Ovulation Pain : A condition that impacts Women's health


When they ovulate, some women have a one-sided ache in the lower abdomen.

A woman's ovary produces an egg as part of the menstrual cycle around 14 days before her menstruation.

Pain during ovulation is frequently typical and just another side effect related to periods. One-sided lower abdomen discomfort known as "mittelschmerz" is connected to ovulation. Mittelschmerz, which means "middle pain" in German, happens 14 days before your next period, in the midst of a menstrual cycle.

Mittelschmerz often does not need medical care. Home cures and over-the-counter pain medications are frequently successful in treating modest mittelschmerz discomfort. Your doctor could suggest an oral contraceptive if your mittelschmerz discomfort is bothersome in order to halt ovulation and stop mid-cycle pain.


Theoretically, ovulation pain is caused by the egg breaking through the ovarian wall, which causes a tiny quantity of fluid (or occasionally a small amount of blood) to be released and irritates adjacent nerves. Nobody is confident about this, though.

Ovulation Pain happens when the follicle bursts and releases the egg during ovulation. Some women have mittelschmerz every month, while others do not.

Although the specific cause of Ovulation Pain is uncertain, these are some potential causes of the pain:

  • Follicle expansion strains the surface of your ovary just before the release of an egg during ovulation, resulting in discomfort.
  • The lining of your abdomen (peritoneum), which is irritated by the blood or fluid spilt from the burst follicle, causes discomfort.
  • Other types of pain throughout your menstrual cycle are not mittelschmerz. If it happens during your period, it can be typical monthly cramps (dysmenorrhea), or it might be a sign of another pelvic or abdominal issue. If the discomfort is severe, consult a doctor.

There are a number of additional reasons why you could be hurting throughout your period.

Try recording the discomfort's location and timing as well as its duration and any supplementary symptoms. Keeping a record can assist you and your doctor in determining the root of the problem.

Your doctor can do several tests to determine the cause and provide therapy if your mid-cycle pain is persistent.

Cysts symptoms, such as cramping, nausea, and bloating, might be brought on by an ovarian cyst. Some cysts may not even produce any symptoms.

Endometriomas, dermoid cysts, and other uncommon cyst forms like cystadenomas can all hurt.

Numerous little cysts on the ovaries are a symptom of polycystic ovarian syndrome (PCOS), another illness. Untreated Infertility may result from PCOS.

In order to identify whether you have a cyst and what kind it is, your doctor may prescribe a CT scan, MRI, or ultrasound. Many cysts disappear on their own without the need for treatment.

Cysts, however, can cause issues and could need to be surgically removed if they expand or behave abnormally.

Adhesions or endometriosis

Endometriosis is a painful disorder in which tissue that resembles the uterus' inner lining develops outside of the uterus.

When the lining tissue reacts to hormones during your cycle, the afflicted areas become inflamed, leading to bleeding and inflammation outside of the uterus. During your menstruation, you could have endometriosis adhesions or scar tissue that hurt a lot.

The same is true for intrauterine adhesions, often known as Asherman syndrome. You have undergone surgery in the past. This involves a caesarean birth or dilation and curettage (D & C).

These adhesions might also be brought on by an earlier uterine infection. Asherman syndrome can also appear for unknown reasons.

Your doctor may recommend a hysteroscopy or laparoscopy since normal ultrasounds cannot detect certain issues. These operations provide medical professionals immediate access to your uterus or pelvis.

Sexually transmitted diseases or illnesses (STIs)

Do you have any strange or unpleasant-smelling discharge along with your pain? Are you feverish? When you urinate, do you experience burning?

These signs may point to a bacterial infection or an STI that requires immediate medical care.

Infections can arise during medical operations or even during childbirth. Even widespread pelvic discomfort might result from an infection (UTI).

Condom-free intercourse can lead to the spread of STIs such as chlamydia, gonorrhea, and the human papillomavirus (HPV).

Ectopic conception

An ectopic pregnancy may be the cause of one-sided pelvic discomfort.

When an embryo implants outside of the uterus, such as in the fallopian tubes, this happens. The eighth week is often when an ectopic pregnancy is detected, which might be fatal.

Visit your doctor right away if you suspect you could be pregnant. If you have an ectopic pregnancy, you should seek emergency medical attention or surgery to stop the rupture of your fallopian tube.

How to check if you have Ovulation Pain?

If the pain is extreme or you are concerned, visit your doctor.

Before your visit, it is a good idea to keep a diary. Tell the doctor precisely when and for how long the pain occurs during your menstrual cycle. Rarely does Ovulation Pain necessitate medical attention. For more dangerous conditions than Ovulation Pain, such as appendicitis, pelvic inflammatory disease, or even ectopic pregnancy, consult your doctor if a new pelvic pain becomes intense, is accompanied by nausea or a fever, or continues.


A gradual cramp or a quick, acute pang of discomfort is also possible. The side of your abdomen where the egg is being released usually depends on which ovary it is.

It could simply last a few minutes or continue for a day or two. When it occurs, some women have a little vaginal bleeding. The discomfort associated with mittelschmerz lasts for a few minutes to a few hours, but it can last for up to a day or two. Ovulation pain may feel like:

  • Your lower abdomen on one side
  • An achy and dull feeling akin to menstruation cramps
  • Abrupt and acute
  • With mild vaginal bleeding or discharge
  • Rarely, the side of the ovary that is producing an egg will experience acute Mittelschmerz discomfort (ovulating). You could experience pain on one side for several months before switching sides every two months.
  • For several months, keep track of your menstrual cycle and make note of any lower abdomen pain you have. If it appears in the middle of the cycle and goes away untreated, it is most likely Ovulation Pain.


Taking a hot bath or taking an over-the-counter pain reliever like paracetamol can typically help to lessen painful ovulation. Ibuprofen and other non-steroidal anti-inflammatory medicines (NSAIDs) may also be helpful, but you should not use them if you are trying to conceive since they can prevent ovulation.

Ask your doctor about other treatments if you are experiencing a lot of pain.

Ovulation discomfort can be fully eliminated by birth control techniques that prevent ovulation, such as the contraceptive pill or contraceptive implant.

The following are potential therapies for mittelschmerz:

Drugs that reduce pain. Try taking an over-the-counter medication like acetaminophen (Tylenol, among others), aspirin, ibuprofen (Advil, Motrin IB, among others), or naproxen sodium to ease the discomfort caused by mittelschmerz (Aleve).

Tablets for contraception (oral contraceptives). Ask your doctor about using birth control tablets if your mittelschmerz gives you a lot of discomforts or if it happens on a regular basis. Some birth control methods prevent ovulation, which may lessen ovulation discomfort while you're using them.

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Page last reviewed: Mar 20, 2023

Next review due: Mar 20, 2025

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