During the normal operation of all vital systems of the body, a woman should not feel any pain in the lower abdomen during the entire cycle. However, specialists often hear complaints from their patients that they experience pain before ovulation.

A slight malaise, pulling sensations in the area of ​​​​the lower peritoneum is an acceptable phenomenon on the days of ovulation. Experts advise to know the symptoms of this process and not to confuse them with possible pathologies.

Once a month in the female body, the process of maturation of the egg, ready for fertilization, takes place.

The hormonal background of women is designed in such a way that this process occurs two weeks before the onset of menstruation and lasts about five days. It is during this period that the highest probability of conceiving a child is.

On the days of ovulation, one follicle is released, which doctors call the dominant follicle. It is clearly visible during an ultrasound examination. may also show special tests, they can be bought at a pharmacy. When the follicle ruptures, the egg is released, ready for fertilization. This time is most suitable for.

It is this phenomenon that causes pain in the abdomen before the onset of ovulation, because with a follicular rupture, minor mechanical damage to the ovaries can occur.

The shell of the follicle consists of living cells, in which there is a huge number of blood vessels. At the moment of rupture, they are damaged, fluid is released from the follicle, flowing into the peritoneum, a small amount of blood can create internal irritation - this causes pain in the abdomen.

At the time of ovulation, a woman may experience:

• Discomfort in the stomach.
• Loins.
• Bokov.
• In the lower part of the abdominal cavity.
• There may also be pressure on the anus.

These sensations are due to the fact that there is a contraction of the uterus, which is in contact with the rest of the organs, putting pressure on them. The nature of pain can be as follows:

• Pulling sensation in the lower abdomen.
• Light tingling followed by throbbing in the abdomen.
• Pressure on anus, desire to defecate.
• Feeling that the vagina is expanding.
• With the normal functioning of the female organs, pain during ovulation does not cause severe discomfort. Therefore, if you experience unbearable pain that does not go away within two hours, you should immediately consult a doctor.

How to relieve pain?

In modern pharmacology, there are many medicines that can save women from suffering in the days before ovulation. You can use the following painkillers:

• No-shpa. Tablets not only anesthetize, but also relieve spasms.
• Okie. A strong analgesic drug in the form of a powder that must be diluted with water. Use with caution as it causes drowsiness.
• Ketorol. Effective pills with a fast effect.
• Ketones are an analogue of Ketorol.

You can purchase medicinal herbal preparations at the pharmacy that normalize the natural balance of hormones. For example, the upland uterus has beneficial properties and contributes to the normalization of hormonal levels in women.

When to see a doctor?

If you experience pain continuously, and pain medications help for a short time, then you should consult a doctor.

• Ovarian apoplexy also has such symptoms, this is a rupture of one of the ovaries as a result of the formation of a cyst. Why is it dangerous? If timely treatment is not started, then bleeding into the abdominal cavity will increase, which can even end in death.
• Apoplexy manifests itself differently in everyone: someone experiences a state of painful shock at the time of the rupture, while others endure for several days, confusing symptoms with ovulation.
• An ectopic pregnancy is another dangerous factor that has similar symptoms. This term refers to a pregnancy that develops in the tubes, that is, fertilization did not occur in the uterus, as it should have been.

With an ectopic pregnancy, a woman does not notice absolutely no changes in the initial stages. Then, as the fertilized egg grows, light pains begin, developing into unbearable ones. It can also. The danger is that a woman may not immediately understand that the pregnancy is ectopic. The signs are the same as in normal: delayed menstruation, positive test, slight malaise.

IMPORTANT! Only an early hCG analysis will help to establish an accurate diagnosis. Ultrasound will not immediately show an ectopic pregnancy. By the time the fetus reaches a suitable size, it may be too late. If measures are not taken in time, the pipe will burst.

Ovulation is a natural cyclical process that occurs in the female body. It is the presence of ovulation that determines, first of all, the childbearing function. This process should be present in the body of every healthy woman. It usually begins in the middle of the cycle, when a mature egg tends to leave the ovary, ready for fertilization. If conception does not occur, then after about 14 days (how many days depends on the cycle), menstruation occurs. The period of ovulation is usually accompanied by pain or slight discomfort.

• pulling pains in the lower abdomen, in the lumbar region;
• an increase in the number of secretions;
• increased sex drive.

For many women, this process is mild in nature, in connection with which it goes unnoticed. If the pain syndrome is present, it can be of different intensity and lasts from 2-3 hours to 1-2 days. In this case, the physiological characteristics of the organism are of no small importance. Pain that does not stop for several days is an occasion for immediate medical attention. By the nature of ovulation pains are very different, but most often pulling and aching, less often - sharp and sharp.

The moment of ovulation is characterized not only by pain in the lower abdomen (i.e., at the location of the ovaries), but also by increased vaginal discharge. Therefore, women should not be afraid of an increase in the amount of discharge by the middle of the cycle if they do not have a sharp unpleasant odor. The color of the discharge can also change during this period from pink to brown. The consistency of the discharge becomes similar in viscosity to raw egg white. Spotting bleeding during the period of ovulation is associated with fluctuations in hormone levels and the reaction of the uterine mucosa to these fluctuations. Increased sexual desire signals a woman about a favorable period for conception.

Causes of pain in the ovaries during ovulation

The main cause of pain in the ovaries is the rupture of the follicle with the egg leaving it. Pain can be felt both on the right and on the left side, depending on the activity of one or another ovary. More often, women complain of right-sided pain, which is explained by a higher blood supply and the close location of the appendix. Moreover, if you did not experience pain before ovulation before, then in the next month there should not be a sharp occurrence. In this case, it is better to undergo an examination by a gynecologist.

Moderate pain, when the ovary hurts before ovulation, which does not impede life, does not require a visit to the doctor. If the pain is accompanied by additional symptoms, such as fever, nausea, vomiting, diarrhea, headache, then medical attention is indispensable. Only a doctor can reliably determine: why there was pain in the ovary before ovulation.

A woman should be alert in the following cases:

• Sharp severe pain. The cause of such acute pain can be a strong rupture of the follicle, as a result of which the ovary itself is damaged. Instead of minor bleeding, bleeding occurs, dizziness is added, and pressure drops sharply. A woman needs timely qualified help.
• Pain in the ovary before ovulation is insignificant, but it is aching in nature and is accompanied by bleeding. Such signs are characteristic of an ectopic pregnancy. It also requires the help of a doctor.
• Pain lasting 1 day or more. Even if the pain is not severe, but for a long time with discharge and frequent urination, do not postpone a visit to the doctor. Only timely diagnosis will avoid serious gynecological problems.
• Pain localized on the right side can cause appendicitis. This possibility cannot be ruled out either.

Pain in the lower abdomen before ovulation is a signal that the egg has begun to mature. These processes affect the entire reproductive system of the female body, hence the localization of pain. Everyone can feel discomfort, but the intensity and nature of pain varies. Similar spasms can be observed during menstruation. The cause of pain in the lower abdomen can be not only previous ovulation, but also a number of gynecological diseases, for example, cystitis. The nature of the pain may coincide with ovulation syndrome, but only a thorough examination will reveal the real cause.

About 70% of females experience aching pain in the lower back before ovulation. Let's see why this happens.

Initially, pain is localized in the abdomen, capturing the pubic bone, and then gradually moves to the back. Lower back pain before ovulation is most often experienced by young girls and nulliparous women. How to explain this nature of pain? The fact is that the shell in which the follicle is enclosed is surrounded by blood vessels. When the follicle ruptures, the blood vessels burst with it. A small amount of blood and fluid contained in the follicle enters the abdominal cavity, thereby irritating the nerve endings of the abdominal walls. In the event that fluid flows between the vagina and the rectum, then the pain flows into the lumbar region. This condition can be aggravated by external factors: with increased physical and psycho-emotional stress, abuse of bad habits. Women with a high pain threshold simply do not notice all of the above symptoms.

Every woman should know that intense pain radiating to the right or left side can be signs of endometriosis, adhesive disease, or hormonal disorders. Making a correct diagnosis is the key to successful treatment.

Painful ovulation, which causes serious discomfort to a woman and deprives her of working capacity, requires control by a doctor. If this is due to purely physiological characteristics of the body and nothing threatens your health, the doctor will most likely recommend painkillers. You should not get carried away uncontrollably with them, but for the symptomatic relief of pain at a time when the ovary hurts before ovulation, it can sometimes be used.

Soreness in the lower abdomen can be observed even before the onset of ovulation. Many women experience anxiety about this. The reason may lie in early ovulation. The ovulation phase is shifted due to stress, a change in the hourly train. More serious causes are exacerbation of chronic diseases, inflammation of the uterine appendages, endocrine disorders. If this is a one-time case, and not systematic manifestations, you should not worry.

The frequency of ovulation is controlled by ovarian follicular hormones. The process of ovulation in pregnant women is suspended. Signs of the onset of ovulation help a woman plan a long-awaited pregnancy for a woman.

Breast tenderness before ovulation

Another symptom that can cause discomfort to a woman before ovulation is soreness and swelling of the mammary glands. This is explained by an increase in the hormone progesterone and the preparation of the body for the lactation period in the event of conception. The mammary glands become very sensitive, there is pain on palpation, sometimes tingling is observed, which is the cause of discomfort.

Increased sensitivity before ovulation is also observed in the nipples. This happens due to contact with clothing fabrics or when rubbing with a bra. The breasts and nipples swell, the color of the nipples becomes darker. But, it is important to remember that discharge is not the norm.

In some cases, women are concerned about headaches during ovulation. If this does not add other symptoms, such as fever, vomiting, suspicious vaginal discharge, then the reason is in physiology. If we analyze in more detail, then before ovulation there is a decrease in the level of the hormone estrogen, a spasm of cerebral vessels occurs, which leads to a headache.

During the period of ovulation, not only the head or the lumbar region and abdomen can get sick, the general condition of the body may well worsen, weakness and malaise appear. This cannot be considered a deviation, but you should carefully monitor your health.

Ovulation syndrome, according to doctors, is not a diagnosis, but rather a physiological norm of the female body. However, the doctor will be able to describe the exact picture only after the examination. In case of detection of hormonal disorders, gynecologists prescribe hormone replacement therapy. Each specific case is considered individually. The patient may be prescribed oral contraceptives, anti-inflammatory drugs, a course of antibiotic treatment. In more serious cases, only surgery can help. Self-treatment can only aggravate your situation.

In the middle of the cycle, every month in all healthy women, the most important moment comes, ovulation, an egg ready for fertilization is released from the ovary. And this moment is sometimes painful, abdominal pain may occur, usually minor and quickly passing, which may be accompanied by the appearance of the same short-term bleeding (not necessarily, but possible).

In most cases, these nagging pains during ovulation and discharge are completely harmless, and do not require any treatment or attention from a doctor, but sometimes they are quite strong, or they are not caused by ovulation at all, but by much more dangerous health problems.

In this article, we will figure out why there is pain during ovulation, what should be considered the norm, and in which cases you need to see a doctor.

The reasons

The causes of pain during ovulation are quite understandable.

Starting from the first days of your next menstrual cycle in one of the ovaries, in the right or left, the process of maturation of follicles takes place.

Usually, only 1 follicle matures in 1 cycle, it is called dominant, and by the 14th day of the menstrual cycle it is a rather large bubble filled with liquid. Inside this vesicle is an egg. In order for her to free herself and start her journey through the fallopian tube to the uterus, the bubble has to burst, which happens to most women, this is ovulation.

Meanwhile, the wall of the bubble on the ovary is formed by the living cells of your body, there are many vessels in it, and of course, when they break, they are damaged. In most cases, these vessels are small and thin, severe bleeding does not occur, but sometimes a sufficiently large vessel is damaged and then one or another amount of blood is poured into the abdominal cavity.

Pain during ovulation means that this is what happened to you. Blood irritates the peritoneum, causing pain. Pain during ovulation is possible, even if there was no hemorrhage - if a woman has a high sensitivity by nature and, in principle, she does not tolerate any painful and unpleasant sensations.

Since it is arranged by nature that one ovary works in the current cycle, and the second one rests, and in the next cycle everything happens the other way around, pain in the ovaries during ovulation can also sometimes be on the right, and in another month on the left.

Pain in the right ovary during ovulation is more common, this is due to the peculiarities of the innervation and blood circulation of the female pelvic organs and the close location of the appendix. It is known that adnexitis (inflammation of the ovary) is also more often on the right.

In rare cases, the rupture of the follicle is so violent that damage occurs to the tissues of the ovary itself, which is accompanied by significant bleeding into the abdominal cavity and is called ovarian apoplexy. In such cases, it is quite sharp, severe pain during ovulation, which is described as cutting. They are accompanied by dizziness, cold sweat, severe weakness and a decrease in blood pressure. This is a rather dangerous situation that requires the attention of a doctor.

Why does pain during ovulation not happen to everyone and not in every cycle?

Nature arranged it so that the fertility of a woman falls every year. Not every menstrual cycle is accompanied by the release of an egg ready for conception, and the older the woman, the less chances for full ovulation and conception become.

Also, everyone's sensitivity is different. Someone does not feel anything at all, while someone's nervous system is very receptive and they experience pain.

For those women who experience discomfort or pain during ovulation, getting pregnant is easier than others - they know when the chances of conception are very high. And for those who do not feel this event at all, only a basal temperature chart and an ovulation test can help to find out their favorable days.

During the period of ovulation, other changes in the body are possible that suggest that this event has occurred: there may be small spotting associated with a sharp drop in the level of hormones - estrogen in the blood, and so far too low progesterone levels.

There is simply nothing to produce progesterone in the first days, the corpus luteum is responsible for its production, which will form in place of the follicle that burst when the egg is released. And since the level of sex hormones is very low, the endometrium of the uterus may begin to partially exfoliate, which serves as a source of spotting.

This should not be confused with implantation bleeding associated with the onset of pregnancy, it is possible a little later, about 7-10 days after ovulation, even before the next menstruation.

Pain as a symptom of ovulation

We figured out the reasons, but what should be considered the norm, and what should be considered a pathology? What kind of pain during ovulation can be and how long does it last?

Many women in their entire lives will never know if there are pains during ovulation, while others suffer from them almost every cycle.

Sometimes it happens that a woman who has never suffered from pain before begins to suffer almost every month after giving birth or suffering from an inflammatory disease of the organs of the reproductive system.

Symptoms may also appear after operations and inflammation of other abdominal organs, for example, after appendicitis.

This is due to the fact that inflammatory processes change the structure of the ovarian membrane, it becomes denser and now ovulation is accompanied by greater pressure inside the bubble before rupture, and more severe bleeding is possible. The adhesions in the small pelvis also play a role, which inevitably occur if there was any inflammation in the abdomen.

In the photo you see an ovary with a mature follicle, look at this shiny, tense, ready to burst bubble - of course, if its wall is denser than normal - and the pain at break will be stronger.

So whether there is pain during ovulation in a particular woman may indicate her state of health in general.

There may be ovulation pain that lasts only a few hours and then goes away completely, but sometimes it lasts for several days. As a rule, it happens in the lower abdomen, pulling or aching in nature, and is felt on the right or left (women call this pain in the ovary, or say that it hurts in the side, quite clearly characterizing the place where it hurts).

If the hemorrhage was strong enough, the blood accumulates in the so-called Douglas space. This is a "pocket" of the peritoneum between the rectum and the back wall of the woman's uterus. Irritation of the peritoneum here leads to a feeling that the pain in the entire abdomen radiates to the lower back (the whole back hurts in its lower part), and sometimes ... in the leg or in the groin.

Since the blood directly irritates the peritoneum covering the uterus, it causes pain associated with this organ (pain in the uterus). Irritation of the peritoneum covering the rectum leads to pain radiating to the anus.

Such strong and incomprehensible pains for the woman herself during the days of ovulation force her to consult a doctor. Often, they initially turn to a surgeon with suspicion of an acute surgical pathology, for example, appendicitis, and only after the examination it is possible to find out why the stomach hurts.

Treatment

If you have mild, low-intensity, and short-term pain during ovulation, no treatment is required.

How to relieve such pain during ovulation?

It helps rest, rest, taking non-steroidal anti-inflammatory drugs and antispasmodics (analgin, no-shpa). In most cases, medications are not needed at all, the discomfort stops on its own within a few hours.

Another question is if you have very severe pain during ovulation. What to do in such cases should be decided only by the doctor, to whom you need to contact.

Don't forget: the period of release of the egg does not mean that the simultaneous development of any other serious disease is impossible. Maybe these painful sensations are not at all what you thought?

In what cases is it vital to visit a doctor:

Severe abdominal pain that comes on suddenly and makes you unable to sleep, eat, or do your normal activities

Pain that is accompanied by vomiting, impaired stool, fever

Pain, accompanied by weakness and dizziness, blanching of the skin

Pain that does not go away for a long time, more than a day

Remember, pain during ovulation is normally almost invisible and does not affect the general condition. Usually, pain in the lower abdomen after ovulation disappears within a few hours, a maximum of 1-2 days. If you don't, then you have reason to be concerned.

Am I ovulating or something else?

Abdominal pain can have a variety of causes, and of course, if any of the above symptoms bother you, you will first fall into the hands of surgeons. It is important to exclude a catastrophe in the abdominal cavity, in the first place, acute appendicitis, in which the pains can be very similar, and are usually localized in the same way in the right side.

How to distinguish pain during ovulation from appendicitis? In secret - it is difficult even for doctors, the symptoms are almost the same.

In the emergency room, a surgeon examines a woman, and suspecting that this is not his case, invites a gynecologist for a consultation. Next, you will need to take a blood and urine test, an ultrasound of the abdominal cavity will be prescribed, which, during ovulation, reveals characteristic changes in the ovary and fluid in the abdominal cavity.

But most of all, gynecologists love in such obscure cases a procedure called puncture of the posterior fornix of the vagina.

This rather painful and unpleasant manipulation is performed without anesthesia on a conventional gynecological chair. The doctor makes a puncture in the area of ​​​​the posterior fornix of the vagina, and the needle enters this same Douglas space, described above. According to its contents, you can immediately, without further examinations, make an accurate diagnosis.

If they receive blood, the obvious cause is the rupture of the ovary during ovulation. Depending on how much of this blood has accumulated there, a decision is made how to treat the patient further.

With a small amount of content, relief comes almost immediately after the puncture, and after 1-2 days you will be allowed to go home. If there is a lot of blood, and there are symptoms of ongoing internal bleeding, the diagnosis of “ovarian apoplexy” will sound, and everything will end with an operation (ovarian rupture must be sutured to stop blood loss, but this is a slightly different story).

Hormonal changes in a woman's body, if she is completely healthy, should not be accompanied by any symptoms. Breast pain, ovulatory pain in the ovaries, headaches before, during and after ovulation, mood changes - all these are symptoms that impair quality of life and may indicate impaired women's health.

If you suffer from hormonal storms and the symptoms that accompany them from month to month, be sure to go to the gynecologist as planned.

Our health and ability to give birth to a strong and full-term baby in the future depends on how we treat ourselves. A woman is so arranged, she often neglects anxiety symptoms to the last, not finding time and giving everything to those she loves, family, children, or even just work ... But if we don’t take care of ourselves, who else will take care of us?

Contact your doctor promptly if you realize that something is wrong with you. Painful ovulation is also not the norm and requires the attention of a gynecologist. Be healthy and happy.

Update: October 2018

As you know, the menstrual cycle is the main assistant in assessing the state of women's health. By its duration, the presence or absence of pain during menstruation, the appearance of spotting, one can judge whether there is any gynecological problem or the woman is healthy. One of the characteristics of the menstrual cycle is pain during ovulation, but this condition is observed only in 20% of women of reproductive age.

Let's understand the term "ovulation"

The duration of the menstrual cycle is determined from the first day of the previous menstruation to the first day of the next. Its duration is different and normally is 21 - 35 days. The ideal menstrual cycle is considered to be a cycle lasting 28 days, which corresponds to a full lunar cycle. The menstrual cycle consists of several phases:

Follicular phase

The follicular phase is due to the action, under the influence of which the dominant follicle is determined in the ovary, in which the future egg matures. This phase lasts an average of 12-18 days, depending on the length of the cycle. With a 28-day period, it is 14 days. By the end of the follicular phase, the dominant follicle has reached its maximum development, is tense and is preparing to burst.

ovulatory phase

The shortest phase of the menstrual cycle, its duration is 12 - 36 hours. In this phase, the level of estrogen drops, as a result of which the main follicle bursts and a mature egg comes out of it, ready for fertilization. What is characteristic, it is in the ovulatory phase that the level of both estrogen and is quite low (estrogens are no longer synthesized, since the dominant follicle and egg have already “ripened”, and progesterone is not yet produced in sufficient quantities under the action of luteinizing hormone due to the still unformed yellow bodies in place of the main follicle).

luteal phase

The synthesis of progesterone increases, under the influence of which proliferative processes occur in the uterine mucosa, preparing it for implantation of a fertilized egg. In the case of not completed fertilization, by the end of the luteal phase, the level of progesterone decreases (the corpus luteum of menstruation dies off) and the functional layer of the endometrium is rejected, which is called menstruation.

So, ovulation is nothing more than the process of the release of a mature egg from the dominant follicle at the moment of its rupture. And painful ovulation is called ovulatory syndrome or Mittelshmerz syndrome.

Signs of ovulation

Ovulation (from the Latin word for "egg") has characteristic signs, and every woman who experiences discomfort or pain associated with it can almost accurately determine its onset:

Pain in right side or left

Pain occurs on a certain side, depending on which ovary “works” in a given menstrual cycle (most often it is right-sided pain that is associated with better blood supply to the right ovary and its innervation, as well as with the close proximity of the appendix).

As a rule, the pain is minor and can only cause mild discomfort. In some cases, women characterize the pain as cutting, stabbing or cramping. This feeling does not last long, from an hour to a day or two. The intensity of pain depends on:

• temperament - emotional representatives of the weaker sex feel pain brighter
• the presence of gynecological diseases contributes to an increase in pain
• threshold of pain sensitivity - the higher it is, the less pain a woman experiences during ovulation.

Thus, ovulation itself is short-term, and after ovulation it can last one to two days. Since only one ovary is involved in ovulation in each menstrual cycle, they function alternately, that is, pain can be on the right in one month and on the left in another.

In rare cases, when both ovaries are included in the work, 2 eggs mature at the same time, which, if fertilized successfully, leads to a multiple pregnancy. In such a situation, a woman feels pain on both sides or diffuse aching pain in the lower abdomen.

Enhancement of libido

Libido, or sexual desire during the period of ovulation increases somewhat, which is inherent in nature itself (after all, ovulation is the most favorable moment for conception, and therefore for procreation).

Allocations

On the eve of ovulation, at the time of its completion and for another couple of days, the nature of vaginal discharge changes. They become more. These changes in secretions are necessary to create favorable conditions for the penetration of spermatozoa into the uterine cavity for the fertilization of a mature egg. The liquid consistency of the secretions in the somewhat dilated cervical canal facilitates the passage of the "gum" into the uterus.

Selection color changes

During the period of ovulation and some time after it, the color of the discharge may also change. They acquire a pinkish tint or a few drops of blood are found on the linen (see. This is due to a small detachment of the endometrium (estrogens are no longer produced, and progesterone has not yet begun to be synthesized).

Pain in the mammary glands

Perhaps the appearance of soreness or sensitivity of the breast during the period of ovulation (see), which is associated with the initial preparation of the mammary glands for pregnancy and lactation. Such pains (mastodynia) are short-lived and stop by the time the corpus luteum forms.

The reasons

There are several causes of pain during ovulation. Before the start of the exit from the follicle, it must mature and increase significantly in size.

• Large "dimensions" of the follicle stretch the ovarian capsule, which explains the occurrence of pain before ovulation.
• After the dominant follicle has reached the “necessary condition”, it bursts, and a ready-made egg comes out of it into the abdominal cavity.
• At the moment of rupture of the follicle, in addition to the egg, a certain amount of fluid is also poured into the abdominal cavity, which irritates the parietal peritoneum. In addition, the ovarian capsule is also damaged, in which small blood vessels burst, as a result of which even a small amount of blood enters the abdominal cavity, which also irritates the peritoneum.
• Such pulling pains after ovulation can disturb a woman for 12 to 48 hours. But then the blood and follicular fluid in the abdomen are absorbed and the pain syndrome disappears.
• And since at the time of the appearance of the egg in the abdominal cavity, the fallopian tubes begin to peristalt (shrink) more strongly in order to have time to capture a viable egg and ensure that it meets the sperm, pain can also be supported by this process.
• An indirect sign of a possible future pregnancy is pain in the middle of the cycle.

But in some cases, the pain syndrome at the time of ovulation is more pronounced, which is due not only to the threshold of pain sensitivity, but also to the presence of some gynecological diseases, for example:

• , which may be due to chronic inflammation, a history of surgery, or
• adhesions do not allow the tubes to calmly contract and pull the ovary, and in some cases cause compaction of its capsule, all this increases the severity of pain.

Types of ovulation

There are several types of ovulation:

• premature;
• timely;
• late.

Premature ovulation is the maturation and release of an egg from the follicle not in the middle of the cycle, but much earlier and can be due to several factors:

• excessively violent sexual intercourse (see);
• increased physical activity or heavy lifting;
• stress and strong emotional experiences;
• various diseases, including gynecological;
• hormonal disorders and endocrine pathology.

The etiology of late ovulation includes various hormonal problems, including.

In connection with the described types of ovulation, pain, respectively, does not occur as usual, in the middle of the cycle, but much earlier or, on the contrary, later, which can be a cause for concern for a woman (see also). Therefore, an indirect sign of a possible future pregnancy is pain in the middle of the cycle.

anovulation

Speaking of ovulation, one cannot but touch on the problem of its absence or anovulation. Normally, anovulation is observed in pregnant women and in premenopausal and menopausal age. And, of course, ovulation cannot be when taking.

If a woman of reproductive age does not ovulate for several consecutive cycles (2 or more), she should start sounding the alarm, because there is no ovulation - no egg - there is no way to get pregnant.

As a rule, anovulation is caused by hormonal disruptions in the body, which, with appropriate treatment, are stopped and the woman has a chance to become a mother. To clarify the date of ovulation, you can use or undergo an ultrasound scan, where the doctor will accurately see the mature follicle and the release of the egg from it (of course, ultrasound is performed repeatedly during the period of expected ovulation).

How to make it easier

No matter how a woman is sure that the pains that appear in the right or left lower abdomen are associated with ovulation, one should not self-medicate, but it is better to consult a doctor. After all, any pathology, not only gynecological, can cause pain, which accidentally coincides with the middle of the cycle.

• If the ovulatory syndrome worries a woman in every menstrual cycle, it is recommended that she relax as much as possible on the days of ovulation, eliminate stressful situations and adhere to a certain diet.
• In medical nutrition, they limit dishes and foods that increase the load on the gastrointestinal tract, increase intestinal motility, which aggravates pain, cause flatulence and excite the central nervous system. These are primarily spicy and fatty dishes, legumes and white cabbage, chocolate, coffee and strong tea.
• Warm baths with aromatic oils or medicinal herbs help relieve pain. heat descends to the lower abdomen, which reduces the contraction of the uterus and tubes and relieves pain, but only in case of exclusion of acute infectious and surgical diseases.
• Of the painkillers, the method of choice is non-steroidal anti-inflammatory drugs that block the synthesis of prostaglandins, relieve pain and inflammation (, indomethacin, naproxen, ketoprofen).
• It is also effective to take antispasmodics (no-shpy, spazgan, spazmalgon).

With a constant ovulatory syndrome, the gynecologist may advise taking), which, by blocking ovulation, prevent pain. But, if a woman wants to get pregnant, their intake is excluded, and it is also not permissible to use it on the lower abdomen and take any medication on the days of ovulation, as this may affect the quality of the egg.

severe pain

In some cases, very intense pain may appear in the middle of the cycle. Severe pain in the ovary or in the right / left side in the groin can be a sign of an emergency:

You should see a doctor as soon as possible in case of very severe pain in the lower abdomen and / or the appearance of the following signs:

• the pain lasts more than two days (“it hurts for a week during ovulation” is a clear sign of the disease);
• the temperature has risen and lasts more than an hour;
• experiencing nausea/vomiting;
• bloody discharge from the genital tract appeared, regardless of their intensity;
• when taking drugs that stimulate ovulation;
• a history of acute gynecological diseases, operations, endometriosis;
• sudden fainting;
• progressive deterioration.

Symptoms recur monthly, and its course is explained by the changes that occur in the reproductive organs during the exit period.

Pain during ovulation in the lower abdomen

Abdominal pain on the day is considered a typical symptom of this period. The intensity depends on the individual characteristics of the woman, her lifestyle and the temporary impact of some external factors. Pain may have different nature and duration, but in medicine, specific conditions are distinguished that are considered the norm or deviation.

The nature of the pain

During the ovulatory process, some women may feel minor discomfort in the lower abdomen, which does not interfere with the quality of life. Other representatives of the fair sex suffer from unbearable spasms and experience difficulties even in the implementation of elementary household chores.

Adult women know the characteristics of their body and can independently determine whether pain is normal or not. In young girls, symptoms may change monthly.

Pain in the lower abdomen can have the following character:

• slight discomfort (the symptom is barely noticeable);
• tingling (may be pulsating or short-lived);
• It's a dull pain(the condition persists for several hours or days);
• pulling pain (intensity may be different);
• pain spasms (sharp bouts of pain, reminiscent of attacks of appendicitis).

REFERENCE! Discomfort in the lower abdomen during the ovulatory process, as a rule, becomes permanent. Severe pain is no exception. Some women, knowing the date, start taking special drugs in advance to alleviate their condition.

Duration

Stomach ache with can for maximum two days. Depending on the individual characteristics of the female body, that symptom can manifest itself for several hours. If this symptom causes discomfort for more than a few days, then its cause may be unnatural changes in the functioning of the reproductive organs, and various deviations, including infections.

Why does the lower abdomen hurt during ovulation?

If your stomach hurts when, as with menstruation, then this feature what came out of the follicle. This process takes place every month in the body of every healthy woman.

Ovulatory periods have their own cycles, and a specific period of time passes between each of them. During this process, the lower abdomen may hurt, this is explained natural changes occurring in the female body.

The causes of pain in the lower abdomen when the following factors become:

• the follicle stretches the ovarian capsule (this can cause the lower abdomen to be pulled);
• follicle rupture ovary (during this process, it leaves the follicle and moves into the walls of the fallopian tubes, preparing for);
• in the process of rupture of the follicle, a certain amount of fluid is released into the abdominal cavity, which can cause irritation;
• rupture of the follicle is accompanied by damage to the set blood vessels;
• reduction of the fallopian tubes (the woman's body is preparing for conception, because the work of some internal systems changes, which becomes a source of pain).

The exception is seizures are accompanied by additional symptoms. For example, profuse bleeding, loss of consciousness, etc. Such conditions are not the norm and a woman needs to see a doctor as soon as possible.

What to do to relieve pain?

ON A NOTE! It is not difficult for a woman with ideal health and a stable cycle to calculate the estimated days. This process begins, as a rule, at the same time of the menstrual cycle.

Measures to get rid of pain in the abdomen include the following actions:



• it is recommended to reduce physical activity (especially if the lifestyle is associated with constant physical activity or intense sports);
• a few days before the start needs to be increased the amount of liquid consumed (such a measure can significantly reduce);
• applying a heating pad to the ovarian region can greatly alleviate the condition and reduce the intensity of pain;
• sleep deprivation and stressful situations we must try to exclude or minimize (these factors are the most common causes of increased intensity in the ovulatory period);
• when pain spasms appear, you can take painkillers (No-shpa, Nurofen, Ketarol, etc.).
• plays a special role. By changing it, you can reduce the intensity of pain.

ADVICE! Do not eat large amounts of fatty, fried or salty foods. Coffee, chocolate and legumes are best excluded from the diet for a few days.

These products are not only harmful to the body, but can also adversely affect the state of the nervous system. In addition, in combination with natural processes during time, they can become cause amplification, abdominal distension may occur