What causes painful ovulation / mittelschmerz?
Painful ovulation/mittelschmerz is believed to be caused by a small leakage of blood from the ovary that occurs at the time of ovulation. This blood, which is later reabsorbed, is thought to cause an irritation of the abdominal wall which causes pain. The degree of pain you feel depends on your individual pain threshold and the volume of blood that is released, among other factors. The amount of space that exists between a woman’s ovary and her abdominal wall can also affect the severity of the irritation. While painful ovulation does not lead to other problems, other medical conditions can cause painful ovulation, such as PCOS or fibroids on the ovaries. If you are concerned, it is suggested that you visit your doctor to discuss your issues. How is painful ovulation / mittelschmerz diagnosed? Ovulation usually occurs about two weeks after the first day of each menstrual cycle, so the timing of the pain makes mittelschmerz easy to recognize. The best way to diagnose your painful ovulat
