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Mittelschmerz
Alternate Names : Ovulation pain, Midcycle pain
Symptoms & Signs
Lower-abdominal pain that is: - One-sided
- Recurrent or with similar pain in past
- Typically lasting minutes to a few hours, possibly as long as 24-48 hours
- Usually sharp, cramping, distinctive pain
- Severe (rare)
- May switch sides from month to month or from one episode to another
- Begins midway through the menstrual cycle
Diagnosis & Tests
A pelvic examination shows no abnormalities. Other diagnostic procedures (such as an abdominal ultrasound) may be performed to rule out other causes of ovarian pain if ovulatory pain is prolonged.
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Review Date : 4/12/2009
Reviewed By : Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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