What is it?
Mittelschmerz is one-sided, lower abdominal pain associated with ovulation. German for “middle pain,” mittelschmerz occurs midway through a menstrual cycle about 14 days before your next menstrual period.
In most cases, mittelschmerz doesnt require medical attention. For minor mittelschmerz discomfort, over-the-counter pain relievers and home remedies are often effective. If your mittelschmerz pain is troublesome, your doctor may prescribe an oral contraceptive to stop ovulation and prevent midcycle pain.
What are the symptoms?
Mittelschmerz pain usually lasts a few minutes to a few hours, but it may continue for as long as a day or two. Pain from mittelschmerz may be:
- On one side of your lower abdomen
- Dull and cramp-like
- Sharp and sudden
- Accompanied by mild vaginal bleeding or discharge
- Rarely, severe
Mittelschmerz pain occurs on the side of the ovary thats releasing an egg (ovulation). The pain may switch sides every other month, or you may feel pain on the same side for several months.
Keep track of your menstrual cycle for several months and note when you feel lower abdominal pain. If it occurs mid cycle and goes away without treatment, its most likely mittelschmerz.
Things to watch out for
Mittelschmerz or ovulation pain can be treated at home. GP should be contacted if the pain is severe.