The mysteries of ovulation pain: Why does it hurt before the period begins?

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The mysteries of ovulation pain: Why does it hurt before the period begins?
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The release of an egg, despite being a routine biological process, is a dramatic physical event.

That mysterious twinge on one side of your lower abdomen that isn’t occurring alongside your period? The one that keeps coming back, every month and roughly in the middle of your menstrual cycle?

Some estimates suggest as many as 40 per cent of women of reproductive age feel it almost every month. It can also be difficult to identify; the sensation might linger for a few minutes or it could last for hours. It sometimes feels like mild cramping or, for others, it’s so painful that it gets confused with appendicitis.

“Every ovulation is essentially a ruptured cyst,” Dr Ginsburg said. Ultrasounds have shown that ovulation coincides with a small explosion of fluid and sometimes blood on the surface of the ovary, Dr Ginsburg said. Because ovulation takes place in either one of the two ovaries, those who feel the pain will notice that it occurs on alternating sides from one cycle to the next.

Teenagers who have just started menstruating, for example, tend not to feel ovulatory pain, Dr Sridhar said. That’s most likely because, though their follicles expand, they don’t ovulate at that point in their lives and therefore, don’t have high levels of LH or prostaglandins.WHAT CAN YOU DO FOR THE PAIN?

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