A member asked:

Is this normal to happen to someone my age i am 20 years old and i been having like these cramps when i start my ovulation cycles and it feels like a pinching dull pain but it will last for a few days and then it stops and its been on going since october

2 doctors weighed in across 2 answers

It : It is very common for women to have #ovulatory pain or discomfort when not on birth control pills. Oral contraception supresses these symptoms. Advil, Aleve or even tylenol (acetaminophen) will improve the symptoms. The follicular fluid from ovulation is often irritating to the pelvic perotoneum. I would not worry about endometriosis, salpingitis or infertility.

Answered 10/3/2016

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Dr. Michael Opsahl answered

Specializes in Fertility Medicine

Your : Your pain could be from ovulatory cycles but it could also be from endometriosis, for example. Chronic pelvic pain can be a frustrating problem because so many disorders can cause the discomfort. I generally agree with dr g, that you probably do not have a serious disorder. Endometriosis requires visualization and/or biopsy to make the diagnosis. We usually reserve surgery to make the diagnosis for those cases that do not have another cause that can be treated, when the pain is severe enough to warrant major surgery (laparoscopy), or you desire fertility and the pain prevents other attempts and/or treatment. Endometriosis surgery is most effective for fertility the first time. If you are not ready to be pregnant, you do not want to "waste" the surgery just yet for fertility purposes. Unfortunately, the pain of endometriosis sometimes requires surgery before you are ready to get pregnant and the pain control takes priority. You should make sure that you do not have obvious causes of pain, you should try non-narcotic meds like ibuprofen, and you should be reassured about fertility because treatment now for a pregnancy some years in the future is of no value (with rare exceptions). Work with your physician because most women should have to deal with chronic pain. Best wishes.

Answered 10/4/2016

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