Mittelschmerz
Definition
Painful ovulation (about 2weeks before a period begins)
Epidemiology
~20% of women experience this midcycle pain
Clinical Features
cyclical unilateral lower abdominal pain or discomfort - mild to unbearable, lasts for a couple of hours to days
Investigations
USS shows ovulation, but usually diagnosed clinically and based on exclusion
Management
Source
OHCM 9th Ed 2014
Harrisons 18th Ed 2012
Toronto Notes 2012
Painful ovulation (about 2weeks before a period begins)
Epidemiology
~20% of women experience this midcycle pain
Clinical Features
cyclical unilateral lower abdominal pain or discomfort - mild to unbearable, lasts for a couple of hours to days
Investigations
USS shows ovulation, but usually diagnosed clinically and based on exclusion
Management
- Non pharm - hot water bottles
- Pharm - simple analgesia (NSAIDS)
Source
OHCM 9th Ed 2014
Harrisons 18th Ed 2012
Toronto Notes 2012