why does it hurt so much when i ovulate
is the pelvic and lower that some women experience during. generally occurs about midway between ; hence the term mittelschmerz, which comes from the German words for "middle" and "pain. "
The pain of ovulation can range from a mild twinge to severe discomfort and usually lasts from minutes to hours. It is generally felt on one side of the or pelvis and may vary each month, depending on which ovary is releasing the egg during that cycle. In some cases, a small amount of or discharge may occur. Some women experience, especially if the pain is severe. Who Has Painful Ovulation? Many women never experience painful ovulation. Some women, however, have mid-cycle pain every month and can determine by the pain that they are ovulating. What Causes Painful Ovulation? As an egg develops in the ovary, it is surrounded by follicular fluid. During ovulation, the egg and the fluid, as well as some, are released from the ovary. While the exact cause of mittelschmerz is unknown, it is believed that the fluid or may irritate the lining of the abdominal cavity, causing pain. The pain goes away soon after the egg is released or once the body absorbs the fluid or blood. How Do I Know If my Pain Is Due to Ovulation? Ovulation usually occurs about two weeks after the first day of each menstrual cycle, so the timing of the pain makes mittelschmerz easy to recognize.
To help determine if your pain is related to ovulation, your doctor may ask you to chart your menstrual cycles, noting any episodes of pain, as well as the location of the pain (the pain of ovulation usually occurs on one side of your lower abdomen). Your doctor also may perform an abdominal and to help rule out other possible, such as or a cyst on your ovary. If your pain is severe or if the doctor notices any irregularities on the exam, he or she may order blood tests or or X-rays to help determine the cause of your pain. Around cycle day 14 each month, a mature egg bursts through its follicle and travels into the adjoining fallopian tube. This process is called ovulation, and itБs a critical part of reproduction. Not every woman will feel ovulation. Though the sensation isnБt necessarily cause for alarm, you shouldnБt ignore ovulation pain. HereБs what you need to know. According to the, ovulation pain is also called mittelschmerz. In German, this means Бmiddle pain,Б and in most cases the discomfort is brief and harmless. You may notice one-sided pain for a few minutes or even a couple hours on your day of suspected ovulation. Ovulation involves a follicular cyst swelling and then rupturing to release the egg with your bodyБs surge in luteinizing hormone (LH). After the egg is released, the fallopian tube contracts to help it reach awaiting sperm for fertilization.
Blood and other fluid from the ruptured follicle may also enter the abdominal cavity during this process and cause irritation. The sensation can range from a dull ache to sharp twinges and may be accompanied by spotting or other discharge. If your pain becomes severe or happens at other points in your cycle, check in with your doctor. There are several other reasons you might be experiencing pain during your cycle. Try keeping track of when and where you feel the discomfort, how long it lasts, and any other associated symptoms. Your doctor can perform different tests to identify the source and offer treatment to help. An ovarian cyst can cause a number of symptoms, from cramping to nausea to bloating. Some cysts may cause no symptoms at all. Dermoid cysts, cystadenomas, and endometriomas are other, less common types of cysts and might cause pain. Another condition called polycystic ovary syndrome (PCOS) is marked by many small cysts on the ovaries. PCOS can cause infertility without proper attention. Your doctor may order a CT scan, MRI, or ultrasound to help determine if you have a cyst and what type it is. Many cysts resolve on their own without medical intervention. If they grow or are abnormal, however, cysts can cause complications and may need to be removed. Endometriosis is a painful condition where menstrual tissue from your uterus grows outside the uterine cavity.
Areas affected become irritated when the tissue has nowhere else to go. You may develop scar tissue or adhesions that are particularly painful during your period. Likewise, intrauterine adhesions, also known as AshermanБs Syndrome, can develop if youБve had previous surgery such as a dilation and curettage or cesarean delivery. According to the, you can also develop AshermanБs with no known cause. Since these conditions cannot be seen during a routine ultrasound, your doctor may order a hysteroscopy or. Is your pain accompanied by unusual or foul-smelling discharge? Do you have a fever? Do you feel burning when you urinate? These symptoms might indicate a bacterial infection or STD that needs urgent medical attention. Without treatment, infections and STDs can lead to infertility. They can even be fatal. Infections can be caused by medical procedures or even childbirth. Sometimes a urinary tract infection might cause general pelvic pain. like chlamydia, gonorrhea, and human papillomavirus (HPV) are contracted from unprotected sex. If you think youБre at risk for any of these issues, see your doctor. One-sided pelvic pain could be a sign of an ectopic pregnancy. This occurs when an embryo implants in the fallopian tubes or other location outside of the uterus.
The shares that ectopic pregnancy is potentially life-threatening and is usually discovered by the eighth week. Think you might be pregnant? See your doctor immediately. If you have an ectopic pregnancy, you will require immediate treatment with medication or surgery to prevent your fallopian tube from rupturing. If youБve visited your doctor and ruled out any issues, you are likely experiencing mittelschmerz. Continue to pay attention to any changes in your symptoms. Otherwise, there are some things you can do to ease the discomfort of midcycle pain. Try over-the-counter pain relievers. Ask your doctor about birth control pills to prevent ovulation. Apply a heating pad to the affected area or take a hot bath. The (ACOG) recommends having a Pap smear to screen for cervical cancer every three years. You should also have a yearly well woman visit with your gynecologist to discuss any other concerns you have with your gynecological health. If youБre overdue for your visit or are having pain and other symptoms, call your doctor today. For many women, midcycle pain is simply a sign of ovulation. There are several other conditions that can cause pelvic pain, some of which are serious if left untreated. ItБs always a good idea to pay attention to your body and report anything new and different to your healthcare provider.
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