Mittelschmerz (ovulation pain)

About Mittelschmerz (ovulation pain)

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 & Diagnostics

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

Common tests: BHCG, Complete blood count (CBC), Ultrasound.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

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.

Medical specialties

Internal Medicine · Pediatrics · Obstetrics and Gynecology · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Mittelschmerz (ovulation pain).