Every fifth woman, without tests and ultrasound, can determine with 100% accuracy when she ovulates. And all because the release of a mature egg in such “lucky” women is accompanied by painful sensations, and sometimes even worsening general well-being. Today we will talk about why some women experience painful ovulation and what to do in such cases.

Causes of very painful ovulation

The process of maturation and release of an egg is complex and sometimes unpredictable. So, it still remains a secret for doctors why a woman can mature two eggs in one cycle, or maybe not one. But this is all theory; in practice, many representatives of the fair half are more concerned with the question: can ovulation be painful, and for what reasons does this happen?

Of course, this phenomenon is sometimes considered the norm. But, nevertheless, doctors warn that pain of this nature may indicate concomitant endometriosis, polycystic ovary syndrome, uterine fibroids or adhesions. As a rule, in such cases, painful ovulation is the first sign, and other symptoms of the disease appear later. Therefore, doctors do not recommend delaying identification true reasons emerging malaise.

If, as a result of the examination, no diseases were identified, it can be assumed that pain during ovulation appears due to stretching and then tearing of a section of the ovarian capsule, or due to the release of not only the egg into the peritoneum, but also a small amount of fluid and even blood. Also, some doctors adhere to the version that painful sensations arise due to increased peristalsis fallopian tubes. The theory that this problem may be due to heredity.

Symptoms of painful ovulation

It is not so easy to distinguish the discomfort and malaise caused by the painful release of the egg from the heralds of another disease, especially if a woman is faced with similar phenomenon for the first time. But in general, painful ovulation can be recognized by the following signs:

1. Pain occurs suddenly, usually around the middle of the menstrual cycle.
2. The pain can be localized on both the right and left sides above the womb, and can radiate to pelvic bones and groin area.
3. The release of the egg may be accompanied by minor discomfort, weakness and nausea.
4. In parallel with the pain, other sensations may appear. indirect signs ovulation, for example, breast tenderness may appear, and the amount and thickness of cervical mucus may increase.

As a rule, pain during ovulation is of a moderate pulling or aching nature and goes away within a day. If, after 24 hours, there is no tendency to improve well-being, vomiting, fever, and also bleeding, you need to urgently consult a doctor, since such severe symptoms may indicate:

• appendicitis;
• ulcers, gastroenteritis and other gastrointestinal diseases.

What to do if ovulation is painful?

To relieve pain during ovulation, just follow simple tips, as a last resort, you can take a painkiller (Analgin, Spazmalgon, No-Shpa). Helps relieve the condition well good rest, a warm relaxing bath, a heating pad applied to the stomach (this measure is undesirable for women planning to conceive). If pain during ovulation bothers a woman for a long time, while no other diseases have been identified, the doctor may recommend her hormonal drugs(contraceptives), while taking them there is no ovulation. Also, a good solution for many women can be the right balanced diet With high content fiber - this will cleanse the intestines of feces and gases and, as a result, reduce irritation of its walls.

For modern women painful ovulation is a very common phenomenon. When faced with unpleasant sensations in the abdomen or lower back during this period, few people begin to worry about their health, since most women have already become accustomed to them. But in the case of severe pain, which occurs with a clear frequency, it already forces one to take some measures. As a rule, women planning pregnancy and have already had gynecological diseases, immediately panic, although this problem has several solutions.

Can ovulation be painful?

Speaking about very painful ovulation, it is worth noting that prolonged discomfort and extreme pain are completely different. If cutting, tingling or cramping sensations are not pronounced and are present for no longer than half an hour, there is nothing to be afraid of.

But when the pain is severe, preventing you from performing your usual activities, and lasting about an hour or more, there is a reason to consult a doctor.

Doctors explain discomfort during ovulation by contraction of the fallopian tubes and the uterus itself, when the contents come out of it. Therefore, after the ovulatory process, pain occurs much less frequently.

Unpleasant sensations are sometimes associated with gynecological ailments, along with which comes pain of varying intensity. In addition, diseases associated with the reproductive system or inflammatory processes in the ovaries can also contribute to their occurrence.

Statistics of ovulatory syndrome

As soon as a woman's menstruation is stable, after a while some changes begin in her condition. They occur closer to the middle of the cycle. As a rule, these changes only affect sexual desire and mood, although about 25% of the fairer sex note that they feel pain during ovulation bottom part belly. The pain is nagging and occurs only on one side.

About 80% of cases of discomfort during ovulation are associated with natural processes occurring in the female body. Doctors say that in 14% of girls these symptoms indicate problems with the reproductive system. In addition, there is a chance (less than 1%) that during the ovulatory phase another pathology will begin to develop, which has absolutely nothing to do with the follicle and the oocyte emerging from it.

Pathological causes of painful ovulation

IN modern medicine There are quite a few reasons for painful ovulation. To accurately identify the provocateur, you will have to undergo an examination and exclude the possibility of progression of serious diseases. Doctors, as a rule, force their patients to go for examination if they have the following symptoms:

• frequent dizziness;
• general weakness;
• vomiting or nausea;
• problems with stool;
• a sharp rise in body temperature.

For severe pain with right side hospitalization in a hospital is necessary, as it can lead to appendicitis, ovarian apoplexy or other ailments. If you do not take measures in a timely manner, you may end up with a serious illness, which will bring much more trouble during treatment.

Doctors also note that pain during ovulation can act as a sign of one of the following conditions:

• lack of libido;
• algodismenorrhea;
• changes in the scheme basal temperature;
• heavy periods;

Causes of abdominal pain before ovulation

Sometimes it happens that unbearable pain torments a woman even before the planned ovulatory process. But there is one nuance here - the girls are sure that ovulation has not yet occurred, but discomfort have already appeared, but in reality the cause of their occurrence is the premature release of the egg. As a result, this phenomenon is pain during ovulation, but not before it.

Here important role physiological reasons for untimely ovulation play:

• time zone change;
• stressful conditions;
• ailments in the acute stage;
• chronic pathologies.

Ovulation can also begin earlier than expected due to inflammation of the uterus, endocrine diseases or .

When pain is felt in the lower abdomen before the onset of the ovulatory phase, which is clearly displayed on or corresponds to folliculometry data, it is worth thinking about possible pathologies:

• uterine fibroids, gradually increasing in size (in addition to pain, longer and more heavy menstruation is noted from the vagina between menstruation);
• inflammatory processes of the uterine appendages, urinary organs or intestines (each of these ailments has its own symptoms, which the doctor will talk about in detail during the examination).

Headache

Headaches during ovulation are considered quite common. They are caused by a sudden decrease in estrogen. As a result, spasms appear in the vessels that supply the brain. Moreover, such pain does not entail vomiting, increased body temperature, bleeding and other symptoms.

Why does pain persist after ovulation?

In some cases, pain is also observed after ovulation. Their intensity remains the same or decreases slightly, which is why women do not stop panicking. One of these conditions already occurs here:

1. Rupture of an ovarian cyst. With it, the patient suffers from sharp and severe pain in the rectum or lumbar region. At the same time, the weakness of the whole body increases and dizziness becomes more frequent, even to the point of loss of consciousness.
2. Follicular cyst. In this case, pain after ovulation occurs as a result of the follicle “attempting” to release the desired cell. Here, the unpleasant sensations become stronger during sexual intercourse and physical activity. Complications in the form of torsion of the cyst stalk and bursting of its membranes are also possible.
3. Adnexitis. It is not difficult to distinguish it by its symptoms: intense pain, fever, headaches, heavy purulent discharge from the genital tract. Untimely initiation of treatment leads the patient to the operating table.
4. Ectopic pregnancy. Before manifestation general symptoms pain begins in the upper abdomen, which is a consequence of the stretching of the uterine tubes by the embryo.
5. Premenstrual syndrome. It is characterized by a decrease in the level of progesterone in the blood, which entails unpleasant sensations similar to those that appear during menstruation. But at the same time, menstruation is delayed.
6. Development of menopause. For some women, menopause begins much earlier than 40-45 years, and its very first manifestation is pain during ovulation. It is accompanied by fever, headaches, excessive sweating and a gradual decrease in the frequency and duration of menstruation.

Ways to relieve pain during ovulation

Women who are faced with a situation where the uterus hurts severely after ovulation and also during the period of ovulation are ready to do anything to alleviate their condition. Fortunately, this can be done, but only on the recommendations of your gynecologist.

The doctor prescribes painkillers to the patient, taking into account individual characteristics female body and symptoms. It is prohibited to independently select a drug for yourself without having a medical education.

Abundant fluid intake into the body and being in a calm environment helps to eliminate discomfort. This will provide an opportunity not only to relieve pain, but also to relax.

Treatment and prevention of painful ovulation

Every patient who really cares about her own state of health can cope with severe pain during ovulation. Treatment and prevention include taking medications and switching to proper nutrition.

The medications used are prescribed by a personal gynecologist and are divided into two groups:

1. Painkillers (Ketoprofen, Ibuprofen, Solpadeine, Diclofenac). The specific remedy is selected based on the intensity of the pain.
2. Antispasmodics (Baralgin, No-Shpa, Spazgan, Spazmalgon).

As for nutrition, it does not imply severe restriction. The most important thing is to reduce food consumption and individual products, which can put a strain on the stomach and intestines, increase peristalsis, cause flatulence, provoke agitation nervous system and increase pain during ovulation.

The list of such foods includes: strong coffee and tea, beans, chocolate (any), white cabbage, overly fatty or spiced dishes. Recommended foods include fruits, non-prohibited vegetables and cereals.

Periodically occurring pain of low intensity, wherever it appears - in the lower abdomen, head or lower back - rarely causes women to have any concerns about their own health. But if pain syndrome has a certain periodicity, for example, it appears stably before, during or after ovulation, this makes you think. Women who are planning a pregnancy and those who have already encountered gynecological diseases are especially worried.

Below we will look at the reasons for painful ovulation, we will analyze when you can take a painkiller tablet and wait out this period, and when urgent medical assistance. Let's not ignore some other symptoms that may occur during ovulation.

Some statistics

After a girl’s menstruation has become stable, after a while she begins to notice changes in her condition that occur approximately in the middle of the cycle. Usually they only concern the mammary glands, mood changes or increased sexual desire, but 20-30% of women notice that their lower abdomen hurts during ovulation. This pain is nagging in nature, varies in intensity and is usually noted on one side.

In 85% of women, pain during ovulation is associated with natural processes. In 14% of cases, such symptoms indicate a pathology of the reproductive system. Finally, there is a small, about less than 1% probability that just during the ovulatory phase of the cycle another pathology will develop, not related to the very release of the oocyte from the follicle.

Ovulatory pain - normal or pathological

It would seem that pain during ovulation has every reason to develop, because the follicle containing the egg first grows to a fairly large sizes, and then bursts, and the nerve endings approaching the ovary react to both of these processes. But usually, this is normally felt only by those who have low pain threshold. That is, if a woman does not tolerate pain well from childhood and may even lose consciousness because of it, she should not be alarmed by the pain of the ovulatory phase, unless 5 conditions are met:

1. Ovulation is determined by tests: determination (its decline was noted on the previous day, and on this day a sharp rise is visible), or.
2. It hurts on one side (for example, the left ovary), since in each cycle dominant follicle, that is, one that prepares the egg for fertilization, develops only in one ovary. Each cycle, the “working” ovary may change, but it may happen that for several months in a row the pain is felt only on one side.
3. No pathological symptoms: dizziness, vomiting (allowed mild nausea for 2-3 hours), weakness, feeling of unreality of what is happening.
4. The temperature remains up to 37°C, the maximum rises to 37.3-37.4°C.
5. Other symptoms of ovulation are also noted: swelling and tenderness of the mammary glands, changes in character vaginal discharge until it looks raw egg white, increased sexual desire. There may be a small amount of blood discharge (usually as brown or yellowish color mucus), which is associated with detachment of a small area of ​​the endometrium due to sharp fall estrogen levels.

They approach the shell of the follicle in which the egg has matured blood vessels– they provide power to this structure. Therefore, when it bursts, the vessels rupture, and a small volume of blood flows into the abdominal cavity. A small amount of fluid in which the oocyte was previously located is also released. These fluids are an irritant to the peritoneal nerve endings, and therefore cause pain during ovulation. In this case, the pain is felt on one side and can migrate from the left or right to the lower abdomen - the suprapubic region. If blood flows into the space between the vagina and rectum, nagging pain are felt not above the pubis, but in the lumbar region.

When a woman has a low pain threshold and she has 5 of the above signs, then pain in response to bleeding from the follicle vessels is normal and does not require taking any emergency measures, phenomenon. If the pain syndrome is very intense, or does not occupy the lower abdomen or lower back, but radiates to the left or right side, you need to be urgently examined for three conditions.

• Endometriosis

Pathological causes of painful ovulation

It is imperative to undergo examination and exclude serious illnesses if you have the following symptoms:

• severe nausea and/or vomiting;
• weakness;
• increase in temperature;
• loose stool;
• dizziness.

If the pain is intense, requires taking a certain position of the body, is localized in the right side, hospitalization in a surgical or gynecological hospital is required, because this can manifest not only appendicitis, but also ovarian apoplexy, torsion of the pedicle of an ovarian cyst, acute inflammation of the uterine appendages.

A painful ovulatory phase is a sign of a disease in the presence of the following conditions:

• algodismenorrhea;
• heavy menstruation;
• pain during sexual intercourse;
• contact bleeding;
• lack of libido;
• disturbances in the basal temperature chart.

In this case, you need to visit a gynecologist as soon as possible.

Causes of abdominal pain before ovulation

Sometimes a woman worries that she is experiencing pain before ovulation, but in fact due to physiological or pathological reasons the moment the egg was released occurred earlier, that is, in fact, she is now ovulating.

Physiological reasons for the shift in the ovulatory phase include: stress, acute diseases and exacerbation chronic pathologies, change of time zones. Ovulation may also shift due to development in the uterine appendages inflammatory diseases, endometriosis, endocrine diseases (pathologies of the adrenal glands, hypothalamus, pituitary gland).

If your stomach hurts before ovulation, and this is clearly visible from the basal temperature graph or folliculometry data, the symptom indicates the presence of various pathologies:

• growing, manifesting, except constant pain, bleeding from the vagina during the intermenstrual period, as well as longer and heavier menstruation;
• the development, immediately before the release of the oocyte, of inflammation of the uterine appendages (), intestines or urinary organs, each of which is complemented by characteristic symptoms.

Why does pain persist after ovulation?

If the ovary hurts after ovulation, this indicates the development of one of the following conditions:

• . Here, the pain syndrome is caused by the “attempts” of the follicle to burst and release the egg. The pain intensifies during sexual intercourse, sudden movements, physical activity. Complication follicular cyst are torsion of its legs and rupture of its membranes.
• accompanied by severe sharp pain in the lower abdomen, which radiates to the rectum, navel or lower back. Against this background, weakness increases, dizziness develops, and loss of consciousness may develop.
• Torsion of the vascular pedicle of the cyst. Her symptoms are no different from the previous condition.
• Uterine fibroids described above.
• Adnexitis. In this case, quite intense abdominal pain occurs, which can lead the woman to operating table. The temperature rises and develops headache, copious discharge appears from the genital tract, often mucopurulent in nature.
• , in which the amount of progesterone in the blood decreases. This leads to abdominal pain “like menstruation”, while menstruation itself does not occur for a long time.
• , even before the appearance common symptoms, indicating conception, may manifest itself as pain in the lower abdomen. This is how the fallopian tubes react to being stretched by the growing embryo.
• Development . By various reasons menopause may begin not at 40-45 years old, but earlier (). Soreness after ovulation is one of its first manifestations, then a decrease in menstruation, hot flashes, headaches, and sweating will be noted.

Is lower back pain associated with ovulation?

If the patient complains of pain in the lumbar region that occurs after ovulation, the doctor needs to carry out differential diagnosis conditions such as:

• threat of miscarriage;
• uterine fibroids;
• rupture of an ovarian cyst;
• appendicitis;
• pyelonephritis;
• intestinal inflammation;
• cystitis.

Why does this particular area hurt? This is explained by the fact that the nerve endings that go to the uterus and its appendages lower sections intestines, bladder and kidneys, have common “roots”, so the impulse coming from the diseased organ is “dissipated” throughout all innervated structures.

Headache

Many women complain that they have a headache during ovulation. If this pain is not accompanied by fever, vomiting, discharge of blood or other discharge (except viscous mucus) from the genital tract, it is caused by physiological reason- enough sharp decline estrogen, which causes the blood vessels supplying the brain to spasm. As a result, a headache occurs.

How to eliminate pain during ovulation

What to do with painful ovulation, the doctor should tell you after full examination patients. He determines the diagnostic plan, and based on the data obtained as a result of the examination, he can tell whether the pain accompanying the release of the oocyte is a physiological process or is associated with a pathological condition.

If the pain of the ovulatory phase is pathological, the doctor prescribes appropriate treatment. This is the appointment of anti-inflammatory drugs, antibiotics; in some cases, surgery is indicated.

When does pain during ovulation appear? natural reasons, to alleviate the condition, the doctor will prescribe:

• Painkillers: Ibuprofen, Tamipul, Diclofenac, Solpadeine - depending on the severity of pain.
• Antispasmodics: “No-shpu”, “Spazmalgon”, “Baralgin”.
• Avoid physical activity and heat on the abdominal area.

Every month a woman childbearing age processes occur that ensure the ability to conceive and bear a child. In the middle of the menstrual cycle, ovulation occurs, the natural process of the release of an egg from the ovary for further fertilization. This process is painless and usually does not cause discomfort to the woman, but there are exceptions. Painful ovulation may occur for completely natural reasons, but sometimes indicates disturbances in the reproductive system.

To distinguish pathology from excessive sensitivity, it is important to understand the causes of unpleasant sensations and recognize the symptoms of normal or disease. Only a specialist can tell you whether ovulation can be painful for natural reasons; a gynecologist can also tell you what to do to suppress the pain syndrome.

In most cases, the ovulation process is absolutely painless, but some girls experience pain or discomfort so severe that they cannot do without medical help. A fifth of women of childbearing age experience unpleasant sensations during ovulation, and there are several reasons for this, but only specialists can determine whether they pose a threat. The culprit may simply be heredity or serious disturbances in the functioning of the genitourinary system.

In some cases, painful ovulation may occur due to concomitant diseases. Among them, the most common ones should be highlighted:

• endometriosis;
• inflammatory processes of the appendages of various types;
• adhesive process.

They cause pain in the abdominal area and are similar to that experienced during menstruation. It is aching in nature and radiates to the lower back. When contacting a specialist, a full examination may not reveal pathologies, and the causes of painful ovulation are as follows:

• stretching and rupture of the capsule as a result of the growth and release of the egg;
• release of fluid and blood, which is natural when the follicle ruptures;
• strengthening the ability of the fallopian tubes to contract to allow an egg to pass through it.

Natural processes can cause discomfort and even pain, but it goes away within two days and does not bother you anymore until next ovulation. In addition to pain, ovulation may be accompanied by other signs that cause no less discomfort:

• a sharp deterioration in health;
• radiating pain in the groin, lower back and lower extremities;
• weakness, headache, etc.

The discomfort may last for several days, sometimes longer, and the pain may occur for a few minutes or last 2-3 hours.

If, in addition to feeling unwell, the temperature rises or signs of intoxication appear, you should immediately consult a doctor.

Painful ovulation after childbirth and surgery

Sensitivity to natural processes may occur after undergoing gynecological operations or childbirth. This may be due to development inflammatory processes, hormonal disorders or other complications during the rehabilitation period.

Sometimes pain may occur after appendectomy or other organ surgeries abdominal cavity. This happens because the lining of the ovaries thickens and during ovulation it is more difficult for the egg to be released.

The rupture can irritate the abdominal wall, intestines and uterus. There is a feeling that everything in the stomach hurts, it radiates to lower limbs and lower back, the cycle is also accompanied by painful periods.

Painful ovulation after childbirth is associated with the fact that ruptures occur, the walls of the vagina, as well as the uterus, are damaged; there is nothing unusual or dangerous about this, but as a result of the healing of injuries, adhesions are formed that can cause pain.

After any interventions female body experiences stress and hormonal imbalances, these fluctuations can also have a negative impact on physiological processes. Usually, within 6 months, all these consequences of childbirth and operations disappear, and the body returns to its normal state. normal functioning, if no other problems arise.

To avoid the consequences and get rid of uncomfortable ovulation, it is necessary to undergo an examination to identify the causes of this pathology. Comprehensive research includes:

• a detailed medical history of the patient before and after pregnancy;
• examination by a gynecologist;
• ultrasound examination;
• monitoring hormonal changes;
• diagnostic laparoscopy.

Previous abortions and miscarriages, as well as assisted delivery, can also cause discomfort and pain. caesarean section. But any operations on the abdominal organs and reproductive system of a woman are also considered to be the culprits of pain during ovulation.

Symptoms of painful ovulation

The natural release of the egg should occur unnoticed and not be accompanied by any sensations. The only thing a woman may feel during ovulation is a slight tingling in the middle of the cycle, which does not require intervention. Pain occurs in the lower abdomen, mainly on the side where the dominant follicle bursts.

The nature of the pain can be different: dull, sharp, and even cramping. It can hurt from a few seconds to 2 days. Such signs are considered to be the norm, and even a slight discomfort that may occur does not cause inconvenience to the woman. Typically, these symptoms go away on their own within 1-2 days, and then do not bother the woman until the next ovulation.

If the pain does not go away, and other symptoms are added to it, this is already a cause for concern. Since the totality of signs or forced reception medicines talks about development dangerous diseases. Very painful ovulation, the symptoms of which vary in intensity, should be a reason to consult a doctor.

What to do if you have painful ovulation

Of course, if malaise and pain interfere with the usual way of life, every woman tries to drown them out with pills. This approach is initially incorrect; taking painkillers can hide the course of the disease. dangerous illnesses. First you need to find out why ovulation is painful and then determine treatment.

Normally, pain should not affect the quality of life, but if you cannot endure it, you can seek help from a specialist. Painful ovulation, the causes of which are not clear, requires additional diagnostics.

The doctor may prescribe hormonal medications and prescribe physiotherapeutic procedures. It is important to adhere to a number of recommendations and will not disturb you. Among them are:

• it is necessary to reduce physical activity;
• monitor proper nutrition;
• additionally ;
• avoid stressful situations;
• take painkillers only when absolutely necessary;
• If there are no contraindications, apply a warm heating pad to your stomach during painful attacks.

If ovulation causes inconvenience, or other unpleasant sensations arise, you should consult a doctor for advice in order to avoid consequences and prevent the development of dangerous diseases.

Painful ovulation often causes women to worry about their health and is the main reason for visiting a doctor. Ovulatory period Everyone goes through it differently. For some, the release of the egg proceeds unnoticed, they are energetic, and can engage in sports without restrictions, swimming, going to discos and leading active image life. Others are less fortunate - painful ovulation “haunts” them from time to time. If the pain is mild, then there is no cause for concern. But it also happens that the stomach hurts after ovulation to such an extent that a woman is deprived of all her usual joys, the ability to carry out everyday activities and even have sex.

In this article we will talk about whether ovulation can be painful in healthy woman why do they arise ovulatory pain, what they are, what kind of disorder in the body may be indicated by pain during and after the release of the egg.

The process of release of a mature egg from the follicle

Doctors believe that minor pain during the ovulatory process is possible and does not require any treatment. Every 4-5 women experience painful ovulation. It is enough to take painkillers (Spazmalgon, Tamipul) and the lower abdomen will stop aching. However, it also happens that pain is not associated with ovulation, but is a consequence of the uterus and fallopian tubes. For example, if the duration of menstruation increases/decreases and at the same time regularly pulls the lower back, a woman may be diagnosed with adhesive processes in the pelvic organs.

If abdominal pain occurs for the first time after ovulation, in order to exclude all possible gynecological diseases, the woman is recommended to visit a gynecologist for a full examination, take a blood test, do smears, and undergo ultrasound diagnostics.

If the examination results show that any violations genitourinary system are absent, then nagging pain after ovulation or during it (approximately on the 14th day of the menstrual cycle) is caused by changes that occur in the appendages when a mature egg is released. However, why does the lower abdomen hurt during ovulation if the woman is completely healthy?

Causes of painful ovulation:

• follicular apoplexy;
• rupture of nearby capillaries;
• availability ;
• increased peristalsis of the fallopian tubes;
• contraction of the uterus;
• low pain threshold;
• Cancellation of OK (oral contraceptives) ;
• inflammation of the ovaries ();
• active sex in the middle of the cycle.

During ovulation, the follicle capsule increases in size, stretches and bursts, releasing an egg ready for fertilization. During this, a small amount of follicular fluid with blood resulting from the rupture may enter the abdominal cavity. This process is accompanied by painful sensations in the ovarian area. Soon the follicular fluid resolves and the discomfort goes away. Pain in the lower abdomen after and during ovulation can last from several hours to 2 days.

On the day of ovulation, the fallopian tubes through which the egg moves may contract, which also causes discomfort in the lower abdomen.

Pain in the ovarian area is also explained by contraction of the uterus. If a mature egg has not fulfilled its natural function and is not fertilized, the uterus begins to contract intensively, trying to “get rid” of it. Depending on the frequency and strength of such spasms, pain occurs in the lower abdomen, which radiates to the leg, tailbone, and lower back.

One of the reasons why the lower abdomen hurts after ovulation is considered to be a violation of the psycho-emotional state of a woman. Constant stress, nervousness, hysteria affect not only the mood, but also the general condition body. Since during the period of ovulation a woman is more vulnerable and susceptible, even an ordinary quarrel can affect the condition of the ovaries and the process of follicle rupture. Negative emotions, irritation over trifles aggravate the course of ovulation and cause aching, nagging pain.

When to see a doctor

If the stomach hurts during ovulation or after it for more than two days, and analgesics do not help, the intensity of the spasms increases and the pain becomes unbearable, the woman needs to visit a gynecologist.

Important! Acute, tingling pain in the lower back after ovulation, as well as the appearance of nausea, vomiting, and loss of consciousness requires urgent medical attention! For correct diagnosis and proper diagnosis, it is strictly forbidden to take any analgesics before the specialist arrives.

Also, a mandatory visit to a gynecologist is required if painful ovulation has the following symptoms:

1. Character change painful sensations. The pain became more pronounced, exhausting, cutting, stabbing, aching, which was impossible to tolerate. For example, dagger pain in the lower abdomen during ovulation - danger sign. It may indicate an exacerbation of appendicitis or the development of peritonitis. Pain in the side indicates the presence of adhesions in the pelvic organs or an ectopic pregnancy.
2. Pain during ovulation appeared for the first time or was previously minor.
3. Painful sensations localized in the ovarian area began to radiate to other organs:

• hypochondrium - may indicate the development of gastritis, hepatitis, pancreatitis;
• under the shoulder blade or arm – indicates the presence of cardiovascular diseases;
• in the groin - is a sign of inflammatory diseases of the pelvic organs. The discomfort lasts constantly and becomes more intense with physical activity or coughing.

1. The pain intensifies after eating or defecation (inflammation of the gastrointestinal tract).
2. The appearance of pain when urinating, purulent or bloody discharge (acute inflammation genitourinary system).
3. The lower back hurts during ovulation or the whole back, pulling the legs (osteochondrosis, radiculitis, spinal hernia).
4. Other symptoms occur (diarrhea, fever, headache).

Therefore, the appearance of abdominal pain during ovulation does not always indicate rupture of the follicle. Only an experienced doctor will reliably determine the symptoms of a particular disease and tell you why the ovaries may hurt during this period. Remember! The diagnosis should only be made by a specialist after the woman has passed a series of tests and undergone an ultrasound of the pelvic organs.

Pain during ovulation during sex

Some women complain that it hurts to have sex before ovulation (about 4 days before) and after it. If inflammation of the ovaries or other pelvic organs is not detected, then the occurrence of such pain is considered normal.

Sexual intercourse that occurred in the middle of the cycle, which coincided with the rupture of the follicle, can contribute to the occurrence of aching and stabbing discomfort. Most often, the pain is localized on one side. For example, a pulling ovary on the left indicates that it was in the left appendage that the follicle ruptured and the egg was released.

Painful ovulation after discontinuation of OCs

Hormonal contraception not only prevents unplanned pregnancy, but also suppresses ovulation. After cancellation OK reproductive system restores all functions, and hormonal levels return to normal. The ovaries “wake up” and begin to work fully. The appearance of pain after stopping OCs is considered normal, as the female body remembers its purpose. After several menstrual cycles hormonal levels are restored, discomfort disappears.

Sharp pain in the ovarian area during sex may indicate the presence of a cyst or its rupture. If the discomfort does not go away, and the intensity of pain only increases, you should consult a gynecologist! Untimely medical care can lead to hemorrhage in the abdominal cavity and the development of peritonitis.

Mid-cycle pain after childbirth or surgery

IN medical practice There are cases when painful ovulation appears only after childbirth or difficult surgical interventions(eg laparoscopy, appendectomy). Postoperative period may have similar symptoms and appear in the middle of the cycle. The woman herself associates this with ovulation and does not attach any importance. However, during the recovery period after abdominal operations Adhesions may occur in the pelvic organs, which will soon lead to pain not only during ovulation, but also on the 4th day after it.

If painful ovulation occurs for the first time after childbirth, you should consult a gynecologist as soon as possible. To exclude inflammatory processes, cysts and other pathologies of the pelvic organs, the woman is prescribed an ultrasound and tests.

Important! Usually, good regular labor activity and childbirth without complications does not cause severe pain during ovulation. Occasionally, a woman may have a slight tug in her stomach, but after the body has recovered and hormonal levels painful ovulation is not observed.

How to reduce pain

With the advent of her first period, a girl should learn to monitor her feminine health, identify unusual sensations, know the duration and onset of the next menstruation, and monitor the ovulation cycle. To do this, you can keep a special notebook in which you need to note the beginning and end of menstruation, the intensity and consistency of discharge, sensations during ovulation and menstruation. Such actions will help to understand whether the pain is related to the ovulatory process or whether there is some other reason.

If during ovulation the lower abdomen hurts, disrupting a woman’s usual lifestyle, the doctor may prescribe painkillers. At acute pain are appointed hormonal pills to suppress ovulation and relieve pain.

Remember! Only after the ultrasound and passing all necessary tests you can determine why very painful ovulation occurred and what to do to relieve the pain.

If the pain is aching in nature, and an ultrasound examination shows any abnormalities, it is important to begin treatment for a particular disease as soon as possible. Untimely and illiterate treatment can not only increase pain in the lower abdomen during ovulation, but also lead to irreparable consequences.

If the discomfort is associated with the release of the egg, the woman can relieve the spasms on her own. To do this you need:

• avoid stress, nervousness, tense psychological situations;
• decrease physical activity, fully rest and sleep at least 8 hours;
• spend more time in the fresh air;
• enter into daily diet nutrition vitamins, drinking plenty of fluids;
• give up bad habits;
• do not exhaust yourself with diets.

A warm heating pad placed on the lower abdomen will help ease the ovulation period. However, this method of reducing spasms can only be used if the woman knows for sure that ovulation is the cause of the discomfort.

Every woman should take care of her own women's health and listen to all unusual signals from the body. To prevent the development of complications, it is necessary to consult a doctor not only when painful ovulation occurs, but also to visit a gynecologist at least twice a year. Women over 30 years of age are recommended to undergo medical examination once a year.