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:
- On one side of your lower abdomen
- Dull and cramp-like
- Sharp and sudden
- Accompanied by mild vaginal bleeding or discharge
- Rarely, severe
Mittelschmerz pain occurs on the side of the ovary that'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.
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's most likely mittelschmerz.
When to see a doctor
Mittelschmerz rarely requires medical intervention. However, contact your doctor if a new pelvic pain becomes severe, if it's accompanied by nausea or fever, or if it persists — any of which could indicate you have a condition more serious than mittelschmerz, such as appendicitis, pelvic inflammatory disease or even an ectopic pregnancy.
May 30, 2014
- Blechman AN, et al. Evaluation and management of ruptured ovarian cyst. http://www.uptodate.com/home. Accessed March 13, 2014.
- Stone C, et al. Current Diagnosis & Treatment Emergency Medicine. 7th ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://accessmedicine.mhmedical.com/content.aspx?bookid=385&Sectionid=40357254. Accessed March 13, 2014.
- Won HA, et al. Optimal management of chronic cyclic pelvic pain: An evidence-based and pragmatic approach. International Journal of Women's Health. 2010;2:263.