Ovulation refers to the release of a single, mature egg is released from the ovarian follicle. During the course of a monthly cycle, the largest of the of the eggs is released into the fallopian tube. Once released, the egg can then be fertilized over the next day or so before it begins to disintegrate. If the egg should be fertilized and successfully implants, a woman becomes pregnant. If the egg is not fertilized, it is passed from the woman’s body during menstrual bleeding. This occurs about two weeks after ovulation.

Sometimes, during the middle of a woman’s menstrual cycle, when she is ovulating, she may have some bleeding. Ovulation bleeding is different from the regular menstrual flow. Ovulation bleeding tends to be pink to red in color. Ovulation bleeding is lighter than menstrual flow. Ovulation bleeding typically will last for one to two days.

A variety of factors can cause ovulation bleeding. For most women who experience ovulation bleeding, the cause is not clear. It may be related to the emergency of follicles. Hormones prompt ovaries to produce around 20 follicles that contain an immature egg, and out of this only one follicle matures. It is during this process of maturing and bursting out from the follicle that pain or bleeding occurs. Ovulation bleeding that is severe or that lasts longer than a couple of days can be a symptom of certain medical conditions, including endometriosis.

Bleeding episodes that are 2 weeks apart suggest that there may be a lack of ovulation altogether. A variety of conditions can cause this, including irritation to the cervix, polyps in the cervix, or polyps in the uterus.

Your health care provider can perform a physical examination of the uterus to help determine the cause of abnormal bleeding. An ultrasound examination or a diagnostic hysteroscopy can help detect sub-mucous fibroids, polyps and other problems. During a diagnostic hysteroscopy, it is possible to remove polyps for examination and take a sample of the uterus lining.

Bleeding during mid-cycle does not indicate menses. If Ovulation Bleeding is severe or long-lasting, and/or are accompanied by pain or acute discomfiture, it may be a sign of a severe problem. However, if the bleeding is extremely mild and short, and is not accompanied by pain and discomfort, it may be completely normal.

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