Ovulation Pain: When to Seek Help and Treatment Options

Ovulation pain?

Hello, I would like to ask you some questions.
My menstrual cycle is about 26-32 days.
Recently, for the past two months, I have noticed that around ovulation (around the middle of the month), 1.
I experience pain in the lower left abdomen.
I am unsure if this is ovulation pain and whether I need to see a gynecologist for an examination.
2.
If it is ovulation pain, can I use birth control pills to alleviate it? Which type of birth control pill do you recommend? 3.
I had a dermoid cyst removed from my right ovary, and I am concerned about the recurrence rate on the left side.
Should I have regular follow-ups?

Ci, 20~29 year old female. Ask Date: 2004/06/18

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
If it is really painful, a thorough examination is certainly necessary.
2.
If it is indeed ovulation pain, contraceptive pills can be taken to prevent it; there are many brands of contraceptive pills, and any of them will suffice.
3.
If a dermoid cyst is benign, it should not recur; however, the ovaries can develop other types of tumors as well, so monitoring is important.
This can be done by incorporating it into the annual Pap smear check-up.

Reply Date: 2004/06/18

More Info

Ovulation pain, also known as mittelschmerz, is a common experience for many women during their menstrual cycle. It typically occurs around the time of ovulation, which is when an ovary releases an egg. This pain can manifest as a sharp or dull ache on one side of the lower abdomen, depending on which ovary is releasing the egg. Given your cycle length of 26-32 days and the timing of your pain, it is plausible that you are experiencing ovulation pain.

1. When to Seek Help: If the pain you are experiencing is mild and lasts only a few hours to a couple of days, it is generally not a cause for concern. However, if the pain is severe, persistent, or accompanied by other symptoms such as heavy bleeding, fever, or nausea, it is advisable to seek medical attention. A visit to a gynecologist can help rule out other potential causes of abdominal pain, such as ovarian cysts, endometriosis, or other gynecological conditions.

2. Using Birth Control Pills: Birth control pills can indeed help alleviate ovulation pain for some women. By suppressing ovulation, these pills can prevent the hormonal fluctuations that lead to ovulation pain. There are various types of birth control pills available, including combination pills (which contain both estrogen and progestin) and progestin-only pills. The choice of which pill to use should be made in consultation with your healthcare provider, who can consider your medical history, any contraindications, and your personal preferences.

3. Concerns About Ovarian Cysts: Since you mentioned having a dermoid cyst removed from your right ovary, it is understandable to be concerned about the potential for recurrence on the left side. The risk of recurrence can vary based on several factors, including the type of cyst and your overall health. Regular follow-ups with your gynecologist are recommended, especially after surgery, to monitor for any new developments. Your doctor may suggest periodic ultrasounds or pelvic exams to ensure that your left ovary remains healthy.

In summary, while ovulation pain is typically benign, it is important to monitor the severity and duration of your symptoms. If you suspect that your pain is related to ovulation, consider discussing the option of birth control pills with your healthcare provider. Additionally, maintaining regular check-ups after your surgery will help ensure that any potential issues are caught early. Always prioritize open communication with your healthcare provider regarding any changes in your symptoms or concerns about your reproductive health.

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