It is defined as the one-sided lower abdominal pain which is concern with ovulation, it is also known as middle pain because it occurs midway through a menstruation period, 14 days before next menstrual cycle.


Signs and symptoms included:MITTELSCHMERZ Symptoms Causes Treatment

  • Dull and achy cramps
  • Pain on lower abdomen usually on one side
  • Sharp and sudden onset
  • Vaginal bleeding and discharge

It is occurred due to the follicle ruptures which is necessary for the ovulation, in some women it occur every month but in some it occurs rarely.


This condition is diagnosis at clinically by asking medical history. Your doctor might perform the physical examination of pelvic to see any underlying causes.


Treatment options include:

  • Oral contraceptives to suppress the ovulation
  • Pain killers to reduce the pain like acetaminophen, aspirin and ibuprofen
Lifestyle and home remedies

Following tips will help to reduce the pain:

  • Use heating pad
  • Soak in hot bath
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