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Mittelschmerz (cont.)

Painful Ovulation Diagnosis

No specific test can determine if a woman has mittelschmerz. It is a diagnosis of exclusion - meaning the doctor will order to make sure no other medical problems exist. The diagnosis is confirmed if the test results are normal and the pain is typical for midcycle pain. The doctor may ask the woman to keep a diary of her menstrual cycles to determine if the pain occurs at midcycle.

Painful Ovulation Home Remedies

Patient Comments

The best way to relieve midcycle pain is to take an anti-inflammatory medication. Ibuprofen (Advil is a familiar brand name), naproxen (Aleve, Naprosyn), and ketoprofen (Orudis) are available without a prescription and are effective at blocking the effects of prostaglandins.

  • These medications can be continued as long as needed. If one type does not relieve the pain, try another, because these medications vary among individuals in their effectiveness.
  • Anti-inflammatory medicine can be harsh on the stomach. If there is a history of kidney problems or stomach problems (such as ulcers or reflux), consult with a health care professional before taking this type of medication. Taking the pills with meals may help prevent upset stomach.

If anti-inflammatory medicine is not an option or if additional relief is needed, a heating pad applied to the pelvic area may relieve some pain.

Medically Reviewed by a Doctor on 11/10/2014
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Patient Comments & Reviews

The eMedicineHealth doctors ask about Painful Ovulation (Mittelschmerz):

Painful Ovulation - Home Remedies

What home remedies have you found helpful in treating your painful ovulation?


Read What Your Physician is Reading on Medscape

Gynecologic Pain »

The uterus, cervix, and adnexa share the same visceral innervation as the lower ileum, sigmoid colon, and rectum.

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