Causes of pain in the side with ovulation


During the period of ovulation, a woman may experience painful sensations of various origins and intensities.

This is mainly due to changes in the female body during this period, the presence or absence of diseases of the reproductive system of each individual patient. More details about the causes of pain in the sides during ovulation in this article.

Pain during follicle maturation

During the maturation of the follicle, women often have pains of a pulling nature in the right or left side, less often this can be observed simultaneously from both sides. In general, experts believe that this is a normal phenomenon that may appear in each monthly cycle in the ovulatory period. Wherein pains should last no more than a day, without a prolonged rise in temperature and a sharp deterioration in the patient’s condition. Otherwise, you must seek medical help.

During the release of the egg

In the absence of gynecological diseases, such sensations depend on the natural processes taking place in the woman’s body at this time and arise due to the following reasons:

  • stretching the ovarian capsule with a growing follicle,

  • irritation of the nerve endings of the parietal peritoneum with fluid from a bursting follicle,
  • irritation of the peritoneum with blood from the damaged small blood vessels of the ovary capsule,
  • increased peristalsis of the fallopian tubes for faster capture of the egg ready for fertilization.

Also There are a number of diseases that increase the pain during ovulation regardless of the pain threshold of a particular patient. Most often it is adhesive pelvic disease, resulting from a chronic inflammatory process, surgical interventions in this area, endometriosis.

In this case, adhesions prevent the normal contraction of the fallopian tubes, which, in turn, overtighten the ovary or even cause its capsule to seal, which greatly enhances the painful sensations during the ovulation period.

In the post-ovulation period

If we talk about the normal state of the body, then the presence of pain after ovulation due to postovulation syndrome, that is, a set of symptoms arising after a ripe egg gets into the fallopian tube. At the same time, these symptoms are noted:

  • poor general condition of the patient,
  • change in vaginal discharge,
  • increased libido,
  • bloating
  • emotional instability.

Normally, the pain of the postovulation syndrome lasts no more than 2–3 days and after the suction of fluid and blood that has poured into the abdominal cavity from the ruptured follicle, healing of the ovary capsule and reducing the intensity of contractions of the fallopian tubes, pass.

In the right side

In normal health, pain in the right side occurs during the release of the egg from the follicle of the right ovary and normally stops after 1 to 2 days after that. If the pain persists after the completion of ovulation, it may indicate the presence of various diseases localized on the right.

Ovulation pains are similar in nature and strength to pain arising from appendicitis.. Therefore, if after ovulation the pain on the right side does not stop and is accompanied by a prolonged increase in body temperature, you should contact a specialist to diagnose the cause of the pain.

From the left side

Says that in this monthly cycle in the process of maturation of the follicle and the exit of the oocyte involved the left ovary. Symptomatically, everything proceeds in the same way as on the right. While maintaining pain in the left abdomen after ovulation, with concomitant disorders in the gastrointestinal tract, we can talk about the possible presence of not only gynecological diseases, but also inflammatory processes in the intestine.

What illnesses can be suspected?

In addition to the normal manifestations of pain during and after ovulation, it should be noted that they can be a sign of serious internal diseases in the patient's body. Attention should be paid to such diseases that may be the cause of acute pain.

  • Ectopic pregnancy. Accompanied by bloody vaginal discharge, cramping pain, increased pain during walking and bowel movements.
  • Ovarian disease. Ovarian cyst and torsion of her legs, other ovarian tumors, apoplexy (rupture) of the ovary. In these cases, the pain can occur from any side.
  • Cyst rupture. Accompanied by cutting and pulling pain.

In addition, the pain during ovulation is similar to pain during such diseases:

  1. peritonitis,
  2. inflammation of the appendages,
  3. appendicitis
  4. varicose veins of the pelvic area,
  5. call

Signs of pathologies

Unfortunately pain during ovulation may be pathological in nature caused by various diseasesand in this case the consultation of a specialist will be obligatory. A sample list of symptoms in which it is necessary looks like this:

  • pain syndrome lasts more than three days,
  • prolonged fever, accompanied by chills, other signs of intoxication,
  • vaginal secretions have a non-characteristic appearance and an unpleasant smell,
  • multiple heavy bleeding during this period
  • violations in the gastrointestinal tract,
  • irradiation of pain in the bladder area, lower back, the area around the navel,
  • decrease in blood pressure with heart palpitations,
  • fatigue on the background of general weakness.

How to alleviate the condition?

In the absence of medical contraindications, each woman can alleviate her condition at this time by following simple recommendations.:

  1. Increase sleep duration and minimize the stress load on the body.
  2. Abandon active sports and reduce other physical activities.
  3. Increase fluid volume consumed per day.
  4. In case of confidence in the purely ovulation nature of pain, apply a heating pad on the desired side.
  5. Go on a diet that excludes fried, salty, spicy, fatty and sweet. In addition, for several days it is recommended to refuse coffee, chocolate and legumes.


If the stomach hurts and pulls hard enough, then absolutely no need to endure it. Remove discomfort will help drugs that can be purchased without a prescription at any pharmacy. For anesthesia is recommended to take non-steroidal anti-inflammatory drugs.:

  • Ibuprofen

  • Indomethacin.
  • Naproxen.
  • Ketoprofen.

And to relieve pain caused by cramps use:

In the presence of persistent ovulatory syndrome, a gynecologist may recommend taking oral contraceptives. However, women planning pregnancy, this method of alleviating the ovulatory period should be abandoned to preserve reproductive function in its natural state.

As seen pain in the side during ovulation is a normal phenomenon for the female body during this periodin the absence of any pathological signs and symptoms. But if there is the slightest suspicion that the discomfort can be associated with some disease, then you should immediately consult a doctor to avoid many unpleasant consequences, up to the threat of life as a result of acute pathologies.

Pain in the side with ovulation causes

Morbidity in the lower abdomen in the middle of the cycle is called ovulatory syndrome. Ovulation is performed when a mature egg leaves the follicle. Monthly in the ovary one and sometimes two dominant follicles mature. To achieve a size of 15 mm follicle shell breaks. From it comes an egg, a hormone-active substance and blood droplets.

Liquid contents are poured into the abdominal cavity. This irritates the perceptual receptors of the peritoneum. So there is pain. The cilia of the fallopian tubes captures the released egg. Tubes contract and propel the germ cell towards the sperm.

It was invented by nature that one of the ovaries alternately works in one cycle, and the second rests. Depending on which ovary the follicle grows from, an unpleasant sensation appears on the right or left. Women note that the right side hurts more. This is due to the blood supply and innervation of the reproductive organs. The left side of the blood supply is less, so the discomfort is less noticeable.

When follicles mature in both ovaries with ovulation pain from two sides, or lower abdomen. Successful fertilization leads to multiple pregnancies.

Morbidity in the middle of the cycle may be minor. A woman is only worried about mild discomfort. But there is a strong pain. If it is short-term, then it is not dangerous for health.

Every woman feels pain in her own way. It depends on the emotional lability of the nervous system. Emotionally unstable women are prone to increased pain perception.

If in the past a woman had surgery on the genitals, then adhesions are formed in the small pelvis. They represent additional areas with a perceiving apparatus. Fluid irritation of the follicle adhesions leads to a strong pain sensation. In addition, we must not forget about the individual pain threshold. The lower the pain resistance, the stronger the pain.

Causes of pain in the side can be:

  • overdistension of the follicle membrane before ovulation,
  • rupture of the follicle and irritation of the peritoneum with poured liquid,
  • trauma to the blood vessel of the ovarian capsule,
  • enhanced contractions of the fallopian tubes to move the egg.

Pain in the side can be cutting, stabbing, cramping, aching, throbbing. But most often they are pulling. It can be sick from several minutes to two days. If pain persists longer, ovulation should be differentiated from other diseases of the reproductive system.

What diseases can be associated with side pain

The appearance of sudden severe pain can be a sign of emergency conditions. It is necessary to exclude pains on the sides of such diseases:

  • acute appendicitis,
  • rupture of the ovary,
  • twist the legs of the cyst,
  • acute inflammation of the appendages,
  • impaired ectopic pregnancy
  • intraperitoneal bleeding.

Constant abdominal pain, aggravated by changing the position of the body, inherent in the inflammatory process of the peritoneum. No need to wait out the sharp pain. Lost time can cost life.

Signs of ovulation

The first signs of ovulation appear a day or two before the release of the egg. The body is preparing for fertilization. Nausea may be present. The hormonal background changes.

There are two main hormones that regulate the menstrual cycle. The hormone of the first phase is estrogen, the hormone of the second phase is progesterone. When the first phase comes to an end, the amount of estrogen decreases dramatically. At this time, progesterone is not enough in the body. The second phase of the cycle begins. At the lowest possible level of sex hormones, ovulation occurs.

At the junction of the hormones estrogen and progesterone, an increase in basal temperature to 37.0-37.3 degrees. In this case, the body is preparing to take the sperm.

The cervix opens slightly. From it comes an increased amount of mucus. It may be transparent or with admixtures of scarlet blood. Blood enters the mucus from the uterus. It is formed with a small detachment of the endometrium. On the background of hormonal changes hurts chest. The body is preparing for a possible pregnancy and lactation.

The egg cell lives in the fallopian tube 8 days after ovulation. This is the most favorable time for conception and implantation of the embryo into the uterus. Women who plan to have a child should perform an ovulation test when the first signs appear. This will increase the chances of fertilization.

Under the action of sex hormones work basic instincts. With ovulation, the breeding instinct works. Libido increases (sexual desire). The body is ready for motherhood.

How to remove pain in the side of ovulation

In most cases, drugs are not needed. With a slight pain in the side, you can use folk remedies: sweet tea made from soothing herbs, a relaxing lumbar massage, a warm water bottle in the lower abdomen. The state of emotional peace and alternative medicine will relax the muscles, relieve tension and spasm in the abdomen. Cuts in the fallopian tubes will not cause so much trouble.

You can use drugs only if it is reliably known that your side hurts during ovulation. Any pathology, not even related to gynecological diseases, can cause discomfort. When a large vessel is damaged during ovulation, a rather massive bleeding into the abdominal cavity occurs. With sudden and severe abdominal pains, self-medication can worsen the condition.

For moderate side pains use:

  • nonsteroidal anti-inflammatory drugs (Indomethacin, Diclofenac, Ketonal),
  • antispasmodics (no-shpa, spazmalgon, platifillin),
  • painkillers (Analgin, Renalgan).

If the pain does not subside after half an hour after taking the drug, it is necessary to consult a doctor. It happens that the pain during ovulation is disturbed every month. This pulls the woman out of the usual rhythm of life. To suppress ovulation, hormonal contraceptive drugs are prescribed.


If after ovulation pulls in the side, then there is a reason to contact a gynecologist for examination. Unpleasant symptoms can be a sign of a serious illness. It is recommended to keep a diary of mood and well-being, indicating the day of the cycle and the symptom. This will help track the pattern and establish the correct diagnosis.

Pain during ovulation

Pain is one of the most common factors. When ovulation occurs, the right side or the left lower abdomen hurts. This feeling is experienced by up to 20% of women, and its character is different for everyone. Someone feels tingling, someone has a slight unpleasant pulling painful perception, and some - spasm. The exposure time is also different for women: once or permanently, a few minutes or a whole day (day).

The source, nature and duration of pain can be different

Why does the right side hurt

Pain sensation at the exit of the cell is quite justified. Let us see why ovulation hurts the right side or the left. The ripened egg cell, when it is released, breaks the follicle membrane, causing excessive stretching of the tissues, and, as a rule, a small amount of blood enters the peritoneum. On the shell remains a small wound.

All this taken together and gives the woman a slight discomfort. Follicles can grow in the ovaries alternately, but sometimes one of them can work 2 cycles in a row. Therefore, why during ovulation hurts the right side, and not the left (or vice versa), it is understandable. This proves that at the moment it is the right ovary that released the cell ready for fertilization. If the pain is on the left, it means that in this rhythmic period the “left” “worked”.

The pain arises from the ovary that released the cell ready for fertilization.

Pain after ovulation

If the sensation of an unpleasant character appears in the lower part, the left side is disturbed or the right side hurts after ovulation after 5-7 days, embryo implantation is quite likely at this time. The process involves stretching the tissue of the uterus, which is accompanied by a slight pain.

Pain in the side a few days after ovulation may be the first signs of pregnancy

In addition to ovulation, the causes of similar pain can be:

  • the presence of inflammatory diseases of the genital organs,
  • hormonal disorders in the body,
  • the presence of tumors
  • pathology of the development of the reproductive organs in women, improper location of the uterus with appendages,
  • irregular menstrual cycle, etc.

So if the right side hurts during ovulation for a long time (more than a day), the discomfort does not cease, there is an increase in temperature or other symptoms of health problems (nausea, vomiting), you should visit your specialist to determine the cause of the indisposition. This pattern is characteristic of adnexitis (inflammation of the ovaries) and inflammation of the appendages (oophoritis). When this occurs, the return to the lower back. An acute painful attack is observed when a cyst ruptures or appendicitis.

Pain after ovulation

Characteristic pains occur at different stages. ovulatory process, they can be both before ovulation and during it. After completion, discomfort persists for a certain time. There are specific types of pain that can be considered normal. However, the duration and intensity of pain syndromes should be the main factors assessing the condition of a woman.

Pulls the lower abdomen

The main cause of pain in the lower abdomen is the rupture of the follicle from which the egg comes out, ripe for fertilization.

This process must be accompanied the appearance of characteristic vaginal discharge (usually clear in color, resembling mucus in consistency). Abdominal bloating during this period is also the norm.

    aching or nagging pains

Болит грудь

Молочные железы считаются одним из главных индикаторов начала овуляции. Грудь увеличивается в размере, getting more sensitive. Some women complain of discomfort when wearing a bra. Such a state is not a deviation from the norm, but it is necessary to treat such symptoms objectively. The pain should not persist for a long time and disturb the quality of life.

The following changes may occur in the mammary glands after ovulation:

    tingling in different parts of the mammary glands,

Pulling the ovaries

Pain in the ovary due to rupture of the follicle and the subsequent release of the egg. Accompanied by this process damage to many small capillariesthat delivers the characteristic discomfort. As soon as the egg cell moves into the fallopian tubes, the discomfort reduces its intensity. Most often, a woman has pulling or aching symptoms. This condition is not a deviation from the norm.

Sensitive nipples

The nipples in the post-ovulatory period retain their increased sensitivity for 1-2 days. Discomfort may persist when palpating or wearing a bra. This state is the norm. When evaluating this symptom, one should pay attention to the state of the organism as a whole, as well as other pains that occur in different parts of the body.

Pulling back pain

Discomfort in the lower back can only be felt under the influence of certain factors. First of all it individual feature of the body. Such a condition is characteristic of women who are prone to particular sensitivity to changes in the genital organs. As a rule, this category of the fair sex is painful for menstruation and the ovulatory period.

Other factors that can lead to such a condition are:

    excessive exercise

Uterus hurts

Pain in the uterus due to changes in the body during and after ovulation. This body is more involved in all processes.

The uterus reacts to ovarian follicle rupture and further movement of the egg. The discomfort can manifest itself in the form of short-term cramps, aching or pulling pain, tingling and other manifestations.

Causes of pain after ovulation?

Follicle rupture is microtrauma. This process is accompanied by damage to a certain group of nerve endings and capillaries. In addition, during ovulation, the woman's body prepares for potential fertilization. All these factors become the main causes of pain in the postovulatory period.

Natural causes of pain after ovulation also become following factors:

    increase level progesterone hormone,

How can you ease the pain?

If the resulting severe pain after ovulation are not abnormalities in the work of the reproductive organs, but are an individual feature of the female body, then in several days before the ovulatory process, it is recommended to increase the amount of fluid consumed and introduce as many vitamins as possible into the diet (especially fresh vegetables and fruits).

Physical load must be reduced. If you follow these rules, the post-ovulatory period will cause less discomfort.

Ways to alleviate the condition:

    if your chest hurts, you can apply a massage with essential oils or change a regular bra to a variant with supporting cups,

When is it worth to see a doctor?

In women with formed cycle The symptoms of ovulation are always the same. In young girls, the monthly status may vary. If the ovulatory process always occurred without significant discomfort and sharply became the cause of powerful pain attacks, then a visit to the doctor should not be postponed. Symptoms resembling egg maturation may be accompanied by serious diseases reproductive organs.

Urgent need to consult a doctor if there are the following factors:

    the occurrence of nausea or vomiting,

Ovulation occurs in the body of each healthy women of childbearing age. This process plays a special role in the planning of pregnancy. Knowing the period of maturation of the egg, you can increase the probability of conception in a particular period of time. If the symptoms of the post-ovulatory period are incorrect, then complications may arise that will not only lead to malfunction reproductive organs, but also to serious problems with pregnancy.

Why ovulation is painful

Various factors can lead to painful ovulation, but if a woman is healthy, the reasons may be the following:

  1. A large follicle creates pressure on the walls of the ovary, which can provoke discomfort before it breaks.
  2. When the dominant follicle bursts, a gap forms on the ovary, which is sometimes painful.
  3. At the time of the release of the oocyte from the follicle fluid flows, which irritates the abdominal cavity. The blood that has leaked in a small amount from the blood vessels damaged by the rupture of the follicle has the same irritating effect.
  4. Accelerated peristalsis of the fallopian tubes during ovulation also causes discomfort.
    Pulling pain after ovulation can be triggered by the onset of pregnancy, when a fertilized egg passes through the fallopian tubes, and then implanted into the uterus.

If the pain during ovulation is prolonged and / or severe, it may indicate adhesions in the pelvis that occur during chronic inflammation of the reproductive organs or after surgery on the ovaries and appendages.

Severe pain syndrome is a precursor of such pathologies as:

  • ectopic pregnancy,
  • rupture or twist of the cyst stem,
  • ovarian rupture
  • endometriosis,
  • inflammatory processes of the reproductive organs,
  • ovarian hyperstimulation due to medication,
  • appendicitis.

These diseases require emergency medical care, so do not hesitate and endure the pain in the expectation that it will go away. It is necessary as soon as possible to contact the health facility.

Why ovaries hurt during ovulation

If a woman has a low pain threshold, then she will feel the ovaries hurt during ovulation. The main signs of discomfort, as mentioned above, are associated with the very process of maturation and release of the oocyte from the follicle. It is worth noting that at this moment one ovary that “worked” hurts more often. If last month there was pain in the right ovary, then in this, most likely, the left organ will ache.

Sometimes it happens that both ovaries hurt. This may mean that both organs have “worked”, and this month there is an opportunity to conceive twins.

If the ovary hurts after ovulation for several days, there may be such reasons as an increase in the corpus luteum, which is formed from the follicle after the egg leaves it. The growth of this gland sometimes reaches 2 cm in diameter, which creates pressure inside the ovary, and can cause soreness.

But it is worth noting that not always such pains speak about the process in the ovaries themselves. If the inflammation has begun in the appendages or in nearby organs (appendicitis, intestines), the pain is localized on one side, and it can be confused with pain in the ovary.

Pain in the right ovary

It is noticed that most often the right ovary hurts during ovulation. This happens because there are more blood vessels in it, which means that more blood at the rupture of the follicle will pour into the peritoneum. And this leads to irritation of the walls of the abdominal cavity. After 1–2 days, blood and fluid from the follicle are absorbed by the walls of the peritoneum, and the pain disappears.

And on the right side more nerve endings, because of this, the right ovary hurts more than the left.

If painful ovulation is accompanied by additional symptoms (bleeding, dizziness, nausea, etc.) or pain gives to the leg, thigh, pubic or lower back, this is more evidence of an inflammatory process in this area. Therefore, a trip to the doctor in such a situation is obligatory.

Pain in the left ovary

If the ovary hurts after ovulation on the left side, this may indicate not only gynecological pathologies or oocyte exit from the follicle, but also intestinal diseases. Especially if the pain is accompanied by bloating, increased flatulence, diarrhea or other disruptions in the gastrointestinal tract.

The fact is that the intestine is located very close to the pelvic organs, and if inflammatory processes begin in it, this is expressed by a peculiar soreness on the side where the center of inflammation is localized. The pain may be in the abdomen or in the back.

When the left ovary hurts, you should definitely pay attention to such features as:

  • nature of pain - pulling, stitching, cramping,
  • where the pain syndrome goes - in the thigh, lower back, leg, abdomen,
  • symptoms from the gastrointestinal tract - type of stool, flatulence, nausea,
  • other symptoms are bleeding, migraines, fever and so on.

Symptoms of painful ovulation

When a woman does not have gynecological and intestinal diseases, the pains before ovulation will have a short period with a slight pain syndrome. Duration depends on the processes in the body, but usually does not exceed two days. Localization of pain depends on the ovary, which must be co-opt, as the dominant follicle has matured and creates discomfort in the organ. If two eggs have reached maturity in different ovaries, the pain can be expressed on both sides, and can be localized only to the right.

But you should know that painful ovulation in a healthy woman has other symptoms:

  1. Libido increases. Since ovulation is the most favorable time to conceive a child, nature tried to increase sexual desire during this period.
  2. Changes the consistency of discharge. A few days before, during, and after the ovulatory process, excretions become more fluid and lasting, like egg white. These changes contribute to the rapid penetration of sperm into the reproductive organs of women and their advancement to the egg.
  3. Changes the color of selections. Due to the sharp drop in estrogen levels and the lack of progesterone, the development of which has not yet begun, the endometrium begins to flake off a little. This leads to a change in the color of the excreted fluid, in which a little blood is now present, giving it a pinkish tint.
  4. Soreness of the mammary glands. Just before the release of the egg the body prepares for a possible pregnancy, which affects the mammary glands. Therefore, they become more sensitive or slightly painful. But it passes with the beginning of the birth of the corpus luteum.

But you should pay attention to your health, if there are additional symptoms:

  • pain syndrome lasts more than 2 days,
  • soreness increases
  • body temperature rises
  • there was nausea or vomiting,
  • there are bloody discharge from the vagina of any intensity,
  • fainting.

In this case, it is better to consult a doctor in order not to miss the moment when the disease can be detected at an early stage and cured without waiting for complications.

Headache during ovulation - what to do

Often women complain that with ovulation a headache is a little bit. There are various explanations for this.

If headaches occur before ovulation begins, it is more likely to be associated with a decrease in estrogen in the blood. As a result, the vessels going to the brain contract, less oxygen is supplied to the head cells, and this leads to a headache.

With the onset of pregnancy, too, can headache. This is due to early toxicosis and the restructuring of the woman's body to bear.

After the oocyte leaves the follicle, the uterus periodically contracts to ensure the movement of the egg. Such cramps lead to pressure on the blood vessels, due to which there are symptoms of hypoxia.

Taking contraceptive drugs changes the hormones of the female body, which at the time of ovulation leads to a discomfort and headache.

Improving health and ridding yourself of an unpleasant state will help a healthy diet and a healthy lifestyle. The increase in the diet of vitamins also favorably affects the processes occurring in the female body.

Do not neglect the medical treatment of headaches. Only reception of antispasmodics should be coordinated with the attending physician.

If painful ovulation is accompanied by nausea, vomiting, bleeding, abdominal distension or weakness, these are clear signs of the presence of a gynecological disease. Only a doctor will help here.

What do they say pulling pain in the lower abdomen after ovulation

Pulling pains in the abdomen during and after ovulation can tell about the following pathologies:

  1. Follicular cyst. A growing cyst puts pressure on nearby organs, which leads to aching unpleasant symptoms in the area of ​​its formation, and it gives to the lower abdomen.
  2. Premenstrual syndrome. Due to a decrease in progesterone, the same sensations arise as at the time of menstruation, only without bleeding.
  3. Ectopic pregnancy. Its first manifestation is revealed precisely by the pulling pains in the lower abdomen, and later, with the growth of the embryo, other symptoms are added.
  4. The development of menopause. Painful ovulation can talk about the first signs of this problem, and then there are reductions in the number of menstruations, headaches, and increased sweating.
  5. When the uterus hurts during presumptive ovulation, a pregnancy test should be done. If conception happened in the past cycle, but for some reason there were spotting that was taken as menstruation, then there may be a miscarriage threat in this cycle. To prevent this from happening, if the test is positive, it is better to immediately consult a doctor who will prescribe a treatment to maintain pregnancy.

Pain in the back, spine and lower back with ovulation

It should be noted that the pulling pains during ovulation in the lumbar region do not always indicate healthy physiological processes. More often, back pain and even in the spine gives in such pathologies as:

  • risk of miscarriage,
  • uterine fibroids,
  • appendicitis,
  • kidney inflammation,
  • cystitis,
  • inflammatory processes in the intestines,
  • rupture of cyst of the corpus luteum or ovary.

Why does back pain in such cases or after ovulation? The problem is that the nerve endings of the appendages, uterus, kidneys and lower intestines are interconnected. And when irritated by any of these organs, the pain impulse spreads to other innervated structures.

Pain in the side with ovulation

In addition to appendages, kidneys and adrenal glands, pain in the right side can be triggered by the onset of inflammation of appendicitis after irritation in the process of ovulation.

This will indicate the aching and cutting pains in the side and a rise in temperature. Although appendicitis does not always pull only the side. If this organ is located closer to the bladder, then the pain may also go to the lower abdomen.

Therefore, if the left side hurts, it is better to undergo an examination, since this disease may also have a chronic form.

Painful ovulation what to do

If painful ovulation is associated with natural physiological processes, it is recommended that you follow certain rules for several days before it starts and some time after completion:

  • rest more at this moment
  • refrain from excessive physical exertion
  • avoid stressful situations
  • take a soothing bath with aromatic oils and herbal decoctions,
  • reduce in the diet dishes that adversely affect intestinal motility - legumes, cabbage,
  • spicy and fatty foods, chocolate, coffee.

If severe pains are not associated with inflammatory processes, and recur with monthly ovulation, the doctor may prescribe painkillers, such as Diclofenac, Indomethacin, Solpadein, Ibuprofen.

Accepting antispasmodics is also used to block pain syndrome. More often prescribed No-shpu, Baralgin or Spazmalgon.

But it is not recommended to use drugs on such days, which contribute to a negative effect on the egg cell. And in no case can one resort to the help of a heating pad, since excessive heat, on the contrary, will aggravate the situation.

If the patient is not going to become pregnant in the future, a specialist may recommend some types of contraceptives. They block the growth and release of eggs, which prevent pain. However, for young women wishing to become pregnant, this method is not used.

Concept of ovulation

As you know, the duration of menstruation is calculated from the first day past to the first day of the next menstrual period. The normal cycle duration ranges from 21-35 days. The standard is the duration of 28 days, which corresponds to the lunar cycle.

The menstrual cycle consists of several phases:

Follicular phase

The main hormone of this phase is estrogen, under the action of which a dominant follicle forms in the ovary, where the egg cell begins to mature. Depending on the cycle time, the follicular phase can last from 12 to 18 days (for example, with a standard 28-day cycle, the duration of the follicular phase is 14 days). At the end of this phase, the follicle is as tense as possible and ready to burst.

Ovulatory phase

This phase is the shortest, since its duration is from 12 to 36 hours. During the ovulatory phase, the amount of estrogen decreases, which causes the follicle to rupture and the egg to enter the tube. Для данной фазы характерен низкий уровень эстрогена и прогестерона, поскольку фолликул и яйцеклетка уже созрели.Progesterone is not produced, since fertilization and the formation of the yellow body has not yet occurred.

Luteal phase

The production of progesterone increases, and under its action the uterine mucosa begins to prepare for the attachment of the ovum. If there was no conception, the amount of progesterone is reduced, the corpus luteum dies off, and the upper layer of the uterine mucosa (endometrium) is rejected, which is directly menstruation.

From this we can conclude that by ovulation is meant the rupture of the follicle and the release of the egg, and the pain during ovulation in medicine is called Mittelschmer syndrome or ovulatory syndrome.

Presence of discharge

Vaginal discharge before ovulation, during and after the release of the egg may vary slightly. They become more liquid and in appearance resemble egg white. A change in the consistency of the secretions is necessary so that the spermatozoa more easily penetrate into the uterine cavity, since the liquid secretion facilitates the process of passage of the spermatozoa to the mature egg cell.

Change the color of selections

Pain and minor discharge in the middle of the cycle are considered normal. A woman may notice that there are small patches of blood on her underwear (see bleeding in the middle of the cycle). This is due to the fact that the endometrium began to exfoliate, since progesterone has not yet been developed, and the synthesis of estrogens has already stopped.

The main types of ovulation

Gynecologists distinguish between several main types of ovulation: premature, timely and early.

Premature ovulation is a process in which a mature egg leaves the follicle not in the middle of a cycle, but much earlier, which can be triggered by several factors:

  • Too rough sex (see the causes of pain during intercourse),
  • Disruptions in the hormonal background and endocrine system,
  • Strengthening physical activity
  • Diseases (including gynecological),
  • Stress and emotional overload.

Late ovulation can cause hormonal disruptions, including violations of the duration of the menstrual cycle. Based on the main types of ovulation, we can conclude that pain can occur not only in the middle of the cycle, but also earlier or later than this period.

What is anovulation?

Some women do not have ovulation. This happens during pregnancy, during menopause and before it. In addition, anovulation is observed when taking hormonal contraceptive drugs.

Lack of ovulation for two or more cycles in women of reproductive age is a serious reason for going to the doctor, as this may be a sign of infertility. Often the reason for anovulation lies in a hormonal failure, and if you bring the hormones back to normal, a woman can become pregnant.

To clarify the date of ovulation, you can make a special test for ovulation or undergo an ultrasound, which will be visible ripe follicle.

Causes of pain

If there is a bob in ovulation, this process can be explained by several reasons:

  • An enlarged follicle stretches the ovarian capsule,
  • When the follicle ruptures, not only the egg cell enters the abdominal cavity, but also the fluid, which can cause irritation,
  • The rupture of the follicle provokes damage to the capsule of the follicle and small blood vessels, from which a small amount of blood enters the peritoneum, which also irritates the walls,
  • Liquid and blood are in the abdominal cavity no more than 48 hours, after which they are absorbed into the mucous membrane and the pain passes,
  • Increased peristalsis of the fallopian tubes can also provoke pain, which should seize the egg and promote its progress towards the uterus,
  • Lower abdominal pain in the middle of the cycle in some cases serve as an indirect sign of pregnancy.

Severe pain during ovulation, in addition to the low pain threshold, may indicate gynecological diseases:

  • Adhesions in the pelvis, which appeared as a result of the inflammatory process, endometriosis or after surgery,
  • The adhesions process prevents the normal contraction of the fallopian tubes and overtighten the ovary, which causes the capsule to seal and increases pain.

How to remove the pain?

Despite the fact that pain in the right or lower side often occur during ovulation, self-medication is not recommended. To know exactly what pain is caused by the release of the egg, you should consult a doctor. Pain can cause any disease or pathology that may accidentally coincide with the middle of the cycle.

The gynecologist will be able to conduct a thorough examination, determine the exact cause of the pain and prescribe the best means to deal with it:

  • With constant pain (during each menstruation), a woman is recommended to avoid stress, physical exertion and diet for the time of ovulation,
  • Medical nutrition involves the restriction or exclusion of products that are difficult for the digestive tract, as well as those that increase peristalsis and gas formation. First of all, you should exclude all fatty and spicy foods, cabbage, beans, coffee, strong tea and chocolate.
  • Good pain relieves warm baths with medicinal herbs or aromatic oils. If there are no surgical or infectious diseases, a warm compress can be applied to the lower abdomen, which will relax the uterus and relieve pain.
  • As an anesthetic, it is better to choose nonsteroidal anti-inflammatory drugs that relieve pain, inflammation and reduce the production of prostaglandins (Ibuprofen, Ketaprofen).
  • Antispasmodics have also proven themselves well (No-shpa, Spazgana).
  • see how to reduce pain during menstruation

In some cases, with persistent pain during ovulation, the patient is recommended to start taking oral contraceptives that block ovulation and prevent pain. However, if a woman wants to get pregnant, such drugs are not accepted. In addition, during ovulation, you cannot put a heating pad on your stomach or take medicine, as this may impair the quality of the egg.

Severe pain during ovulation

Sometimes pain in the middle of the menstrual cycle is very pronounced. The patient should be examined by a gynecologist, since such pains may indicate serious diseases or pathologies:

All of these conditions require immediate medical attention or even surgery, so you can not tolerate severe pain in any case, because it can cost the patient life.

When is emergency care required?

If the pain in the lower abdomen is accompanied by one of the following signs, the woman should immediately consult a doctor or call an ambulance:

  • The pains last longer than two days,
  • The patient's condition gradually deteriorates
  • There is a steady increase in temperature
  • Loss of consciousness,
  • Nausea and vomiting,
  • Acute gynecological diseases, operations and endometriosis in the past,
  • Bleeding of varying intensity
  • The pain occurred after taking medication to stimulate ovulation.