Lower abdominal pain?
Hello Dr.
Cheng: I gave birth to my second child in February 2004, and recently I have been experiencing pain in my lower abdomen (sometimes on the left side, sometimes on the right side) around the time of ovulation.
The pain lasts for about one to two days and then disappears.
Is this situation normal? Do I need to see a doctor? Thank you!
Yihuo zhe, 30~39 year old female. Ask Date: 2005/01/06
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is normal to experience a drop or two of blood from the ovaries during ovulation, and some discomfort in the lower abdomen may occur.
However, if the pain is severe or lasts too long, it is necessary to seek medical attention.
Dr.
Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu Hospital.
Reply Date: 2005/01/06
More Info
Ovulation pain, also known as mittelschmerz, is a common phenomenon experienced by 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 in the lower abdomen, often on one side, depending on which ovary is releasing the egg. The duration of this pain can vary, lasting anywhere from a few minutes to a couple of days, and it may be accompanied by other symptoms such as mild cramping or spotting.
In your case, experiencing pain in the lower abdomen around ovulation is generally considered normal, especially if it is brief and resolves on its own within a couple of days. The pain is thought to be caused by several factors, including the stretching of the ovarian surface, the release of fluid from the follicle, or even the contraction of the fallopian tubes.
However, while ovulation pain is typically benign, there are certain situations where it may warrant further investigation. If the pain is severe, persistent, or accompanied by other concerning symptoms such as heavy bleeding, fever, or signs of infection, it would be advisable to seek medical attention. Additionally, if you notice a significant change in the pattern or intensity of your pain, or if it interferes with your daily activities, it would be prudent to consult a healthcare provider.
In terms of management, if the pain is mild and infrequent, over-the-counter pain relief medications such as ibuprofen or acetaminophen can be effective. Applying heat to the lower abdomen may also help alleviate discomfort. Keeping track of your menstrual cycle and any associated symptoms can provide valuable information for your healthcare provider if you decide to seek further evaluation.
It's also worth noting that while ovulation pain is common, other conditions can mimic this pain, such as ovarian cysts, endometriosis, or pelvic inflammatory disease. Therefore, if you have any concerns or if your symptoms change, discussing them with your doctor can help rule out other potential issues.
In summary, experiencing ovulation pain is generally normal and not a cause for concern if it is mild and resolves quickly. However, if you have any doubts or if your symptoms change, it is always best to consult with a healthcare professional for personalized advice and reassurance.
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