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17 Jan 2006

Possible causes of painful ovulation
Hi there doc

I would like to know if you can tell me what the possible causes can be for very painful ovulation.

I suffer from this quite often. I always only get in on my right side. This month was so painful that I went pale, felt nauseous and nearly passed out. My gynae told me it is because the tissue around the ovary is irritated when you ovulate and some people are just more sensitive than others. She told me when this happens, to take an anti inflammitory tab and use a warm water bottle. This helps a lot and is all good and well, but could this mean that you are releasing big eggs or that their might be something wrong with the tube that is not being pick up by the internal scans? I am planning on asking my gynae for a Lap and D&C when I see her.

Answer 460 views
Fertility expert
fertility expert

01 Jan 0001

Dear Zettie

Pain at the time of ovulation is medically termed mitelshmirz.
t is related to the irritation of the peritoneum (layer of tissue lining the organs). This irritation is particularly profound when blood makes contact with the lining. The pain is usually localised to the side which ovulation is occuring. Ovulation usually alternates from left to right in successive cycles. It is therefore unusual for you to always get pain from the same side every month (ie right side). Also, following ovulation, several days later, a cyst normally forms in that particular ovary in which ovulation has occured. This cyst is termed a corpus luteum, and in some women may become filled with blood, a term we refer to as a corpus luteum haemorragicum.
It is very possible that the recurrent pain you are experiencing may be secondary to the formation of this corpus luteum. This best way to solve this problem would be to more accurately record your ovulation by means of an ovulation testing kit, such as clearp[lan and to workout the sequence of events and the timining of the pain in relation to the ovulation itself.

An ultra sound scan done at the right time may also be able to illucidate the problem more accurately. The possibilty of concomitant endometriosis needs to also be excluded and the suggestion of laparoscopy is a good idea and should be considered.
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