{"id":52190,"date":"2025-04-25T21:56:55","date_gmt":"2025-04-26T01:56:55","guid":{"rendered":"https:\/\/www.hancockhealth.org\/mayo-health-library\/mittelschmerz\/"},"modified":"2026-02-04T12:04:03","modified_gmt":"2026-02-04T17:04:03","slug":"mittelschmerz","status":"publish","type":"mayo","link":"https:\/\/www.hancockhealth.org\/zh\/mayo-health-library\/mittelschmerz\/","title":{"rendered":"Mittelschmerz"},"content":{"rendered":"<div class=\"container mx-auto   wordpress-block wordpress- core-\">\n<p>Mittelschmerz is one-sided, lower abdominal pain associated with ovulation. German for &#8220;middle pain,&#8221; mittelschmerz occurs midway through a menstrual cycle &mdash; about 14 days before your next menstrual period.<\/p>\n<p>In most cases, mittelschmerz doesn&#8217;t require medical attention. For minor mittelschmerz discomfort, over-the-counter pain relievers and home remedies are often effective. If your mittelschmerz pain is troublesome, your doctor may prescribe an oral contraceptive to stop ovulation and prevent midcycle pain.<\/p>\n<p>Mittelschmerz pain usually lasts a few minutes to a few hours, but it may continue for as long as a day or two. Pain from mittelschmerz may be:<\/p>\n<ul>\n<li>On one side of your lower abdomen<\/li>\n<li>Dull and achy, similar to menstrual cramps<\/li>\n<li>Sharp and sudden<\/li>\n<li>Accompanied by slight vaginal bleeding or discharge<\/li>\n<li>Rarely, severe<\/li>\n<\/ul>\n<p>Mittelschmerz pain occurs on the side of the ovary that&#8217;s releasing an egg (ovulating). The pain may switch sides every other month, or you may feel pain on the same side for several months.<\/p>\n<p>Keep track of your menstrual cycle for several months and note when you feel lower abdominal pain. If it occurs midcycle and goes away without treatment, it&#8217;s most likely mittelschmerz.<\/p>\n<h3>When to see a doctor<\/h3>\n<p>Mittelschmerz rarely requires medical intervention. However, contact your doctor if a new pelvic pain becomes severe, if it&#8217;s accompanied by nausea or fever, or if it persists &mdash; any of which could indicate you have a condition more serious than mittelschmerz, such as appendicitis, pelvic inflammatory disease or even an ectopic pregnancy.<\/p>\n<p>Mittelschmerz occurs during ovulation, when the follicle ruptures and releases its egg. Some women have mittelschmerz every month; others have it only occasionally.<\/p>\n<p>The exact cause of mittelschmerz is unknown, but possible reasons for the pain include these:<\/p>\n<ul>\n<li>Just before an egg is released with ovulation, follicle growth stretches the surface of your ovary, causing pain.<\/li>\n<li>Blood or fluid released from the ruptured follicle irritates the lining of your abdomen (peritoneum), leading to pain.<\/li>\n<\/ul>\n<p>Pain at any other point in your menstrual cycle isn&#8217;t mittelschmerz. It may be normal menstrual cramping (dysmenorrhea) if it occurs during your period, or it may be from other abdominal or pelvic problems. If you have severe pain, see your doctor.<\/p>\n<p>Mittelschmerz has no clear risk factors. But it may be more likely to happen between the ages of 15 and 25.<\/p>\n<p>Mittelschmerz doesn&#8217;t lead to other health conditions, also called complications. The pain goes away on its own, or with medicine or home remedies.<\/p>\n<p>Mittelschmerz can&#8217;t be prevented. It&#8217;s linked with natural changes in the body that happen during the menstrual cycle.<\/p>\n<p>To diagnose mittelschmerz, your doctor will start by asking you questions to get a clear idea of your medical history, especially regarding your menstrual periods. Your doctor may also perform a physical exam, including a pelvic exam, to check for signs of an underlying condition that could be contributing to the pain.<\/p>\n<p>Possible treatments for mittelschmerz include:<\/p>\n<ul>\n<li><strong>Pain relievers.<\/strong> For the relief of discomfort from mittelschmerz, try an over-the-counter drug such as acetaminophen (Tylenol, others), aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve).<\/li>\n<li><strong>Birth control pills (oral contraceptives).<\/strong> If mittelschmerz causes you a lot of discomfort or occurs monthly, ask your doctor about taking birth control pills. Some types of birth control pills suppress ovulation, which could help ease ovulation pain while you&#8217;re taking them.<\/li>\n<\/ul>\n<p>To ease mittelschmerz discomfort that lasts more than a few minutes, try some home remedies. Because heat increases blood flow, relaxes tense muscles and eases cramping, you might want to:<\/p>\n<ul>\n<li>Soak in a hot bath<\/li>\n<li>Use a heating pad where the pain is<\/li>\n<\/ul>\n<p>In most cases, you won&#8217;t need to see a doctor for mittelschmerz. However, if your pain is especially troublesome, you may make an appointment to confirm a diagnosis of mittelschmerz or to explore treatment options.<\/p>\n<h3>What you can do<\/h3>\n<p>You may want to write a list that includes:<\/p>\n<ul>\n<li>Detailed descriptions of your symptoms<\/li>\n<li>The dates when your last two menstrual periods began<\/li>\n<li>Information about medical problems you&#8217;ve had<\/li>\n<li>Information about the medical problems of your parents or siblings<\/li>\n<li>All the medications and dietary supplements you take<\/li>\n<li>Questions to ask the doctor<\/li>\n<\/ul>\n<p>Preparing a list of questions for your doctor will help you make the most of your time together. For mittelschmerz, some basic questions to ask include:<\/p>\n<ul>\n<li>What is likely causing my symptoms?<\/li>\n<li>Are there other possible causes for my symptoms?<\/li>\n<li>Are my symptoms likely to change over time?<\/li>\n<li>Do I need tests?<\/li>\n<li>What treatments or home remedies might help?<\/li>\n<li>Do you have brochures or other printed materials I can have? What websites do you recommend?<\/li>\n<\/ul>\n<p>Don&#8217;t hesitate to ask other questions, as well.<\/p>\n<h3>What to expect from your doctor<\/h3>\n<p>Your doctor is likely to ask you a number of questions, such as:<\/p>\n<ul>\n<li>How many days apart are your menstrual periods, and how long do they last?<\/li>\n<li>How would you describe your symptoms?<\/li>\n<li>Where is your pain?<\/li>\n<li>How long have you been experiencing this pain? Is it constant or does it subside after a few minutes or hours?<\/li>\n<li>On a scale of 1 to 10, how severe is your pain?<\/li>\n<li>How long before or after your period does the pain occur?<\/li>\n<li>Do you have other symptoms, such as nausea, vomiting, diarrhea, back pain, dizziness or headache?<\/li>\n<\/ul>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Some women experience pain on one side of the lower abdomen midway through their menstrual cycles. This cyclic pelvic pain is known as mittelschmerz.<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","tags":[1686,1685,1682],"class_list":["post-52190","mayo","type-mayo","status-publish","hentry","tag-anatomical-structure","tag-condition","tag-person-group-concept","content_type-diseases-conditions"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mittelschmerz - Hancock Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.hancockhealth.org\/zh\/mayo-health-library\/mittelschmerz\/\" \/>\n<meta property=\"og:locale\" content=\"zh_HK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mittelschmerz - Hancock Health\" \/>\n<meta property=\"og:description\" content=\"Some women experience pain on one side of the lower abdomen midway through their menstrual cycles. 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