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25-yr-old Indian woman cries tears of blood during periods due to rare condition
The woman was not experiencing any pain or discomfort due to the tears of blood.
Doctors were surprised when a woman complained about experiencing 'bloody tears'. The 25-year-old woman visited the emergency room at a hospital in Chandigarh after she experienced crying tears of blood.
The woman was not experiencing any pain or discomfort due to the tears of blood. She told the medics that she experienced the same thing a month before consulting them.
She underwent different ophthalmological and radiological tests. However, all of her reports came normal.
The doctors couldn't find her bleeding from other locations and she didn't have a history of the ocular bleeding condition or any past issues with her eyes.
After investigating the case in more detail, the doctors realised that both the times the woman cried tears of blood, she was on her periods. She was eventually diagnosed with ocular vicarious menstruation.
The rare condition is described as "cyclical bleeding occurring during menstruation from extragenital organs", with the most common place for bleeding being the nose, according to Medizzy. However, bleeding can also occur from the lips, eyes, lungs, and stomach.
The woman's case came to light after it was published in the British Medical Journal. The study's authors said that hormonal changes during menstruation affect 'vascular permeability' in these organs, resulting in bleeding.Though the exact anatomical cause is still relatively unknown, experts believe endometriosis or the presence of endometrial tissue in extragenital organs can be a factor in developing vicarious menstruation.
"Oestrogen and progesterone can increase permeability of capillaries resulting in hyperaemia, congestion and secondary bleeding from extrauterine tissue," the study's authors said.
The woman was treated with oral contraceptives containing a combination of estrogen and progesterone. She told the doctors that she didn't experience bloody tears after a three-month follow-up.
Bloody tears, also known as hemoclaria, are very rare and can sometimes form due to a disease like melanoma or a tumour. The condition can also happen if the eye is injured in a particular way. However, in this patient's case, it was associated with menstruation.