Mittelschmerz

Diagnosis

To diagnose mittelschmerz, your doctor begins by asking detailed questions about your medical history, especially information related to your menstrual cycle. A physical exam may be done, which can include a pelvic exam to check for signs of any condition that could be causing the pain. This process helps rule out other possible sources of pelvic discomfort.

Treatment

Possible treatments for mittelschmerz include:

• Pain relievers such as acetaminophen, aspirin, ibuprofen or naproxen sodium
• Birth control pills that may suppress ovulation and reduce or prevent monthly ovulation pain

Lifestyle and home remedies

If mittelschmerz discomfort lasts more than a few minutes, simple home remedies may help. Applying heat increases blood flow, relaxes tense muscles and eases cramping. You can:

• Soak in a warm bath
• Use a heating pad on the area where you feel pain

Preparing for your appointment

Most people do not need to see a doctor for mittelschmerz. However, if the pain is severe or disruptive, an appointment can help confirm the diagnosis or explore treatment options.

What you can do

Before your appointment, you may want to prepare a list that includes:

• Detailed descriptions of your symptoms
• The start dates of your last two menstrual periods
• Information about your past medical problems
• Details about your family’s medical history
• A list of all medications and supplements you take

Questions to ask the doctor

Preparing questions can help you get the most out of your visit. Examples include:

• What is likely causing my symptoms?
• Are there other possible causes for the pain?
• Are the symptoms likely to change over time?
• Do I need any tests?
• What treatments or home remedies might help?
• Do you have informational materials or recommended websites?

What to expect from your doctor

Your doctor may ask several questions to better understand your symptoms, such as:

• How far apart your menstrual periods are and how long they last
• How you would describe your symptoms
• Where the pain is located
• How long the pain lasts and whether it comes and goes
• How severe the pain is on a scale of 1 to 10
• When the pain occurs in relation to your menstrual period
• Whether you have other symptoms such as nausea, vomiting, diarrhea, back pain, dizziness or headache