Every one out of three women faces the ovulation cramps or pain when the egg is released from ovaries. If you have been facing an ache on one side of the lower abdomen, especially a couple of weeks before the period, then it is a sign of ovulation Cramps. Also called Mittelschmerz, ovulation pain brings a sharp pain or cramp, and usually happens on the side of the abdomen where the ovary releases an egg (1-3). It generally happens 20 days before the period and is not much danger. The pain initially can be more, but later it turns mild. It might take a few hours or a week for the pain to reduce. This is also called as ovulation cramps, it is important that you notice it well.
Mittelschmerz occurs when the follicle- a tiny sac in the ovary that contains an egg — ruptures, and releases the egg. One can feel the mid-cycle pain and discomfort. Some women will not feel anything when the egg is released from the ovary. Overall, about 20 percent of women do experience different type of ovulation pain. There are several theories exist. When the egg is released, the follicle grows. In other cases, blood and fluid are released when the follicle ruptures. This causes irritation and disappears as the fluid is reabsorbed.
Major causes behind mid-cycle cramps?
As mentioned above ovulation can happen when a mature egg released from the ovarian follicle. It either happens midway of the menstrual cycle. If you got a 28-day cycle, the ovulation will take about 14 days. However, the exact reason behind the pain is not entirely known, but it may have caused due to different reasons. Some of these are-
- Rapid growth in ovarian follicle expansion that houses the ripe egg. This stretching leads to cramping pain.
- Irritation of the abdominal lining and pelvis from the blood, fluid, and chemicals accompanying ovulation.
- Endometriosis is the condition causing painful situation during the infertility period.
- Uterine Fibroids- There could be heavy menstrual bleeding, painful menstruation, and pelvic pressure.
- Ovarian cysts- In many cases, the ovarian cysts can be painless, but if the cysts start growing larger, it may rupture causing a twist in the ovary and its supportive tissues.
How will you know if you have ovulation cramp pain?
As mentioned, the ovulation occurs two weeks before the next cycle, so it becomes important to know the timing of the pain. It is better to have a checkup done with your doctor who will as the chart of your cycle, and the location of the pain. The doctor will also perform some test like an abdominal and pelvic exam to help in understanding the possible cause of the pain. In the case of heavy, the doctor will notice the irregularities on the exam or order some blood tests or ultrasound.
When you face the ovulation cramp, it is highly important that you do visit the doctor.
Symptoms of Ovulation Cramps-
Although ovulation is a good sign, there are certain symptoms, you should know when it starts taking place-
Rise in the basal body temperature-
If there is a slight elevation in the resting basal body temperature, then it is the sign of the ovulation. This temperature is the first thing in the morning you will witness when you get out of the best. To do this, use the temperature-checking device before getting out of the best. The basal body thermometer is the best you can use. You can find this item online. Once you use this device, you can record the temperature on a daily basis.
Most women witness a rise in 0.4 to 0.8 increase in the temperature. The change in the temperature can be sudden over a cause of days. Once there is a change in your temperature, you will ovulate within a few days.
Changes in Cervical Mucus-
In the body, the cervix produces mucus in response to your body starts changing hormone levels. Cervix is actually the opening to your uterus. If there are changes in cervical mucus during the period cycle, then below are few signs you will witness-
- Once the menstrual bleeding stops, you may not notice any mucus at all.
- After a few days, you might see cloudy and tacky discharge in your innerwear
- As the ovulation stats nearing, mucus will become clearer, thinner and stringy. The main purpose of this mucus is to help transport sperm to the egg for fertilization.
Tracking whether you feel it on the left side or right side-
Generally, ovulation pain is in the side of ovary, which releases an egg for the cycle. Ovulation side is random, which means it does not go back and forth between. There are women who face either one side or both side at the same time. Moreover, there are many who reported equal ovulation pain on both sides during the cycle. So it is important to track the side of pain is very essential.
Tracking how long it occurs–
Many women report ovulation pain lasting for 12 hrs. However, many even experience the pain for just one day. Therefore, keep tracking the ovulation is essential.
How Ovulation pain is treated?
Usually, the ovulation pain goes away within 24 hr., so there is not much required for the treatment. However, there are over the counter medications available, which you must only consume after seeking a prescription from the doctor. You can even go for the heating pad under the lower abdomen. In addition, you can take a warm bath to avoid discomfort.
If you have a pelvic inflammatory disease–
If you are caught up with the sexually transmitted disease, then there is a high chance that bacteria can move into the vagina and affect the reproductive organs. This leads to abdominal and pelvic pain. Then the best is to check with the doctor for a diagnosis. You will be treated with antibiotics and undergo the treatment to avoid the reproductive organs being damaged.
If Scar Tissue from C-Section–
If you have scar tissue after C-section then you will certainly face ovulation pain. Anytime you have surgery, you have scar tissue. Some people have more than others do after a C-section, and if the scar tissue is in the way, you can have pain. If you are facing the pain during ovulation due to C-section, then myofascial massage will work. Visit the therapist to get the best massage for the pain.
When you face endometriosis, the inner lining of the uterus starts developing in places outside the inner lining of the uterus. This causes pelvic pain and severe menstrual cramps. To overcome this the doctor may ask to undergo a laparoscopy, which enables them to check for endometrial implants.
If facing hyperstimulation syndrome-
Women who undergo Vitro fertilization will experience the hyperstimulation syndrome. This is the condition where you will experience pain due to hormone medication in the body. During this condition, you need to connect with the doctor to check the symptom and undergo the physical exam, ultrasound, or blood test.
What if you don’t get an ovulating cramp?
If you do not have experience or fail to get the ovulation symptom during the cycle, then you may not ovulate every month. This is also called as the Anovulation where the woman does not ovulate. In fact, it is the most common cause of infertility. There are other possible symptoms are long periods.
One of the best ways to ovulate or pregnant then it is important to have regular sex during the days leading to ovulation. In case, if you are not having regular periods, then you are certainly not ovulating. Do connect with the doctor to know how to get ovulation.
Talk to the Healthcare Provider–
In case, you are planning to get pregnant, then consider making a preconception appointment with the doctor will work. They would provide complete details and medication to overcome the ovulation cramp pain.