What Is The Prognosis For Mittelschmerz?

Mittelschmerz refers to one-sided pain in the lower abdominal region and it affects few of the women. The pain takes place at or across the time of release of an egg from ovaries, also known as ovulation. One among five women experience pain during her ovulation and it takes place just before, after or during the ovulation.

A prime reason behind the pain is that growth of follicles take place before the ovulation, from where the developed egg stretches from the ovary surface leading to minor or severe pain. During ovulation, ruptured egg follicles release blood or fluid to cause irritation in the abdomen lines. Even you may feel Mittelschmerz type of pain on a particular side of your body for a particular month and later on, it switches to other side in the coming month. However, in few women, ovulation pain takes place on same side for many months in a single row.

What Is The Prognosis For Mittelschmerz?

Mittelschmerz in most of the cases may be of painful, but does not cause any harm, as it never indicates any sign of your disease. Instead, it helps women to aware about the egg releasing time during the menstrual cycle. However, it is essential for you to discuss about your pain with your doctor. Besides this, if you want to get fast relief from ovulation pain, you have to stay aware with key aspects related to Mittelschmerz, as we have discussed here.

Scheduling Appointment With Your Doctor At Right Time

The first and the most important step to obtain good prognosis associated with ovulation pain or Mittelschmerz is to schedule an appointment with the doctor at right time. This means, you have to consult your gynecologist and/or general physician at once if you experience either of the below mentioned symptoms at the time of your ovulation. These include-

  • In case you missed the previous menstrual period
  • Pain during urination
  • Burning skin or redness at the pain site
  • Mid-cycle feeling of pain lasting for relatively long time and even more than one day in some cases
  • Pain combined with vaginal bleeding
  • Changes in your ovulation pain
  • Vomiting and fever

Identification Of Your Ovulation Pain

Ovulation often takes place about 2 weeks before the next menstrual cycle, because of which you may easily identify Mittelschmerz related pain. If you still are unable to determine your ovulation pain, your doctor recommends you to make a chart of your menstrual cycle and note every episode of your pain, along with its exact location. This is because; ovulation pain often takes place on a particular side of the lower abdomen. Even your gynecologist may perform suitable pelvic and abdominal examinations for ruling out any other possible causes of your pain, like the presence of cyst in the ovary or endometriosis. On the other side, if you experience severe pain or your doctor observes any type of irregularity during the examination, he or she may recommend for X-ray, ultrasound or blood test to assist you in determining the exact reason behind your pain.

Availing Proper And Effective Mittelschmerz Treatment

Mittelschmerz or ovulation pain often goes away within only 1 day or 24 hours period, because of which you do not require any particular treatment. However, if your pain lasts for a relatively long time, you have to intake over-the-counter medicines, like naproxen and ibuprofen to get relief from your condition. Even you should apply a suitable heating pad at the lower abdominal area or take warm bath to ease your discomfort. On the other side, if you experience painful ovulation, you will expect to get relief with suitable birth control pills in combination with progesterone and estrogen, aim to prevent ovulation.


To conclude, we should say that Mittelschmerz has good prognosis, as women only experience pain in the lower abdomen area, which is manageable easily without treatment or with proper medications, including birth controlling pills.

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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:February 21, 2019

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