A 40-year-old female asked:
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What is the cause of ovulation pain? Recently have different type of pain in lower abdomen during period. History of removing endometriosis & cyst.

1 doctor answer
Dr. Douglas Lawson
27 years experience in Obstetrics and Gynecology
Mittelschmerz: ovulation pain (mittelschmerz) is cause by first the actual rupture of the cyst causing a sharp sudden pain with some residual discomfort afterwards. But many ovulated cysts will also bleed slightly and the blood irritates the perineum causing often a couple days of crampy to sharp pain. Endometriosis rarely goes away completely and pain with bleeding more likely that or adenomyosis
Answered on Sep 8, 2018
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