Synonyms for mittelschmerz or Related words with mittelschmerz
Examples of "mittelschmerz"
(German: "middle pain") is a medical term for "ovulation pain" or "midcycle pain". About 20% of women experience
, some every cycle, some intermittently.
is believed to have a variety of causes:
Women charting with some form of fertility awareness may find
to be a helpful secondary sign in detecting ovulation. Because normal sperm life is up to five days, however,
alone does not provide sufficient advance warning to avoid pregnancy. Because other causes of minor abdominal pain are common,
alone also cannot be used to confirm the beginning of the post-ovulatory infertile period.
The pain of
is sometimes mistaken for appendicitis and is one of the differential diagnoses for appendicitis in women of child-bearing age.
Rupture of the follicle can result in abdominal pain (
) and is to be considered in the differential diagnosis in women of childbearing age.
In some women, ovulation features a characteristic pain called "
" (German term meaning "middle pain"). The sudden change in hormones at the time of ovulation sometimes also causes light mid-cycle blood flow.
is characterized by lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle. The pain can appear suddenly and usually subsides within hours, although it may sometimes last two or three days. In some cases it can last up to the following cycle. In some women, the
is localized enough so that they can tell which of their two ovaries provided the egg in a given month. Because ovulation occurs on a random ovary each cycle, the pain may switch sides or stay on the same side from one cycle to another.
For most women, alteration of menstrual periods is the principal indication of chronic anovulation. Ovulatory menstrual periods tend to be regular and predictable in terms of cycle length, duration and heaviness of bleeding, and other symptoms. Ovulatory periods are often accompanied by midcycle symptoms such as
or premenstrual symptoms. In contrast, anovulation usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding. Anovulation can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding).
and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory.
Females near ovulation experience changes in the cervix, in mucus produced by the cervix, and in their basal body temperature. Furthermore, many females experience secondary fertility signs including
(pain associated with ovulation) and a heightened sense of smell, and can sense the precise moment of ovulation.
The three primary signs of fertility are "basal body temperature" (BBT), "cervical mucus", and "cervical position". A woman practicing symptoms-based fertility awareness may choose to observe one sign, two signs, or all three. Many women experience secondary fertility signs that correlate with certain phases of the menstrual cycle, such as abdominal pain and heaviness, back pain, breast tenderness, and
Women may notice other physical symptoms associated with their
, during or near ovulation. The most common sign is the appearance of fertile cervical mucus in the days leading up to ovulation. Cervical mucus is one of the primary signs used by various fertility awareness methods. Other symptoms are sometimes called "secondary fertility signs" to distinguish from the three primary signs.
Its rupture can create sharp, severe pain on the side of the ovary on which the cyst appears. This sharp pain (sometimes called
) occurs in the middle of the menstrual cycle, during ovulation. About a fourth of women with this type of cyst experience pain.
is generally made if a woman is mid-cycle and a pelvic examination shows no abnormalities. If the pain is prolonged and/or severe, other diagnostic procedures such as an abdominal ultrasound may be performed to rule out other causes of abdominal pain.
Women: A pregnancy test is important for all women of childbearing age since an ectopic pregnancy can have signs and symptoms similar to those of appendicitis. Other obstetrical/gynecological causes of similar abdominal pain in women include pelvic inflammatory disease, ovarian torsion, menarche, dysmenorrhea, endometriosis, and
(the passing of an egg in the ovaries approximately two weeks before menstruation).
Systems of fertility awareness rely on observation of changes in one or more of the primary fertility signs (basal body temperature, cervical mucus, and cervical position), tracking menstrual cycle length and identifying the fertile window based on this information, or both. Other signs may also be observed: these include breast tenderness and
(ovulation pains), urine analysis strips known as ovulation predictor kits (OPKs), and microscopic examination of saliva or cervical fluid. Also available are computerized fertility monitors.
Symptoms related to the onset of ovulation, the moment of ovulation and the body's process of beginning and ending the menstrual cycle vary in intensity with each female but are fundamentally the same. The charting of such symptoms — primarily basal body temperature,
and cervical position — is referred to as the sympto-thermal method of fertility awareness, which allow auto-diagnosis by a female of her state of ovulation. Once training has been given by a suitable authority, fertility charts can be completed on a cycle-by-cycle basis to show ovulation. This gives the possibility of using the data to predict fertility for natural contraception and pregnancy planning.
In some women, menstrual spotting between periods occurs as a normal and harmless part of ovulation. Some women experience acute mid-cycle abdominal pain around the time of ovulation (sometimes referred to by the German term for this phenomenon, "
"). This may also occur at the same time as menstrual spotting. The term breakthrough bleeding or breakthrough spotting is usually used for women using hormonal contraceptives, such as IUDs or oral contraceptives, in which it refers to bleeding or spotting between any expected withdrawal bleedings, or bleeding or spotting at any time if none is expected. If spotting continues beyond the first three cycles of oral contraceptive use, a woman should have her prescription changed to a pill containing either more estrogen or more progesterone.
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