Stomach pain during ovulation. How can you help yourself? Symptoms of painful ovulation

Update: October 2018

As is known, menstrual cycle is the main assistant in assessing the condition women's health. According to its duration, the presence or absence of pain during menstruation, the appearance bloody discharge 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 in only 20% of women 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 varies and normally ranges from 21 to 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 caused by the action, under the influence of which it is determined in the ovary dominant follicle, 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. Towards 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. During this phase, estrogen levels drop, causing the main follicle to burst and release a mature egg, ready for fertilization. What is characteristic is that it is during the ovulatory phase that the level of both estrogens is quite low (estrogens are no longer synthesized, since the dominant follicle and egg have already “matured”, and progesterone is not yet produced in sufficient quantities under the influence of luteinizing hormone due to the still unformed yellow body 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 unsuccessful fertilization, by the end of the luteal phase the level of progesterone decreases ( corpus luteum menstruation dies) and the functional layer of the endometrium is shed, 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 Mittelschmertz syndrome.

Signs of ovulation

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

Pain in the right side or left

Pain occurs on a certain side, depending on which ovary “works” in a given menstrual cycle (most often, right-sided pain is observed, which 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 may cause only 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:

• character - emotional representatives of the fairer sex feel pain more clearly
• the presence of gynecological diseases contributes to increased pain
• pain sensitivity threshold - the higher it is, the less pain a woman experiences during ovulation.

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

Increased libido

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

Discharge

On the eve of ovulation, at the moment of its completion, and for another couple of days, the character changes vaginal discharge. They become more . These selection changes are necessary to create favorable conditions penetration of sperm into the uterine cavity to fertilize a mature egg. Liquid consistency of discharge in a slightly expanded cervical canal facilitates the advancement of “live animals” into the uterus.

Changes in discharge color

During 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 underwear (see. This is due to a slight detachment of the endometrium (estrogens are no longer produced, and progesterone has not yet begun to be synthesized).

Pain in the mammary glands

There may be pain or tenderness in the breasts during ovulation (see), which is associated with initial training mammary glands for pregnancy and lactation. Such pain (mastodynia) is short-lived and stops by the time the corpus luteum forms.

Causes

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

• The large “dimensions” of the follicle stretch the ovarian capsule, which explains the occurrence of pain before ovulation.
• After the dominant follicle has reached the “desired condition,” it bursts and a ready-made egg is released into the abdominal cavity.
• At the moment of rupture of the follicle, in addition to the egg, a certain amount of liquid is poured into the abdominal cavity, which irritates parietal peritoneum. In addition, the ovarian capsule is damaged, in which small blood vessels, as a result of which even a small amount of blood enters the abdominal cavity, which also irritates the peritoneum.
• Such nagging pain after ovulation they can bother a woman for 12 to 48 hours. But then the blood and follicular fluid in the abdomen are absorbed and pain syndrome disappears.
• And since at the moment the egg appears in abdominal cavity The fallopian tubes begin to peristalt (contract) more strongly in order to have time to capture a viable egg and ensure it meets the sperm, then pain can be maintained 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 certain gynecological diseases, for example:

• , which may be due chronic inflammation, availability surgical intervention history or
• adhesions do not allow the tubes to contract calmly and tighten 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 caused by several factors:

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

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

In connection with the described types of ovulation, pain, accordingly, does not occur, as is customary, in the middle of the cycle, but much earlier or, on the contrary, later, which can become a cause for concern for a woman (see also). That's why indirect sign possible future pregnancy is pain in the middle of the cycle.

Anovulation

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

If a woman of reproductive age does not ovulate for several cycles in a row (2 or more), she should start sounding the alarm, because no ovulation - no egg - no possibility of getting pregnant.

As a rule, the cause of anovulation is hormonal imbalances 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, where the doctor will accurately see the mature follicle and the release of the egg from it (of course, ultrasound is performed several times during the period of expected ovulation).

How to make it easier

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

• If ovulatory syndrome bothers a woman in every menstrual cycle, she is recommended to relax as much as possible on the days of ovulation, eliminate stressful situations and stick to a certain diet.
• IN therapeutic nutrition limit dishes and products that increase the load on gastrointestinal tract, increase intestinal motility, which aggravates pain, causes flatulence and excites the central nervous system. These are primarily sharp and fatty foods, legumes and White cabbage, chocolate, coffee and strong tea.
• Warm baths with aromatic oils or medicinal herbs. heat descends to the lower abdomen, which reduces contraction of the uterus and tubes and relieves pain, but only if acute infectious and surgical diseases are excluded.
• Of the painkillers of choice, non-steroidal anti-inflammatory drugs are the method of choice, which block the synthesis of prostaglandins, relieve pain and inflammation (indomethacin, naproxen, ketoprofen).
• Taking antispasmodics (no-shpa, spazgan, spasmalgon) is also effective.

With constant ovulatory syndrome, the gynecologist may recommend taking), which, by blocking ovulation, prevents the occurrence of pain. But, if a woman wants to get pregnant, their use is excluded, and it is also not permissible to use them on the lower abdomen and take any medications 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 of the groin may be a sign of an emergency:

You should consult a doctor as soon as possible if you experience severe pain in the lower abdomen and/or the following signs:

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

Ovulation (from the Latin ovum - ‘egg’) is a physiological process during which an egg ready for fertilization is released into the abdominal cavity from an ovarian follicle. This process occurs in women from the moment of puberty until the onset of menopause, interrupted only during pregnancy. Ovulation and conception are two inseparable concepts. On the days of ovulation, the female body is ready for fertilization.

Ovulation: the day of the cycle when the egg is ready to be fertilized

The process occurs at intervals of 21–35 days, depending on the length of the menstrual cycle, approximately in its middle. As a rule, menstruation occurs 12–16 (on average 14) days after ovulation.

Ovulation: symptoms that indicate readiness to conceive

In the middle of the menstrual cycle, ovulation occurs, the symptoms of which can be mild or pronounced depending on the individual characteristics body:

1) painful sensations lower abdomen;

2) sexual desire increases;

3) more mucus is released in the cervix;

4) the color of the discharge may change.

1. Pain during ovulation

Not all women experience pain during or after ovulation. According to statistics, pain is observed in only one in five women. You can feel pain during ovulation due to slight bleeding: the follicle bursts, and, in addition to the egg, follicular fluid comes out of it, as well as small blood clots.

• Mild pain during ovulation- a normal phenomenon.

During ovulation, the lower abdomen hurts - where the ovaries are located. The pain may be cutting, stabbing or cramping. Duration is about an hour, but for some women it lasts a day or two. If pain during ovulation is severe, tell your gynecologist.

The ovaries work alternately: in one month the follicle matures in the right ovary, in another month in the left ovary. For this reason, pain during ovulation is usually felt either on the right or on the left.

Gynecologists explain pain during ovulation by saying that the Graafian vesicle stretches the walls of the ovary. Also, pain during ovulation is associated with the fact that fluid flows out of the burst follicle. It stimulates contractions of the uterus and fallopian tubes, which causes pain during ovulation.

• Pain after ovulation- not such a common occurrence.

If signs of ovulation bother you, consult a specialist. Pain after ovulation, for example a week before your period, may be a sign of ovarian inflammation or other problems with the reproductive system. Pain during ovulation, before or after it, is not necessarily associated with the release of an egg: most gynecological diseases are accompanied by pain of varying nature and intensity.

2. Increased sex drive

Pain during ovulation has little effect on sexuality: for many, sexual desire even increases. Nature itself tells you: ovulation has begun and conception is now most likely.

3. Discharge during ovulation

If you are interested in how to determine ovulation, just watch your body:

• discharge can begin a few hours before ovulation and last up to two days;
• Discharge during ovulation becomes thinner compared to discharge before and immediately after menstruation.

Liquid discharge is one of the signs by which you can determine that you have begun ovulation, and pregnancy is most likely. At the same time, they look like egg whites and should “stretch” between your fingers.

4. Changed color of discharge

The color of the discharge may be reddish and look like slight bleeding or pinkish. Please note: there should not be a lot of blood. Uterine bleeding can be life-threatening, for example, if the uterine fibroid leg becomes twisted.

The above symptoms help determine approximate days ovulation. If the discharge has become thinner, this does not necessarily mean that ovulation has occurred.

• WITH 1st On the day of menstruation, the follicular, or menstrual, phase begins. During this period, several follicles begin to grow in the ovaries.
• WITH 7th day and until the middle of the cycle, the ovulatory phase lasts. At this time, the main follicle is released - the Graafian vesicle. The egg matures in it.
• 14th day 28-day cycle - ovulation. On this day of the Graafs, the bubble bursts: a mature egg comes out of it, which, perhaps, will become the beginning of a new life. It is at this moment that a woman may feel pain during ovulation. In the days after ovulation, the egg moves to the uterus through fallopian tube. According to various sources, the egg lives for 24–48 hours, but many girls, when asked how long ovulation lasts, answer that they became pregnant up to 5 days after they received positive results LH test.
• WITH 15th day, the corpus luteum phase begins - this is the period after ovulation and before the start of the next menstruation. The walls of the burst follicle gather like flower petals in the evening, accumulate fats and luteal pigment, which gives them yellow. The modified Graafian vesicle is now called the corpus luteum - hence the name of the period.

The cycle changes:

• within one year
• after childbirth;
• within three months after the abortion;
• after 40 years, when the body prepares for menopause.

Lack of ovulation, or anovulation

Ovulation and pregnancy are closely related, so the absence of the former leads to the inability to have a child. However, even in a healthy woman, the egg does not mature in every cycle. Two to three cycles per year with anovulation are normal. With age, the number of such periods increases.

But if there are four or more anovulations in a year, consult a doctor. As in cases when a woman has severe pain in the lower abdomen during ovulation, this may be a symptom of endocrine or gynecological diseases.

Lack of ovulation is observed when:

• pregnancy;
• menopause;
• violation hormonal levels;
• taking certain medications.

If you want to have a child, ovulation is stimulated hormonal drugs. But don't self-medicate. Stimulation should be carried out under the supervision of an experienced doctor: he will examine, conduct necessary tests and prescribe medications that suit you.

Types of ovulation:

• timely;
• premature ovulation;
• late.

Causes of premature ovulation

Premature is the release of an egg not in the middle of the menstrual cycle, but earlier. It can happen for various reasons:

• intense sexual intercourse;
• physical activity (weight lifting, gym training);
• stress;
• diet;
• illness;
• hormonal imbalance.

If you have an unstable cycle, it is difficult to talk about premature ovulation, because hormonal system does not work in normal mode.

Please note: even stress can cause premature ovulation. Because of nervous tension, attempts to lose weight, diseases that we don’t always even pay attention to, premature ovulation can occur quite often.

Causes of late ovulation

Sometimes because hormonal imbalances may be observed late ovulation. If in the middle of the cycle your stomach does not hurt and there are suspicions that you have late ovulation, undergo folliculometry - tracking ovulation using ultrasound.

Answers to popular questions about ovulation

How many days does ovulation last?

Having left the follicle, the egg, according to various sources, “lives” for 24–48 hours - this is the period of ovulation. Depending on how many days ovulation lasts - one or two - your chances of getting pregnant change.

Ovulation: what day should you plan to conceive?

If you are planning a pregnancy, you need to consider how long ovulation lasts and how long the sperm lives. After ovulation, the egg lives only one day, and the sperm - 2-3 days. Based on this, in order to get pregnant, sexual intercourse should occur no earlier than 2-3 days before and no later than 24 hours after ovulation.

How to avoid getting pregnant, knowing when ovulation occurs (day of the cycle)?

Due to late and premature ovulation, due to the fact that some men have sperm that live longer than 7 days, as well as a whole range of other reasons calendar method the same “reliable” method of contraception as coitus interruptus (Pearl index for the calendar method is 14–38.5, and for coitus interruptus – 12–38). Even if your lower abdomen hurts during ovulation and you know exactly when it passes, this will not protect you from unwanted pregnancy.

Is it possible to get pregnant with late or premature ovulation?

Yes, sure.

How does an ovulation test work?

In the middle of the menstrual cycle, the level of luteinizing hormone increases. An ovulation test is designed to determine the amount of it in the urine.

Using the test is easier than measuring every day basal temperature and draw an ovulation chart. In clinical trials, the test gives very high level accuracy - 99%. If you follow the instructions, you can accurately determine the most favorable period for conception. Although when taking some medicines incorrect results may occur.

Most often, the test contains 5 strips in sealed packages. In addition to these, you may additionally need a watch.

As soon as you notice signs of ovulation, such as ovulation pain, take a test to make sure it has passed. How to use the ovulation test is usually indicated on the packaging. Usually used in the same way as a pregnancy test: collect the urine in a clean, dry container and place the test strip there for 5-10 seconds until the indicated mark. In 10 minutes you will know the result.

How much does an ovulation test cost?

An ovulation test, the price of which varies among different manufacturers, usually costs more than a pregnancy test. If you want to get pregnant, buy an ovulation test: its price is small compared to the fact that you are bringing your dream closer. A set of five Frautest strips costs about 300 rubles, Eviplan - about the same, OVUPLAN - cheaper, up to 200 rubles.

If you suspect you are not ovulating or for any other reason want to test every cycle, you can purchase a reusable digital test- it costs about 1000 rubles. This is especially convenient if you ovulate prematurely or too late.

How can you use a basal temperature chart to determine when an egg is released?

On what day does ovulation occur? This question interests many women: those who are not yet ready to join their family and are protecting themselves from unwanted pregnancy, and those who dream and want to become a mother.

During ovulation, basal temperature rises by 0.3–0.6 °C, and about a day before it drops slightly. By measuring her temperature daily and plotting a chart, a woman can know about the onset of ovulation the day before it begins. Determining ovulation by basal temperature is a simple method, but it is not 100% accurate.

Basal temperature rises slightly during ovulation. It must be measured in the morning at the same time, in a lying position, without getting out of bed. You need to use the same thermometer. To measure the temperature, you must enter anus medical thermometer for 5 minutes. You enter these measurements into an ovulation chart, which shows the days of your menstrual cycle and your temperature.

From the beginning of menstruation until the middle of the cycle, the temperature is below 37 °C. When the egg matures, the temperature rises only a few tenths of a degree, but a noticeable jump will be visible on the graph. This is the period of ovulation: a favorable time for conception if you want to have a child, and the most “dangerous” time if you are not yet planning on adding to the family.

How does the calendar method of determining ovulation work?

To find out when ovulation occurs (on what day of the cycle), count how many days pass from the beginning of one menstruation to the beginning of another. The time of ovulation occurs in the middle of the cycle, plus or minus two days. That is, if 28 days pass from the first day of menstruation to the onset of the next menstruation, then ovulation occurs on the 14th–15th day. If your cycle is 35 days long, then it occurs on the 17th–18th day after the start of your period. These days, some women experience ovulation pain and other symptoms described above.

Are there ways to EXACTLY determine on what day ovulation occurs?

How to determine ovulation with 100% probability? There are two ways.

1. Ultrasound: during the procedure, the size and stage of development of the follicle is determined, and it is also calculated when it will burst and an egg will be released from it, or ovulation will occur.
2. Blood test for luteinizing hormone: This is a hormone secreted by the anterior pituitary gland. Its level in the body increases significantly before ovulation. The work of pharmacy ovulation tests is based on the same principle.

Is it possible to get pregnant in the days after ovulation?

After ovulation, the greatest chance of getting pregnant remains within 24 hours (according to some sources - 36–48 hours). If conception does not occur, the egg dies.

In the middle of the cycle every month for everyone healthy women the most important point, ovulation, an egg ready for fertilization is released from the ovary. And this moment can sometimes be 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 not at all dangerous, and do not require any treatment or attention from a doctor, but sometimes they are quite severe, or their cause is not ovulation at all, but much more dangerous health problems.

In this article we will look at why pain occurs during ovulation, what should be considered normal, and in what cases you need to see a doctor.

Causes

The causes of pain during ovulation are quite understandable.

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

Usually, only 1 follicle matures in 1 cycle; it is called dominant, and by the 14th day of the menstrual cycle it is a fairly fluid-filled vesicle. large sizes. Inside this vesicle is an egg. So that she can be freed and go on her journey through the fallopian tube to the uterus, the vesicle has to burst, which happens in most women, this is ovulation.

Meanwhile, the wall of the vesicle on the ovary is formed by living cells of your body, there are many vessels in it, and of course, if they rupture, they are damaged. In most cases, these vessels are small and thin, severe bleeding does not occur, but sometimes they are damaged enough large vessel and then this or that amount of blood is poured into the abdominal cavity.

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

Since nature arranges that during the current cycle one ovary works, and the second rests, and in 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 woman’s pelvic organs and the close location of the appendix. It is known that adnexitis (inflammation of the ovary) also occurs more often on the right.

In rare cases, follicle rupture is so violent that damage to the tissue of the ovary itself occurs, 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 decreased blood pressure. This is enough dangerous situation, requiring the attention of a doctor.

Why does not everyone experience pain during ovulation and not every cycle?

Nature has arranged it this way that a woman’s fertility decreases every year. Not every menstrual cycle is accompanied by the release of an egg ready for conception, and the older the woman, the less chance there is for full ovulation and conception.

In addition, everyone's sensitivity is different. Some people feel nothing at all, while others nervous system very susceptible and they experience pain.

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

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

In the first days, there is simply nothing to produce progesterone; the corpus luteum is responsible for its production, which will form at the site of the follicle that burst when the egg was 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 bleeding.

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

Pain as a symptom of ovulation

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

Many women never find out during their entire lives whether they have pain during ovulation, while others suffer from it almost every cycle.

Sometimes it happens that a woman who has never previously suffered from painful sensations begins to suffer almost every month after childbirth or a previous pregnancy. inflammatory disease organs of the reproductive system.

Symptoms may also appear after surgery 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 vesicle before rupture, and possibly more heavy bleeding. Adhesions in the 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 bubble, ready to burst - of course, if its wall is denser than normal - and the pain when rupture will be stronger.

So whether a particular woman has pain during ovulation may indicate her overall health status.

There may be pain during ovulation that lasts only a few hours and then goes away completely, but sometimes it lasts several days. As a rule, it occurs 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 they say that it hurts in the side, quite clearly characterizing the place where they have pain).

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

Since the blood directly irritates the peritoneum covering the uterus, this 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 severe and incomprehensible pains on the days of ovulation force the woman to consult a doctor. Often they initially turn to a surgeon with suspicion of acute surgical pathology, for example, appendicitis, and only after examination it is possible to find out why the stomach hurts.

Treatment

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

How to relieve such pain during ovulation?

Rest, rest, and taking non-steroidal anti-inflammatory drugs and antispasmodics (analgin, no-spa) help. 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 a doctor, whom you should contact.

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

In what cases is it vital to see a doctor:

Severe abdominal pain that comes on suddenly and prevents you from sleeping, eating, or doing normal activities

Pain that is accompanied by vomiting, stool disturbances, and increased body temperature

Pain accompanied by weakness and dizziness, pale 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 general state. Usually, pain in the lower abdomen after ovulation goes away within a few hours, maximum 1-2 days. If this is not the case for you, there is reason to be alarmed.

Am I ovulating or something else?

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

How to distinguish pain during ovulation from appendicitis? Secretly, it’s difficult even for doctors, the symptoms are almost the same.

In the emergency room, the woman is examined by a surgeon, and suspecting that this is not his case, he invites her to a consultation with a gynecologist. Next, you will need to take a blood and urine test, and an abdominal ultrasound will be prescribed, which will detect ovulation. characteristic changes ovary and fluid in the abdominal cavity.

But what gynecologists most like in such unclear cases is a procedure called puncture of the posterior vaginal vault.

This rather painful and unpleasant manipulation is performed without anesthesia on a regular gynecological chair. The doctor makes a puncture in the area of ​​the posterior vaginal vault and inserts the needle into this same pouch of Douglas, described above. Based on its contents, you can immediately, without further examination, make an accurate diagnosis.

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

If the amount of content is small, relief occurs 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 “ovarian apoplexy” will be made, and everything will end with surgery (the ovarian rupture must be sutured to stop the blood loss, but that’s a slightly different story).

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

If you suffer from hormonal storms and accompanying symptoms from month to month, be sure to visit a 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 designed this way, she often neglects alarming symptoms until the last moment, not finding time and giving everything to those he 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 normal and requires the attention of a gynecologist. Be healthy and happy.

Many girls are familiar with premenstrual symptom or painful periods, but not everyone knows that the lower abdomen hurts during ovulation, since this phenomenon occurs in one out of five women. To understand the essence of this process, let us examine in more detail the causes of such pain, and for this let us remember how liberation occurs female cell.

Origin of pain during ovulation

The menstrual cycle consists of two periods separated approximately in the middle by ovulation, the shortest moment, lasting 24 hours, at which conception is possible.

At the beginning of the first phase, several follicles are formed in the ovary, which begin to grow under the influence of estrogen. On days 8-10, one of them overtakes its fellows and takes the lead, while the rest begin to dissolve. The leader continues to grow 2-3mm per day until it reaches the desired size (20-24 mm).

Ovulation day and lower abdominal pain

When advancing full maturity, the walls of the bubble stretch as much as possible, it bursts, and the egg is released. This is the first explanation why the lower abdomen hurts during ovulation. After such a rupture, fluid from the follicle and a small amount of blood from the rupture of the vessels enter the cavity and onto the uterus, thereby causing irritant effect. Therefore, in addition to the fact that the lower abdomen hurts during ovulation, brownish streaks or slight bloody droplets may also appear in the vaginal discharge. Let us remind you that during the period of appearance of the cell, the discharge is abundant, transparent and similar in consistency and thickness to the white of an egg.

Duration and nature of pain

The pain is felt from a few minutes or hours to 1-2 days. They can be sharp, cutting, aching, dull or pulling, it all depends on the characteristics of the body and its reaction to pain. In the process of cell maturation, the ovaries participate in turns; in one cycle the follicle grows in the right, in the second in the left, or vice versa. Although sometimes it is possible for one of them to work for two cyclical periods in a row. It happens that the lower abdomen hurts before ovulation on one side, this shows that the tension of the wall of the vesicle has already begun here and in a few hours it will rupture and the cell will be released.

The wound in the wall of the ovary causes concern for a short time, since the corpus luteum begins to develop in this place in order to begin producing progesterone to maintain the second phase.

The pain when the female cell exits is physiological in nature. They do not cause any harm to a woman’s health and do not require any treatment if they last no more than 24 hours. But when observing such a phenomenon for the first time, it is worth looking for the cause of the malfunction in your body in order to prevent the development of any disease.

What else could happen

So, when ovulation occurs, the lower back hurts, the lower abdomen hurts on the right or left, the chest becomes sensitive, and discharge in the form of egg white, you should hurry up with sexual intercourse in order to guarantee conception.

Why does pain occur after ovulation?

We have become acquainted with a number of reasons why the lower abdomen hurts on the day of ovulation, but unpleasant sensations occur after this period. Let's look at what happens. The egg, having been released, moves into fallopian tube, fertilized male cage and the fertilized egg descends into the uterus. There, under the influence of progesterone, all the conditions for its adoption have already been created.

Signs of pregnancy

The embryo begins to penetrate the endometrial layer on days 5-7, which is exactly how much time it needs to make its way. The moment of attachment causes pain in the uterus, which the woman feels in the lower abdomen and lower back, and slight bloody or pinkish discharge is also possible. Implantation is the main reason why the lower abdomen hurts after ovulation a few days later.

Symptoms disappear after 1-2 days and are signs of pregnancy, which are then supplemented by aversion to familiar food and smells, mild malaise, changes in appetite and mood, etc.

The following atypical cases should alert you:

• The lower abdomen hurts very badly after ovulation, accompanied by headache and dizziness, and sometimes bleeding. This may be a rupture of a cyst or a disease of the genital organs caused by microbes, for example, adnexitis - inflammation of the ovary. Here the pain is periodic and radiates to the lower back. Inflammation of the appendages (oophoritis) is accompanied by aching pain, periodically radiating to the lower back, weakness, fatigue and sometimes fever. You should undergo examination and treatment.
• Long-term pain associated with frequent urges to urination, they talk about inflammation of the bladder - cystitis.
• Frequent, aching or sharp and severe pain in the right side, with an increase in temperature, indicates inflammation of the appendix - appendicitis.

If the pain doesn't stop

If pain persists for more than 48 hours, you should immediately contact a gynecologist, and the following plays a role:

• duration of pain;
• place of concentration and strength;
• presence of temperature above 37.5;
• this sensation is repeated in each cycle or for the first time and there are other symptoms that the doctor should be informed about in order to understand your problem and provide the necessary qualified assistance.

How to get rid of pain during the appearance of a cell

Having figured out whether the lower abdomen can hurt during ovulation and the reasons for this condition, let’s see how we can alleviate it. To solve the problem, you need to be absolutely sure that you are experiencing cell release and not inflammation or the development of a disease. You can do this:

• take a painkiller tablet;
• create a calm environment, arrange a rest in combination with plenty of drink;
• if the issue of contraception is relevant for you at this stage, then taking contraception, the action of which inhibits ovulation, you will solve two problems at once - protect yourself from unwanted pregnancy and get rid of ovulatory pain.

conclusions

Pain is natural physiological consequences processes in female body during the menstrual cycle. The lower abdomen can hurt both during and after ovulation. You should be wary of incessant and uncharacteristic pain; to do this, you need to monitor your cycle and listen to your body.

Many women experience pain during ovulation. But they are not considered dangerous unless caused by any gynecological disease. Such pain signals often determine the most favorable period for conceiving a child. But if the pain bothers you greatly, you need to see a doctor.

A gynecologist will be able to accurately determine the cause of this symptom. To relieve pain, you can only take painkillers on your own. The rest of the treatment, if necessary, is prescribed by the doctor.

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Pain during ovulation

The nature of pain during ovulation is determined by the physiological characteristics of the woman’s body. They can last several hours or days. These symptoms are felt in the lower abdomen. Usually on the side where the egg has matured in the ovary. Painful signs occur during its release from the ovary.

Pain during ovulation can be cutting, cramping or pulling. They have different intensities. But if painful sensations severe and do not go away within a few days, you should consult a gynecologist. After all, this condition can become a harbinger of many gynecological diseases.

During the period of ovulation, many women feel increased sexual attraction. These days are considered the most favorable for conceiving a child. A woman determines the onset of ovulation by the appearance of specific liquid discharge. If there are traces of blood in them, you should consult a specialist to rule out intrauterine bleeding and other diseases of the reproductive system.

If a woman’s menstrual cycle is regular and averages 28 days, then ovulation usually occurs on the 14th day of the cycle. But there is early and late ovulation. It depends on physiological characteristics body, and from the hormonal background of the woman.

Main symptoms of ovulation

Women almost always notice symptoms of ovulation. These include:

1. 1. Pain in the lower abdomen, mainly on one side. It depends on whether the left or right ovary is involved in the ovulation process.
2. 2. Abundant liquid discharge from the vagina.
3. 3. Nausea.
4. 4. Some changes in taste preferences.
5. 5. General malaise.
6. 6. Increased libido.

If you need to make sure that ovulation has occurred, you should measure your basal temperature. Special pharmacy tests also help determine days favorable for conception. An ultrasound can also be done during this period.




The method of measuring basal temperature is considered the most informative. It can be used at home. The procedure is carried out over several days, in the morning, without getting out of bed. Basal temperature should be measured in the rectum. All data is recorded in a special chart. Sharp increase temperature will indicate the onset of ovulation.



Is lack of ovulation dangerous?

If a woman does not ovulate, she will not be able to become pregnant. But in cases where it does not occur in only a few cycles, there may be no cause for concern. Such cycles are called anovulatory. The thing is that the egg does not mature in every cycle. Similar phenomenon considered absolutely normal for all women.

If anovulation recurs more than 3 times a year, you should consult a doctor to rule out possible pathologies. If a woman fails to become pregnant due to lack of ovulation, she is given special hormone therapy. An ovulation test is carried out when the first signs appear.

The normal menstrual cycle ends with the maturation of the egg, ready for fertilization. Ovulatory syndrome is often accompanied by symptoms indicating that the egg is being released from the right or left ovary. Usually pain occurs in the place where the follicle burst.



Causes of pain

The main factors leading to the appearance of ovulatory pain:

• pregnancy;
• menopause;
• hormonal disorders;
• the body's reaction to taking certain hormonal drugs.

The exact cause of this symptom is still not clear. But doctors put forward several theories to explain the appearance discomfort.The most probable reasons pain is considered:

1. 1. Maturation of the egg. During this, it swells and its walls stretch greatly. At this moment, the woman feels a special tingling sensation.
2. 2. Rupture of blood vessels around the swollen follicle. Fluid from the ovary, which has already ruptured, enters the walls of the uterus. By contracting, the uterus provokes the appearance of such a symptom as pain.
3. 3. Endometrial detachment. Often accompanied by the appearance of bloody discharge. The pain is felt mainly in the lower back.
4. 4. Inflammatory diseases of the reproductive system ( ectopic pregnancy, mastopathy, varicose veins veins in the pelvic organs). Such diseases are accompanied severe pain, as during menstruation. They appear before or during ovulation.

Brief pain during ovulation is considered physiological phenomenon . The exception is those cases that are associated with any gynecological disease.

If pain occurs for the first time, you should consult a doctor to clarify its cause. The sooner it is delivered correct diagnosis the easier it is to treat developing disease.

What to do to alleviate the condition?

If the lower abdomen hurts severely during ovulation, medications that have an analgesic effect may be prescribed. They have a good analgesic effect. In cases where it is unbearable to endure, contraceptives are prescribed hormonal agents. They completely suppress ovulation. When taking them, conception is almost impossible.