Abdominal Pressure and Unusual Bleeding in Women

Bleeding from the lower body after abdominal compression?

I consider myself slim, but my lower abdomen just won't slim down, especially when I wear straight-cut jeans, which causes a bulge of belly fat that makes me uncomfortable when sitting.
However, for the sake of beauty, I endure it...
Unfortunately, an unfortunate event finally occurred: I experienced bleeding outside of my menstrual period, with the color resembling diluted blood and somewhat viscous.
This happened after wearing jeans all day, and it flowed intermittently for about three hours before stopping.
I rushed to the bathroom to clean myself, and after urinating, it flowed more (not hematuria), which scared me! When I wear tighter pants, I don't bleed, but I do notice some secretions that resemble mucus.
Why is this happening? Recently, I've really wanted to slim down my lower abdomen, so I started doing sit-ups before bed.
Initially, I crossed my arms over my chest, but I felt it didn't fully engage my abdominal muscles, so I switched to crossing my hands behind my neck.
The next morning (not immediately upon waking), I experienced bleeding again, which continued intermittently for one to two hours.
The tissue I wiped with showed a light red liquid with blood streaks, somewhat similar to what happened after wearing tight jeans.
Could you please tell me which part of my body might be bleeding? Is it due to improper pressure? Could there be any long-term consequences? Thank you!
Additionally, I have another question.
I'm only 26 years old, yet I have issues similar to urinary incontinence.
When I exert my abdominal muscles (for example, when running or lifting heavy objects), sometimes I accidentally release some fluid (seems like urine).
How could this happen? Also, my menstrual cycle is very regular, occurring every 28 days, but over the past couple of years, the flow has become lighter.
On the second day, the maximum flow is such that I only need to change a pad every four hours (which is comfortable for a heavy flow), and by the fourth day, there's only a little bit left.
Why is this happening? My diet is normal! Could this lead to infertility? P.S.
I have no sexual experience.
I appreciate your response, doctor!

Bao Li Xing Shi Yu Shou Nu, 20~29 year old female. Ask Date: 2004/12/05

Dr. Chen Changfu reply Obstetrics and Gynecology

Dear online friend,
Hello! After carefully reading your message, it seems that you believe that abdominal exertion and pressure are the causes of the blood-tinged, mucus-like discharge outside of your menstrual period.
I want to clarify that abdominal exertion and pressure are not the direct causes of the light red fluid you are experiencing, and I worry that you may not accept my explanation.

As a 26-year-old woman with a regular menstrual cycle every 28 days, it can be inferred that you experience regular ovulation each month.
The presence of blood-tinged, mucus-like discharge during ovulation is simply due to increased abdominal pressure, which makes it easier for this discharge to flow out through the vagina, rather than being a sign of urinary incontinence or bleeding from organ damage.
There is no need for concern.
This is commonly observed during days 12 to 16 of a 28-day cycle, which corresponds to the ovulation period.
Your regular menstrual cycle and the presence of good-quality mucus-like discharge indicate healthy ovulation, and there is no need to worry about infertility due to minor variations in menstrual blood volume.
If you still cannot alleviate your psychological concerns, I recommend consulting a gynecologist for a pelvic ultrasound examination.

Reply Date: 2004/12/05

More Info

Understanding abdominal pressure and unusual bleeding in women can be complex, especially when considering the various physiological and anatomical factors at play. Based on your description, it seems you are experiencing a combination of symptoms that may be related to your menstrual cycle, physical activity, and possibly the clothing you wear.

Firstly, the unusual bleeding you mentioned that occurs outside of your menstrual period could be attributed to several factors. One common cause of mid-cycle bleeding is ovulation bleeding, which can occur when the follicle ruptures and releases an egg. This can sometimes cause a small amount of bleeding or spotting, which may appear as a light pink or brown discharge. The fact that you are experiencing this after wearing tight clothing, such as jeans, may not be directly related to the bleeding itself but could be exacerbating your discomfort. Tight clothing can put pressure on the abdomen and pelvic area, potentially leading to increased awareness of any existing symptoms.

The presence of a mucus-like discharge, especially after wearing tight clothing, could also be related to cervical mucus changes throughout your menstrual cycle. During ovulation, cervical mucus typically becomes more abundant and stretchy, resembling egg whites, which is a normal physiological response. If you are noticing this discharge along with the bleeding, it may indicate that you are experiencing ovulation or hormonal fluctuations.

Regarding the urinary incontinence you mentioned, this can occur for various reasons, even in younger women. Activities that put pressure on the bladder, such as running or lifting heavy objects, can lead to stress incontinence, where small amounts of urine leak out. This is often due to weakened pelvic floor muscles or insufficient bladder control. Engaging in exercises to strengthen the pelvic floor, such as Kegel exercises, may help improve this condition.

Your concern about the decrease in menstrual flow over the past couple of years is also noteworthy. While a regular cycle is a good sign of ovulatory function, changes in menstrual flow can occur due to various factors, including hormonal imbalances, stress, weight changes, or underlying health conditions. It is important to monitor these changes, especially if they are accompanied by other symptoms such as pain or significant changes in your cycle.

As for your worries about infertility, it is understandable to be concerned, especially with changes in your menstrual cycle. However, having regular periods typically indicates that ovulation is occurring, which is a positive sign for fertility. If you continue to experience unusual bleeding or significant changes in your menstrual cycle, it would be advisable to consult with a healthcare provider for a thorough evaluation. They may recommend tests such as blood work or imaging studies to rule out any underlying conditions.

In summary, the symptoms you are experiencing may be related to normal physiological changes, but they can also indicate the need for further investigation. It is essential to listen to your body and seek medical advice if you have ongoing concerns. Regular check-ups with a gynecologist can help ensure that any potential issues are addressed early on, allowing you to maintain your reproductive health and overall well-being.

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