Mittelschmerz (ovulation pain)


Description

Abdominal pain that occurs at the time of ovulation. The pain results from irritation of the abdominal cavity secondary to bleeding from the ovulation site. About 20% of women experience Mittelschmerz. The presence of the symptoms does not signify any structural disease.

Symptoms

Lower-abdominal pain usually located on one side, recurrent pain that recurs during the same time in the menstrual cycle, the pain may switch sides from month to month.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. An ultrasound may be done to rule out other causes of the pain.

Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Ultrasound

Specialists:
Internal Medicine, Pediatrics, Obstetrics and Gynecology, Family Practice

Treatment

No treatment is usually necessary. Nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn or Aleve) and/or acetaminophen (Tylenol), may be used to help relieve pain.
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