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Mittelschmerz

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Refers to one-sided, lower abdominal pain that affects some women.

Also known as ovarian pain syndrome.

It occurs at or around the time an egg is released from the ovaries.

One in five women have pain around the time of ovulation.

The pain may occur just before, during, or after ovulation.

This pain may be due to the growth of the follicle where the egg develops may stretch the surface of the ovary.

Additionally, at the time of ovulation, fluid or blood is released from the ruptured egg follicle, irritating the lining of the abdomen.

Pain may be felt on one side of the body during one month and then switch to the other side during the next month.

It may also occur on the same side for many months in a row.

Symptoms include lower-abdominal pain that:

Occurs only on one side.

Usually goes on for minutes to a few hours.

Can last up to 24 to 48 hours.

It is a sharp, cramping pain unlike other pain.

Pain is rarely severe.

May switch sides from month to month.

Begins midway through the menstrual cycle.

A pelvic exam is negative, as is abdominal ultrasound or transvaginal pelvic ultrasound.

Treatment is not needed in most cases.

Pain relievers may be needed if the pain is intense or lasts a long time.

While it can be painful, it is not harmful.

It is not a sign of disease, and most of the time, there are no complications.

It helps women to be aware of the time in the menstrual cycle when the egg is released.

Birth control pills can be taken to prevent ovulation, and can help reduce pain that is linked to ovulation.

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