Mittelschmertz
Mittelschmertz is a term used to describe unilateral, lower abdominal pain that accompanies ovulation. Mittelschmertz is translated from German as "middle pain" because it occurs in the middle of the menstrual cycle - 14 days before the next cycle.
In most cases, mittelschmertz does not require medical attention For mild cases, over-the-counter pain relievers and home remedies are also effective If the pain is severe, your doctor may prescribe oral contraceptives to prevent ovulation and associated symptoms.
Mittelschmertz occurs during ovulation, when the follicle ruptures and releases the egg. Some women have pain every month, and some sometimes
The exact cause of Mittelschmertz is unknown, but possible causes of the pain are:
- Before the egg is released from the ovary, the growth of the follicle stretches the surface of the ovary and causes pain
- Blood or fluid that comes out of the ruptured follicle irritates the lining of the abdomen You may have normal menstrual pain, dysmenorrhea, if these symptoms occur during your cycle Or you may have other problems Therefore, consult a doctor in case of severe pain
Mittelschmertz pain usually lasts a few minutes or hours, but may last a day or more The pain is characterized by:
- One side, in the lower abdomen
- Deaf, circular
- Sharp, sudden
- Now vaginal bleeding or discharge
- Rarely, strong
Mittelschmertz pain occurs on one side, that The pain usually changes side often or may develop in the same ovary for several months
Monitor your menstrual cycle for a few months and you will notice lower abdominal pain. If the pain occurs in the middle of the cycle and disappears without treatment, the presence of Mittelschmertz is likely
When to consult a doctor Mittelschmertz rarely requires medical attention Consult a doctor if the pelvic pain is severe, accompanied by nausea and vomiting or does not go away These signs indicate a much more serious problem than Mittelschmertz – appendicitis or pelvic inflammatory disease, sometimes even an ectopic pregnancy.
