![]() ![]() Sexually transmitted infections (STIs), such as chlamydia, which can cause inflammation that leads to painful ovulation.Scar tissue from a (C-section) or other abdominal surgery that caused abdominal adhesions. ![]() ![]() Endometriosis, painful condition in which your uterine lining grows outside of your uterus.It could be a sign of a different, more serious condition, including: But talk to your healthcare provider if you have severe pain. Ovulation pain itself is nothing to worry about. What conditions can be mistaken for ovulation pain? A healthcare provider can rule out a more serious condition that has similar symptoms. It’s always a good idea to talk to your healthcare provider about any pain you’re having. Ovulation pain doesn’t affect fertility, and it can help you be more aware of when you ovulate. It’s not dangerous or a sign of a serious health condition. It’s one of the side effects of your period. What can I expect if I have mittelschmerz? Your healthcare provider will discuss the next steps with you. If your healthcare provider notices something suspicious during the exam or your pain is severe, you may need more tests to find the cause. Your provider may also take swabs of fluid from your cervix to test for infection. You may also need an abdominal or vaginal ultrasound. These tests can help rule out other causes of pain, such as endometriosis or an ovarian cyst. Your healthcare provider may perform an abdominal and pelvic exam. If your pain happens around day 15 of that cycle, it may be ovulation pain. In this example, ovulation likely occurs around day 15. For example, if you begin bleeding on March 1 and then again on March 30, your cycle length is 29 days. Your menstrual cycle length is the time from the first day of one period to the first day of the next period. Note whenever you have pain and where you feel the pain. Your provider may ask you to keep a record of your menstrual cycles. You may have ovulation pain if you feel pain at this point in your cycle. Ovulation usually happens about two weeks into your menstrual cycle. Your healthcare provider might diagnose mittelschmerz based on the timing of the pain. However, the pain can last up to 48 hours. Ovulation pain typically lasts a few hours. But ovulation pain happens about two weeks before you get your period. Ovulation pain may feel similar to period pain - like menstrual cramps (dysmenorrhea). Is ovulation pain the same as period pain? This is a normal part of the menstrual cycle and the ovulation process. Both the follicle stretching and the egg bursting through the follicle may cause ovulation pain. This follicle eventually stretches and breaks open (ruptures) to release the egg. Eggs grow inside a follicle, which is a fluid-filled sac. Ovulation is the point in your menstrual cycle when one of your ovaries releases an egg. To understand ovulation pain, it helps to understand what ovulation is. Vaginal discharge that’s stretchy and clear (like egg whites).Some people feel pain for a few minutes, while others experience pain for the entire day. It usually hurts on just one side of your lower abdomen (the side that releases the egg). The pain may feel like a mild twinge, or you might have sudden, sharp pain. Mittelschmerz may affect up to 40% of women and people AFAB who ovulate during their reproductive years. Others may find that ovulation only hurts on one side, so their pain likely occurs every other month. Some people find that the pain occurs every month, regardless of which ovary releases an egg. This means if the ovary on your right side is releasing the egg, you’ll feel pain on your right. Many people say they feel ovulation pain on just the side that’s releasing the egg. So, each ovary releases an egg every other month. Your ovaries usually take turns ovulating. Most people have two ovaries, one on the left and one on the right side of the uterus. ![]() You typically feel ovulation pain in your lower abdomen and pelvic region. If the pain becomes severe, a healthcare provider may prescribe oral contraceptives to stop ovulation from occurring. Over-the-counter (OTC) pain relievers are effective in treating painful ovulation. Ovulation pain is also called “mittelschmerz.” The term comes from the German words for “middle” and “pain.” Mittelschmerz is typically harmless and doesn’t require medical attention. People who experience pain at ovulation often can tell based on the type of pain they feel and when it occurs. Ovulation usually happens about halfway between your periods or around day 14 of a 28-day menstrual cycle. Ovulation is the part of the menstrual cycle when your ovary releases an egg. Ovulation pain is pelvic pain that some women and people assigned female at birth (AFAB) have during ovulation. ![]()
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