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Mittelschmerz
Mittelschmerz is one-sided lower-abdominal pain that occurs in women at or around the time of ovulation.
Mittelschmerz (in german, literally, "middle pain") is also known as midcycle pain.
Not every woman will experience mittelschmerz, but is is something to look for as a natural fertility sign when you are charting.
The discomfort can appear on either side of the lower abdomen depending on which ovary is producing the ovum (egg). This pain occurs during ovulation the midpoint between menstrual periods, about 2 weeks before a period may begin. Some have it every month, while others have it only occasionally. The location is determined by which ovary has produced the ovum that month. It can show up on one side of the abdomen one month and switch to the opposite side during the following cycle. Mittelschmerz may be felt on one side one month, then switch to the opposite side the next month, or it may be felt on the same side for several months in succession. Most of the time, mittelschmerz doesn't require medical attention. Treatment may involve taking over-the-counter pain relievers and following other self-care strategies. If your pain continues to be troublesome, your doctor may prescribe an oral contraceptive. About 20% of women experience mittelschmerz. Some women experience it every month, some don't
Causes of Mittelschmerz
The comman Causes of Mittelschmerz :
- At the time of ovulation, blood or other fluid is released from the ruptured egg follicle. This fluid may cause irritation of the abdominal lining.
- Just before the ovum is released, it stretches the membrane covering the ovary resulting in pressure and pain.
- The ovaries have no openings; at ovulation the egg breaks through the ovary's wall. This may make ovulation itself painful for some women.
- After ovulation, the fallopian tubes contract (similar to peristalsis of the esophagus), which may cause pain in some women.
- The fluid and blood released when the ovum bursts out of the ovary may cause discomfort. Blood is very irritating to the tissues lining the abdominal cavity and could be responsible for the midcycle pain.
- At ovulation, this pain may be related to smooth muscle cell contraction in the ovary as well as in its ligaments. These contractions are in response to an increased level of prostaglandin F2-alpha mediated by the surge of leutinizing hormone (LH).
Symptoms of Mittelschmerz
Some comman Symptoms of Mittelschmerz :
- Pain occurs midway between menstrual periods (during ovulation).
- May switch sides from month to month or from one episode to another.
- Pain lasts anywhere from a few hours to 2-3 days.
- Begins midway through the menstrual cycle.
- Usually sharp, cramping, distinctive pain.
- Abdominal pain in middle of menstrual cycle.
- Severe (rare).
- one-sided lower abdominal pain.
Treatment of Mittelschmerz
- Drink plenty of fluids.
- Take a Warm Bath: Fill your tub up with warm water and just relax. The heat of the water will help to relieve any pain.
- Use a Heating Pad. Heat helps to soothe cramps. Get an electric heating pad and keep it on your abdomen for 15 minutes or so.
- Pain relievers (analgesics) may be needed in cases of prolonged or intense pain
- Hormonal forms of contraception can be taken to prevent ovulation
- Drink between 10-12 glasses of water every day.
- Take your temperature every 4 hours.
- Drink Water: Try to drink between six and eight glasses of water every day. Water will help to keep you hydrated, which will alleviate those cramps.
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