User:Mr. Ibrahem/Mittelschmerz

Mittelschmerz is a term for pain due to ovulation. It occurs about 14 days before menstruation and last minutes to up to 2 days. The pain affects one side of the lower abdomen and may be dull or sharp in nature. Other symptoms may include spotting. Often it occurs monthly and may alternate sides.

The underlying mechanism is unclear but may involve irritation due to release of blood and fluid from the follicle or high blood levels of luteinizing hormone causing contraction of smooth muscle. Diagnosis involves ruling out other potential causes such as appendicitis, endometriosis, ovarian cysts, ectopic pregnancy, and sexually transmitted infections.

Treatment may involve acetaminophen or ibuprofen. Birth control pills may be used for prevention. It is not serious; though may reoccur. Mittelschmerz affects about 20 to 40% of women. The term is from the German for "middle pain". Its presence has been used to manage fertility.