Adenomyosis: Pain with ovulation itself is not common but some do experience it. The pain is actually before ovulation as the follicle rapidly enlarges and the pain gets better with physical ovulation. Adenomyosis or endometriosis in the muscle of the uterus can also stimulate pain with the falling estrogen levels around ovulation. Pain with the cycle itself would also likely be bad in this scenario.
Answered 4/22/2016
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