\u2014sometimes it can be virtually undetectable. Scientists called this &#8220;occult ovulation bleeding.&#8221; Occult, in this case, doesn\u2019t refer to witchcraft, but instead means hidden from the eye.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Up to 90% of menstruating women may regularly experience <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/13277546-occult-intermenstrual-bleeding-about-the-time-of-ovulation\/?from_single_result=13277546\"><span style=\"font-weight: 400;\">occult ovulation bleeding<\/span><\/a><span style=\"font-weight: 400;\">, according to an old, but still widely referenced paper in the doctor\u2019s manual UptoDate. In these cases, the only way to identify it is by analyzing a vaginal swab in a lab.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is ovulation bleeding a good sign when you\u2019re trying to get pregnant?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It may be a plus if you\u2019re trying to conceive.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A 2012 study linked <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3299419\/\"><span style=\"font-weight: 400;\">mid-cycle bleeding to ovulation<\/span><\/a><span style=\"font-weight: 400;\">, noting that women with mid-cycle bleeding <\/span><i><span style=\"font-weight: 400;\">were not<\/span><\/i><span style=\"font-weight: 400;\"> anovulatory. Being <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/anovulatory-cycle\/\"><span style=\"font-weight: 400;\">anovulatory means you did not ovulate<\/span><\/a><span style=\"font-weight: 400;\">, which is something you don\u2019t want if you\u2019re trying to get pregnant. (Even if you\u2019re not TTC, ovulatory cycles are an important part of women\u2019s health for women who aren\u2019t on hormonal birth control.)<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Is ovulation spotting a sign of pregnancy?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ovulation spotting isn\u2019t a sign you are pregnant. Ovulation happens earlier in your menstrual cycle, while <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/6-dpo-symptoms\/\"><span style=\"font-weight: 400;\">implantation happens 8 &#8211; 10 days after ovulation<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You&#8217;ve likely heard lots of chatter about <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/implantation-bleeding\/\"><span style=\"font-weight: 400;\">implantation bleeding<\/span><\/a><span style=\"font-weight: 400;\">, a phenomenon that supposedly occurs as the blastocyst attaches to the uterine lining, but ovulation bleeding isn\u2019t an <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/implantation-symptoms\/\"><span style=\"font-weight: 400;\">implantation symptom<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Science has largely debunked implantation bleeding. A prospective study looking at early pregnancy in 221 women found <\/span><a href=\"https:\/\/academic.oup.com\/humrep\/article\/18\/9\/1944\/708284\"><span style=\"font-weight: 400;\">no evidence of implantation bleeding<\/span><\/a><span style=\"font-weight: 400;\">, instead noting that most luteal phase spotting in conceptive cycles occurred 5 days <\/span><i><span style=\"font-weight: 400;\">after<\/span><\/i><span style=\"font-weight: 400;\"> implantation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/luteal-phase\/\"><span style=\"font-weight: 400;\">luteal phase<\/span><\/a><span style=\"font-weight: 400;\"> is the stage of your cycle after ovulation. Bleeding in this phase occurs more frequently in cycles when a woman is not pregnant (and can sometimes be a sign of <a href=\"https:\/\/www.avawomen.com\/avaworld\/luteal-phase-defect\/\">luteal phase defect<\/a>, which may make it harder to conceive). In the vast majority of cases, this bleeding is unrelated to implantation. Instead it&#8217;s due to declining levels of progesterone, the hormone that maintains the uterine lining.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The dip in progesterone triggers the beginning of your period. A few days before your period is due, progesterone levels can start to slide, and this might lead to light bleeding or spotting prior to your period.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What\u2019s the difference between ovulation spotting and a period?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ovulation bleeding is a much lighter flow than menstrual bleeding, which is heavy enough to require a pad, tampon, or menstrual cup. The typical period produces a total blood loss of <\/span><a href=\"https:\/\/www.cdc.gov\/ncbddd\/blooddisorders\/women\/menorrhagia.html\"><span style=\"font-weight: 400;\">2 \u2013 3 tablespoons<\/span><\/a><span style=\"font-weight: 400;\">, while ovulation spotting causes little measurable blood loss.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ovulation bleeding is more fleeting than your period. A period lasts about five days, but ovulation bleeding, in contrast, is just a few days at most.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is why it\u2019s super helpful to <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/category\/tracking-your-cycle\/\"><span style=\"font-weight: 400;\">track your cycle<\/span><\/a><span style=\"font-weight: 400;\">. If you know when you ovulated, you\u2019ll be able to figure out whether the bleeding is due to ovulation, or if it\u2019s a sign your period is due shortly, or something else.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Consider trying one of <\/span><a href=\"https:\/\/www.avawomen.com\/avaworld\/track-fertile-days\/\"><span style=\"font-weight: 400;\">a variety of methods<\/span><\/a><span style=\"font-weight: 400;\"> to track your cycle if you\u2019re not already.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You may wonder whether the spotting you see at the midpoint of your cycle is [&hellip;]<\/p>\n","protected":false},"author":10026,"featured_media":36435,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[772,33],"tags":[76,478],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.3 (Yoast SEO v18.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ovulation Bleeding: What Does it Mean About Your Fertility? 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