All you need to know about mittelschmerz (in Ovulation).

What is mittelschmerz??

Mittelschmerz is one sided, lower abnominal pain associated with ovulation.

It occurs midway through a menstrual cycle about 14 days before your next period.

In most cases mittelschmerz doesn’t require medical intervention.

For minor mittelschmerz discomfort, over the counter pain relievers and home remedies are often effective.

If your pain is troublesome, your doctor may prescribe and oral contraceptive to stop ovulation and prevent mid cycle pain.


The pain usually lasts a few minutes to few hours, but it may continue for as long as a day or two. Pain may be;

1. On one side of your lower abdomen.

2.  Dull and achy similar to menstrual cramps.

3. Sharp and sudden.

4. Accompanied by slight vaginal bleeding or discharge.

5. Rarely severe.

Mittelschmerz pain occurs on the side of the ovary that is releasing an egg (ovulating).

The pain main switch sides every month or may feel pain on the side for several months.


It occurs during ovulation when follicles rupture and releases its egg. Some women have mittelschmerz every month others have it occasionally.

The exact cause of mittelschmerz is unknown but possible reasons may be;

1. Just before an egg is released with ovulation, follicle growth stretches the surface of your ovary causing pain.

2. Blood or fluid released from the rupture follicle irritates the lining of your abdomen leading to pain.

Keep track of your menstrual cycle for several months and note when you feel lower abnorminal pain. If it occurs midcycle and goes away without treatment it most likely to be mittelschmerz.

When to see a doctor.

Mittelschmerz rarely requires medical intervention.

If the pain becomes severe and is accompanied by nausea or fever this could indicate a serious condition more serious than mittelschmerz such as ectopic pregnancy.

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