Can Mittelschmerz Go Away On Its Own?

About 20% of woman experience Mittelschmerz every month. Mittelschmerz is an indication of ovulation either it is before, during or after the release of the egg. Typically the egg is released into the uterus 14 days before the start of next menstrual cycle. Ovulation refers to the process of egg release and if sperms are available fertilization takes place resulting in pregnancy. The time for ovulation varies from one woman to another woman.

Can Mittelschmerz Go Away On Its Own?

Can Mittelschmerz Go Away On Its Own?

Mittelschmerz is not a serious medical condition which requires immediate intervention and medical attention. You might wonder why the egg release process produces pain, why cannot it happen as a smooth physiological process like other body processes. When the ovulation occurs, the follicle ruptures and releases its egg. The ruptured follicles stretch the ovarian walls resulting in pain and another cause seems to be the blood and fluid released during the process. The released material irritates the abdominal lining producing pain.

The pain can last for a few minutes to two days. The symptoms of Mittelschmerz include-

  • Pain can be felt on one side, indicating the ovary which is releasing the egg. The pain can be either on the right or left side and can be variating from one ovary to the other.
  • Dull and painful cramps or sharp sudden onset of pain
  • Mild vaginal bleeding or discharge

The main characteristic feature is lower abdominal pain midway through the menstrual cycle. The pain can be disturbing hindering the daily activities. There is no treatment option as such for Mittelschmerz. It goes away on its own without any medical intervention after the egg is released, just to come back next month. The symptoms of Mittelschmerz can be reduced by taking warm water baths, including specialized teas, spices, and vegetables in the diet. Every woman is unique and the ovulation time varies from one individual to another. Mittelschmerz can be self-diagnosed by assessing the time of pain onset and the area (left or right side) of the abdomen.

A physician will perform multiple tests to determine a diagnosis, a pelvic exam, blood tests, cervical cultures, and abdominal and/or vaginal ultrasounds are performed to identify the exact cause of the disease. If the results from the tests confirm no pelvic issues, and no endometriosis or a cyst on your ovary, the pain goes away without any treatment, and then the physician can come to a diagnosis.

Mittelschmerz does not require medical attention provided the pain is not for an extended period of time and is not accompanied by fever and nausea. The women will be the best judge to analyze the severity of the condition and should seek immediate medical attention if you find the symptoms are alarming. Mittelschmerz goes-off after the process of ovulation which is completed in a few minutes to a couple of days.

If the pain is severe and the patient wants to seek medical attention then over the counter analgesics such as aspirin and ibuprofen can be helpful in relieving pain.

Few doctors may also prescribe oral contraceptive medicines to prevent the process of ovulation itself. There will not be any ovulation to cause the pain, but it can also have an adverse impact on health. Your care provider will be the best guide in advising the medicine for you.


Mittelschmerz does not require any specific medical intervention; it goes away on its own. The pain which is either dull or sharp will fade-off in minutes or within two days. A woman can include spices, kale, radish, green tea and turmeric tea in their diet, or do hot water baths, yoga, and exercise to minimize the pain. OTC painkillers are also used to reduce the pain. Be patient during Mittelschmerz as these are your most fertile days and symptoms will also help you in getting pregnant when you want. Hormonal contraceptives can altogether help prevent the ovulation process and hence the pain.

Also Read:

Team PainAssist
Team PainAssist
Written, Edited or Reviewed By: Team PainAssist, Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:December 2, 2019

Recent Posts

Related Posts