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Ovulation Pain for 3 Days: Symptoms and When to See a Doctor

What are the symptoms of ovulation pain for 3 days? When should you see a doctor for ovulation pain? Get the answers to these questions and more.

Understanding Ovulation Pain

Ovulation pain, also known as mittelschmerz, is a common experience for some people. It occurs when a follicle in the ovary ruptures, releasing an egg. This process can cause a sudden, sharp pain that may last for a few hours to a few days. While it is not a sign of a serious problem, it is important to distinguish ovulation pain from other types of pelvic pain.

Symptoms of Ovulation Pain

The main symptoms of ovulation pain include:

  • Sudden, sharp pain (not gradually worsening)
  • Pain that appears in the middle of the cycle
  • Pain on only one side of the body

The pain may be described as sharp, dull, or a stabbing sensation. Mittelschmerz is usually not severe enough to cause alarm, but if it is accompanied by other symptoms, it may have a different cause.

Differentiating Ovulation Pain from Other Conditions

Pelvic pain can have many causes, so it’s important to be able to distinguish ovulation pain from other types of pain. Some signs that the pain may not be due to ovulation include:

  • Pain on both sides of the body
  • Pain that steadily worsens
  • Pain that lasts several days
  • Pain accompanied by vaginal bleeding
  • Pain following an injury
  • Swelling, bloating, vomiting, or diarrhea
  • Painful urination

Other common causes of pelvic pain include pelvic relaxation syndromes, urinary disorders, endometriosis, menstrual cramps, constipation, appendicitis, and ectopic pregnancy.

When to See a Doctor

While ovulation pain is usually not a cause for concern, it is important to see a doctor if the pain is accompanied by any of the following:

  • Pain that gets steadily worse
  • Pain that lasts several days
  • Pain with vaginal bleeding
  • Pain following an injury
  • Swelling, bloating, vomiting, or diarrhea
  • Painful urination

Additionally, anyone who is unsure about the cause of their pelvic pain should see a doctor for an evaluation. Proper diagnosis and treatment are essential to prevent complications and ensure overall reproductive health.

Causes of Pelvic Pain

Pelvic pain can have a variety of causes, including:

  1. Pelvic relaxation syndromes: Weakening of the pelvic muscles can cause chronic pain, as well as back or stomach pain.
  2. Urinary disorders: Urinary tract infections can cause pain with urination, blood in the urine, and back pain.
  3. Endometriosis: The growth of endometrial tissue outside the uterus can cause chronic pelvic pain, heavy periods, and irregular periods.
  4. Menstrual cramps: Cramping before or during a period is not considered ovulation pain.
  5. Constipation: Difficulty with bowel movements can cause a range of pelvic sensations.
  6. Appendicitis: Inflammation of the appendix can cause pain that starts in the middle of the stomach and moves to the lower right side.
  7. Ectopic pregnancy: A fertilized egg implanted outside the uterus can cause one-sided pelvic pain, especially if the period is late.
  8. Ovarian cysts or torsion: Ruptured cysts or twisting of the ovary can also cause pelvic pain.

When to Seek Medical Attention

If the pelvic pain is severe, persistent, or accompanied by other concerning symptoms, it is important to seek medical attention. Some signs that the pain may require prompt medical care include:

  • Pain that steadily worsens over several days
  • Pain with fever or vomiting
  • Pain with vaginal bleeding or a missed period
  • Pain that interferes with daily activities

A healthcare provider can perform an evaluation, order appropriate tests, and provide a diagnosis and treatment plan to address the underlying cause of the pelvic pain.

Conclusion

Ovulation pain, or mittelschmerz, is a common experience for some people. While it is usually not a sign of a serious problem, it is important to be able to distinguish it from other types of pelvic pain. If the pain is severe, persistent, or accompanied by other concerning symptoms, it is important to seek medical attention to ensure proper diagnosis and treatment. By understanding the symptoms of ovulation pain and when to see a doctor, individuals can take steps to maintain their overall reproductive health.

Symptoms and when to see a doctor

A minority of people experience a sudden, sharp pain when they ovulate. Also known as mittelschmerz pain, it does not mean that something is wrong. However, it is easy to mistake other abdominal pain for ovulation pain, so anyone experiencing any pelvic pain symptoms should see a doctor.

Ovulation occurs when a follicle in an ovary ruptures, releasing an egg. The egg eventually travels down the fallopian tubes to the uterus.

Most researchers think mittelschmertz pain is due to the swelling or rupturing of the follicle. The pain can last anything from a few hours to a few days.

A 2013 study of 55 women found that 35 percent felt pain in the middle of their cycle, with 16.6 percent of them experiencing pain on one side of the body.

Doctors do not know why some people experience ovulation pain, and some do not, but there is no evidence that it is a sign of a serious problem.

Share on PinterestOvulation pain can cause sharp pains on one side of the pelvis.

Pelvic pain is common. A 2014 review of previous research found that between 5.7 and 26.6 percent of women worldwide have chronic pelvic pain.

It can be hard to tell the difference between ovulation pain and other types of pain, especially if people do not track their menstrual cycles or know when ovulation is happening.

Some symptoms of ovulation pain include:

  • sudden pain, not pain that gets worse over several days or hours
  • pain that appears in the middle of a cycle
  • pain on only one side of the body

The pain may be sharp or dull. It may feel like a stabbing sensation or cramp. Mittelschmerz is not typically severe enough to cause alarm. The pain usually occurs on its own; if it happens alongside other symptoms, however, it probably has another cause.

Signs that the pain might be due to something other than ovulation include:

  • pain on both sides of the body
  • pain that gets steadily worse
  • pain that lasts several days
  • pain with vaginal bleeding
  • pain following an injury
  • swelling or bloating
  • vomiting, nausea, or diarrhea
  • painful urination

Many other conditions can cause pelvic pain, including pelvic pain around the time ovulation. Some of the most common causes include:

Pelvic relaxation syndromes

Pelvic relaxation syndromes, which are common in those who have given birth and in older women, happen when muscles in the pelvis weaken. They cause chronic pain that may also result in back or stomach pain.

Urinary disorders

A urinary tract infection can affect the urethra, bladder, or kidneys. It can make urination very painful, cause blood in the urine, and also cause fevers and back pain.

Pain in the lower stomach, especially if the pain occurs with urinary pain, may mean there is a urinary tract infection.

Endometriosis

Endometriosis is a condition that causes the tissue that lines the uterus to occur in other areas of the body. It causes chronic pelvic pain at the place where the endometrial tissue has developed.

Many people with endometriosis experience intense menstrual cramps or very heavy periods. Others have pain throughout their cycle or very irregular periods.

Menstrual cramps

Cramping right before or during a period is not ovulation pain.

Many women experience menstrual cramps. If the pain is mild and does not interfere with daily tasks, there is probably no need for concern and treatment is not usually necessary.

However, intense pain or pain that has gotten steadily worse with each period requires the attention of a doctor.

Constipation

Constipation can cause a range of painful or unusual sensations in the stomach or pelvis.

A person who has not had a bowel movement in several days, or who has strained to have a bowel movement, may have constipation.

Chronic constipation may also be a sign of an underlying medical condition.

Appendicitis

Appendicitis occurs when the appendix becomes infected. It can be very dangerous without treatment. The pain usually starts in the middle of the stomach and may come and go. Typically, the pain travels to the lower right side of the abdomen over several hours and becomes very intense.

Anyone who suspects they may have appendicitis should see a doctor immediately.

Ectopic pregnancy

An ectopic pregnancy occurs when a fertilized egg implants somewhere other than the uterus.

An ectopic pregnancy cannot continue. If a doctor does not remove the fertilized egg, the fallopian tube could rupture, which may have a severe impact on fertility or even be fatal.

Pain on one side of the body late in the cycle, especially if a period is late, could be a sign of an ectopic pregnancy. If the pain gets worse over several days or fever develops, see a doctor immediately.

Ruptured ovarian cyst or ovarian torsion

Most ovarian cysts go away on their own. Sometimes, however, they rupture or damage the ovary.

An ovarian torsion happens when the ovary twists around the fallopian tube. It can cause dangerous bleeding and possibly cause the ovary to die.

A ruptured ovarian cyst or ovarian torsion is a medical emergency. The pain is intense and unrelenting and can happen at any time during the menstrual cycle.

Gastrointestinal problems

Share on PinterestGastrointestinal problems or urinary tract infections can cause stomach pains.

Sometimes, it can be difficult to tell the difference between stomach and pelvic pain.

Many stomach and intestinal problems can cause pain, including pain on one side of the body. Problems with the pancreas or liver often cause pain in the upper right stomach.

Other gastrointestinal problems, such as diverticulitis, an infection, or another serious problem with the intestines, can also cause stomach pain.

Many people also develop other symptoms alongside pain, such as:

  • diarrhea
  • constipation
  • bloating
  • changes in the color of the stool

See a doctor for ovulation or pelvic pain if:

  • the pain is intense, interferes with daily functioning, or has gotten worse over time
  • the pain occurs at a time other than the middle of the cycle or lasts for several days
  • the pain occurs alongside heavy bleeding
  • there are other symptoms present, such as painful urination or fever

Go to the emergency room if:

  • the pain is unbearable
  • the pain occurs in a woman who is pregnant or who might be pregnant
  • the pain results from a blow to the stomach, sexual assault, or other potential injuries to the pelvic organs

Share on PinterestApplying heat for short periods of time may help relieve ovulation pain.

Ovulation pain is usually mild and does not require treatment. Those who find the pain too intense can try one of the following home remedies:

  • Taking a non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen, at the first sign of ovulation pain. Women who chart their cycles may be able to predict the day of ovulation and might consider taking an NSAID before the pain begins.
  • Stretching. Gentle stretches can help relieve muscle tension that may intensify the pain.
  • Applying a hot pack to the area for 20 minutes at a time.

These mild remedies are suitable for people who do not have any health issues or concerns. Anyone in any doubt that their pain is not due to mittelschmerz should talk to a doctor.

Ovulation pain is common and not a sign of any specific problem. Many people are not sure when they ovulate, making it easy to confuse mittelschmerz with other types of pain.

A visit to a doctor can help with diagnosing the cause, in addition to offering reassurance to those with concerns that ovulation pain might signal a serious problem.

What does it feel like? — Flo

Published

25 July 2022

Fact Checked

Medically reviewed by Dr. Barbara Levy, Clinical professor of obstetrics and gynecology, George Washington University School of Medicine and Health Sciences, UCSD Health, California, US

Written by Jennifer Barton

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Every piece of content at Flo Health adheres to the highest editorial standards for language, style, and medical accuracy. To learn what we do to deliver the best health and lifestyle insights to you, check out our content review principles.

Did you know it’s actually possible to feel ovulation? Here, an expert tells Flo how common ovulation pain really is and what it feels like.

The majority of women and people who menstruate will ovulate — when the ovaries release an egg for fertilization — once a month, as long as they’re not on hormonal contraception. But did you know it’s actually possible to feel this happening?

Ovulation pain is an ache in the lower abdomen, usually on one side, that occurs when you ovulate. It happens roughly midway through your cycle and can vary in how it feels. 

Considering a human egg is just 0.1 mm in diameter — basically, tiny — it seems odd to imagine that anyone would be able to feel theirs being released. But ovulation pain is actually quite common. As Dr. Sara Twogood, an obstetrician-gynecologist (OB-GYN) based at Cedars-Sinai Medical Center in Los Angeles, notes: “It’s hard to know exactly how many people experience it, [but] many resources state about 40% of ovulating females have symptoms.” 

Here, Dr. Twogood takes us through all the need-to-knows on what causes ovulation pain, what it feels like, and how to make sure you’re not mistaking it for anything else.

What causes ovulation pain? Is it normal?

First things first: Let’s do a quick refresher on ovulation, the point in your cycle when you’re at your most fertile. During ovulation, a mature egg is released from the ovary. It then passes through the uterine tubes and stays there for 12 to 24 hours, at which point it could be fertilized by sperm. If it’s not fertilized, the egg disintegrates into your uterine lining and sheds as part of your monthly period.

As a general rule of thumb, for those with an average 28-day menstrual cycle, ovulation typically happens somewhere right in the middle, around day 14, explains Dr. Twogood. Everyone has different ways of determining when they’re likely to be ovulating. Using an ovulation calculator is one option, or using a period tracker like Flo is another good place to start. Then, of course, there’s ovulation testing (which you can read more about here). All of these methods can be used in conjunction with natural signs from your body. Some people start to notice symptoms like a change in cervical mucus or a slight increase in basal body temperature just after ovulation. Or, you might experience ovulation pain, which can show up as a twinge or cramp.

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Some researchers suggest 1 in 5 women experience ovulation pain each month, while another study from 2013 puts the figure higher, noting that 35% of participants “experienced mid cycle pain. ” As we know, Dr. Twogood points to research suggesting it could be as many as 40%. Whatever the specific figure, ovulation pain is common enough to warrant its own word: “mittelschmerz” — a German word literally meaning “middle pain,” which refers to the lower pelvic pain experienced during ovulation.

Experts can’t quite agree on the precise cause of mittelschmerz. Some say this kind of cramping is due to the egg bursting from its follicle. Others think follicular swelling can cause achiness in the pelvis, which is when the follicles housing the growing eggs in your ovaries swell up as they prepare to be released. Then there are the experts who believe that it’s hormonally induced pain since mittelschmerz coincides with the LH (luteinizing hormone) peak, which happens right before ovulation. 

Ovulation pain location: Where does the pain occur?

Typically, ovulation pain is felt in the lower abdomen (the midsection of your body) and pelvis. Discomfort is usually only experienced on one side of the body — although it changes from month to month. That’s because only one ovary releases an egg each month

“The side alternates every month, but the left side may be more ‘protected’ by the colon [the longest part of the large intestine], so [pain on] the right side may be more obvious,” explains Dr. Twogood. Since it’s not always identified as something cycle-related, a sudden pain in the lower right side of the pelvis can sometimes be confused with appendicitis.

How long does ovulation pain last?

Ovulation pain doesn’t have a fixed time frame, says Dr. Twogood, explaining that it can last “anywhere from a few hours up to two or so days.” Typically for those with regular cycles, the pain occurs 14 days before your next period is due, but you won’t necessarily feel it every month.

If you’ve experienced pain during ovulation in the past, you’re likely to continue experiencing it on and off. “If the pain is cyclical [recurring at a similar time] and self-limiting [not painful enough to require any prescription treatment], those are reassuring signs,” Dr. Twogood explains.

What does ovulation pain feel like?

Ovulation pain isn’t a “one-size-fits-all” symptom, according to Dr. Twogood. “It can feel different for different people,” she says. 

“Many people describe it as a sudden sharp pain on one side of their low abdomen and pelvis. Often it lingers for a day or two and then resolves on its own. Some people find it very painful, while others report a mild but noticeable discomfort.”

What do Flo users say ovulation pain feels like? It seems it varies for everyone.

  • “I feel ovulation pain every month like clockwork.”
  • “I get pelvic pain and ovulation pain, mainly in the right ovary.” 
  • “I usually have severe ovulation cramps with no cervical mucus to show for it.”
  • “I’ve been having horrible pain on my left side. It feels like gas moving around.”
  • “I’ve always felt ovulation pain on my lower right side, and the pain lasts for a day or two.
  • “I can immediately feel the ovulation process start. I get light cramping.”
  • “I’ve only felt ovulation pain a few times. It’s like a little sharp stabbing pain in my side.”

Dr. Twogood notes that there may also be other ovulation signs which occur at this time in your cycle. In addition to mittelschmerz, some people will also experience: 

  • Mild ovulation back pain
  • Spotting or bleeding
  • A change in vaginal discharge (it becomes stretchy and transparent, similar in consistency to an egg white)

After ovulation, you may notice some other symptoms. These are often caused by a change in hormones. “After ovulation, in the luteal phase of the cycle, progesterone is the more dominant hormone,” Dr. Twogood explains. Progesterone helps to prepare your uterus for pregnancy, among other body functions. Meanwhile, estrogen — a female sex hormone that plays a key role in your reproductive health — decreases. This new balance of hormones can cause:

  • Breast tenderness/swelling
  • Mood changes

When should you worry about ovulation pain?

Ovulation pain isn’t generally anything to be concerned about, but if you find it’s recurrent and painful, oral contraceptives (the pill) have been shown to improve symptoms since they stop ovulation. Speak to your health care provider if you’d like to explore this option.

However, there are some other conditions that could cause a similar, one-sided pain and have nothing to do with the monthly release of an egg. These include:

  • Ectopic pregnancy (when a pregnancy grows outside of the uterus, often in the uterine tubes)
  • Ovarian cysts (including rupture of ovarian cysts)
  • Ovarian torsion (when the ovary twists, cutting off its blood supply)
  • Musculoskeletal pain (affecting the joints, bones, and muscles)
  • Appendicitis
  • Gas pain (also known as wind)
  • Constipation
  • Infection of the bowel (also known as gastrointestinal infection)
  • UTIs
  • Kidney stones
  • Inflammatory bowel diseases like Crohn’s disease or ulcerative colitis

Some of the above conditions would require medical attention, while others can be dealt with using simple self-care methods. “Symptoms that would be concerning and warrant [medical] evaluation would be severe pain, significant nausea and vomiting, pain that does not resolve on its own, and fever,” says Dr. Twogood. “If someone is worried and there are other minor symptoms, seeking evaluation may also be recommended.”

Frequent pelvic pain — during ovulation, your period, and sexual intercourse — could also be a sign of endometriosis. It generally tends to start out moderate before becoming more extreme as your period approaches, so reach out to a health care professional if you suspect this is what you’re experiencing. They’ll be able to run some tests if necessary.

For those with milder symptoms, Dr. Twogood recommends the following: 

  • Rest
  • Heat packs
  • A warm bath
  • Stretching
  • Abdominal massage or pressure (if it feels good) 
  • Pain medication like ibuprofen (if it’s needed)

Is there a link between ovulation pain and getting pregnant?

While knowing the signs of ovulation can help you plan conception sex during peak fertile days (if you’re trying to conceive), ovulation pain is just that — a pain. But it won’t impact your chances of conception in any way.

Dr. Twogood explains that while there is no link between ovulation pain and getting pregnant, feeling discomfort when you release an egg can be useful in terms of indicating you’re fertile. “It’s a sign of ovulation, so that can sometimes be reassuring to people to confirm they ovulated.”

Ovulation pain: The takeaway

Ovulation pain is relatively common, and it shows up as dull cramps or sharp stabs on one side of the body around the time your body releases an egg. It may cause you some discomfort, but beyond that, it’s really nothing to worry about. If you notice the twinge moves from one side to the other month-to-month, again, that’s perfectly normal and is just linked to whichever ovary has released the egg that month.

Other symptoms like an achy back or sore nipples may also occur around the time of ovulation (these are related to hormonal shifts rather than ovulation itself). But remember: any pain associated with ovulation should stop within 48 hours and shouldn’t be severe or accompanied by nausea and a fever. If you’re experiencing this, it’s recommended that you seek medical help.

Experiencing ovulation pain isn’t pleasant, but it can be helpful if you’re trying to conceive. By tracking your cycles and your symptoms with an app like Flo, you’ll know when you’re at your most fertile and when to have sex. You’ll also be better prepared for any oncoming pain.

References


Alberts, Bruce, et al. Eggs, Garland Science, 2002.

Brott, Nathan, and Jacqueline Le. “Mittelschmerz.” National Library of Medicine, 8 May 2022, www.ncbi.nlm.nih.gov/books/NBK549822/. Accessed 12 July 2022.

“Cervical Mucus.” Cleveland Clinic, my.clevelandclinic.org/health/body/21957-cervical-mucus. Accessed 20 July 2022.

Dasharathy, Sonya S., et al. “Menstrual Bleeding Patterns among Regularly Menstruating Women.” American Journal of Epidemiology, vol. 175, no. 6, Mar. 2012, pp. 536–45.

Eren, Tunc, et al. “Factors Effecting Mastalgia.Breast Care, vol. 11, no. 3, June 2016, pp. 188–93.

“Estrogen.” Cleveland Clinic, my.clevelandclinic.org/health/body/22353-estrogen. Accessed 20 July 2022.

“Fallopian Tubes: Is Pregnancy Possible with Only One?” Mayo Clinic, 1 May 2021, www.mayoclinic.org/diseases-conditions/female-infertility/expert-answers/pregnancy/faq-20058418.

“Hormone Therapy for Menopause: Types, Benefits & Risks.” Cleveland Clinic, my.clevelandclinic.org/health/treatments/15245-hormone-therapy-for-menopause-symptoms. Accessed 15 July 2022.

“Menstrually Related Mood Disorders.” Center for Women’s Mood Disorders, 21 Feb. 2008, www.med.unc.edu/psych/wmd/resources/mood-disorders/menstrually-related/.

“Mittelschmerz.” Mayo Clinic, www.mayoclinic.org/diseases-conditions/mittelschmerz/symptoms-causes/syc-20375122 Accessed 12 July 2022.

“Mittelschmerz.” University of Florida Health, 28 Mar. 2019, ufhealth.org/mittelschmerz. Accessed 12 July 2022

“Mittelschmerz Is a Preovulatory Symptom.British Medical Journal, 5 Apr. 1980, p. 986, www.bmj.com/content/280/6219/986. Accessed 12 July 2022.

“Ovulation Signs: When Is Conception Most Likely?” Mayo Clinic, 7 Dec. 2021, www.mayoclinic.org/healthy-lifestyle/getting-pregnant/expert-answers/ovulation-signs/faq-20058000.

Poonam, D., et al. “The Role of Ultrasound in Ovulation Detection Compared to BBT and Other Methods.” Nepalese Journal of Radiology, vol. 3, no. 2, 2014, pp. 57–64, https://doi.org/10.3126/njr.v3i2.9608. Accessed 12 July 2022.

“What Ovulation Signs Can I Look Out for if I’m Trying to Conceive?” Mayo Clinic, www.mayoclinic.org/healthy-lifestyle/getting-pregnant/expert-answers/ovulation-signs/faq-20058000. Accessed 12 July 2022.

Won, Ha Ryun and Jason Abbott. “Optimal Management of Chronic Cyclical Pelvic Pain: An Evidence-Based and Pragmatic Approach.” International Journal of Women’s Health, vol. 2, 10 Aug. 2010, pp. 263–277, www.ncbi.nlm.nih.gov/pmc/articles/PMC2990894/. Accessed 12 July 2022.

History of updates

Current version
(25 July 2022)

Medically reviewed by Dr. Barbara Levy, Clinical professor of obstetrics and gynecology, George Washington University School of Medicine and Health Sciences, UCSD Health, California, US

Written by Jennifer Barton

Published
(25 July 2022)

How to independently determine the beginning of ovulation and not make a mistake

Ovulation is the release of an egg from the follicle. It can be tracked with an ultrasound. Or you can do an ovulation test. But some women claim that they feel it without any auxiliary means. Are you one of those?

Ovulation Formula

Knowing when ovulation occurs is important for two things: if a woman wants to get pregnant, or if a woman chooses a calendar method of contraception. The fertile period – the period when fertilization can occur – lasts approximately six days: five days before ovulation and the day of ovulation. The highest probability of conception is within two days before and on the day of ovulation.

Calculating the day of ovulation mathematically makes sense if you have a very regular and regular menstrual cycle. The length of the first phase of the cycle varies. The second phase is more stable and lasts 14 days. Accordingly, to calculate the day of ovulation, it is necessary to subtract 14 from the cycle length. In an ideal 28-day cycle, ovulation occurs exactly in the middle: 28-14 = 14. In a short cycle, it will occur earlier: for example, with a cycle length of 24 days, ovulation will have to around day 10. In the long – later: 33-14 \u003d 19. For women whose menstrual cycle fluctuates by several days, the formula becomes more complicated: you need to take into account the duration of both the shortest and longest cycles, calculate the average. Still, the figure will only be approximate.

A woman can determine the days favorable for conception if she pays attention to the changes that occur to her on certain days of the cycle. These changes are most noticeable in the uterine mucosa and cervix.

Mucus

Neck glands produce mucus. Usually it is thick: a real cork that closes the cervical canal and prevents infections from passing into the uterus. In such thick mucus, sperm cells quickly lose their mobility, and it is difficult for them to rise into the uterine cavity. But the main (dominant) follicle growing in the ovary, from which the egg will be released, produces the hormone estradiol. The more estradiol, the more cervical mucus becomes and the thinner it is. On the eve of ovulation, it becomes extensible, like egg white. In some women, this viscous transparent discharge in the middle of the cycle is very noticeable. For some – a few days before ovulation, for others – only on the day of ovulation itself. This is individual.

Pain

Ovulation may be indicated by pain in the lower abdomen on the days of the cycle, not associated with menstrual bleeding. The pain can be in the lower abdomen in the center or on the right / left – depending on which ovary the dominant follicle matures. The pain is often of a pulling nature. It may be accompanied by slight bloating or a feeling of fullness in the lower abdomen. At first, the pain is slight, but within a couple of days it can intensify. These pains are associated with an increase in the level of biologically active substances in the body of a woman before ovulation – prostaglandins. Prostaglandins dissolve the wall of the follicle and ovarian tissue so that the egg can be released into the abdominal cavity, and from there into the fallopian tube. The “side effect” of prostaglandins is pain. Just like a change in the nature of cervical mucus, pain associated with ovulation may occur only on the day of ovulation itself or be noted on the eve of ovulation and even a day or two after it.

How to understand that pain is associated with ovulation

It is important to understand that pain in the lower abdomen can be associated with much less pleasant causes than ovulation.

How to understand that this is exactly “it”.

  • The pain lasts 1-3 days and goes away on its own.
  • Pain recurs in several cycles.
  • Approximately 14 days after such pain comes the next menstruation.

Pain during ovulation is moderate and does not require pain medication. Severe pain indicates a health problem. If the pain on the days of the alleged ovulation is severe, you need to contact a gynecologist. Other alarming symptoms accompanying pain in the lower abdomen and which may indicate a problem with the uterus and appendages: fever, increased discharge (leucorrhoea) from the genital tract, discoloration of the leucorrhoea from transparent or white to yellow-green, spotting. By the way, taking painkillers and NSAIDs (non-steroidal anti-inflammatory drugs) on the days of expected ovulation or shortly before ovulation can reduce the chances of conception.

Technical aids

Home test

Ovulation can be determined with a home test available from a pharmacy. The principle of the study is based on determining the concentration of luteinizing hormone (LH) in the urine. The level of LH in women fluctuates depending on the period of the menstrual cycle. Just before ovulation, it reaches its maximum values. The ovulation test makes it possible to register the peak of LH release into the blood. After the maximum LH surge, ovulation occurs within the next 36 hours. Therefore, with a positive ovulation test, this and the following days are most favorable for conception.

Folliculometry

This is a series of ultrasound examinations carried out during one or more menstrual cycles. During folliculometry, the growth of follicles and changes in the endometrium are assessed according to the day of the menstrual cycle, and the fact of ovulation is also ascertained. The average size of the dominant follicle, at which ovulation can occur, is 18-25 mm. If during folliculometry the size of the dominant follicle is 18 mm, this and the next few days are most favorable for pregnancy. The next folliculometry to confirm the fact that ovulation has occurred is desirable to do in 3-4 days.

Very bad stomach pain during ovulation 2 #3

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Go to the doctor at this time and do an ultrasound. This happens with a large accumulation of liquid.

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sometimes hurts, sometimes not. But once … well, I really almost died from pain. Then I counted and realized that it was ovulation and the doctor confirmed it. But the pain at night was wild, worse than labor contractions, I couldn’t even get up and go on medication, I I can say I crawled after them (I was alone at home). Tachycardia began, I became all wet (sweat) and rolled around on the bed, howled like a she-wolf in pain (although I am patient by nature and always keep silent), but I was afraid to call an ambulance … maybe I know , what is an ambulance. But in general, of course, it was necessary to call!, you can, after all, from the painful shock of that .. I just thought, well, how will I open the door for them, etc.! In general, horror. Of course I was frightened! then she ran to the gynecologist, she looked at everything, sent for an ultrasound scan, they didn’t find anything. Said it could be ovulation. Now I think maybe the cyst was and ruptured?? who knows … But this has never happened and is not necessary))

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So you shouldn’t delay with ultrasound if you feel that something is wrong in the body (just go for ultrasound, the doctor may not feel anything with your hands).

Health to all!

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#24

and I’m also very afraid that I could get pregnant after PA on November 6 . . but if there hasn’t been ovulation yet, this can’t be!? please calm me down ((( I’m very worried.

#27

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#33

Natalya, pain has nothing to do with getting pregnant. First you need to pass a complete examination. Pain during ovulation does not mean infertility. This is just a bell that informs that something is not normal.

#34

I don’t advertise Chinese medicine – there are a lot of charlatans now. It’s just that ordinary doctors didn’t cure me, but simply ruined me. and Chinese medicine is really Hope for me. I continue to do ultrasound every month and go to the gynecologist every 2-3 months, but I’m not going to drink hormones and homeopathy anymore. in any case, dear girls and women, how to live and what to believe in is up to you. the main thing – let’s not despair, let’s support each other and let’s be a little more tolerant of pain. though it is sometimes unbearably difficult. But we are future mothers. and for the sake of this you can suffer =)

#35

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#37

I have today first time. And I was so happy that my menstruation after childbirth became painless. And on you. Not everything is Shrovetide for a cat…

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    Attention

    #48

    Guest

    sometimes aches, sometimes not. But once … well, I really almost died from pain. Then I counted and realized that it was ovulation and the doctor confirmed it. But the pain at night was wild, worse than labor contractions, I couldn’t even get up and go on medication, I I can say I crawled after them (I was alone at home). Tachycardia began, I became all wet (sweat) and rolled around on the bed, howled like a she-wolf in pain (although I am patient by nature and always keep silent), but I was afraid to call an ambulance … maybe I know , what is an ambulance. But in general, of course, it was necessary to call!, you can, after all, from the painful shock of that .. I just thought, well, how will I open the door for them, etc.! In general, horror. Of course I was frightened! then she ran to the gynecologist, she looked at everything, sent for an ultrasound scan, they didn’t find anything. Said it could be ovulation. Now I think maybe the cyst was and ruptured?? who knows … But this has never happened and is not necessary))

    Guest

    sometimes aches, sometimes not.