What causes ovulation pain? i've always had it and have told my ob/gyn. i'm worried about underlying issues. i've had one child and i'm 35.

Have you told OBGYN?: Have you told your OB GYN MD that you are concerned about underlying issues with mid-cycle pain? If not, it is time to have that discussion and evaluation to be certain that it is "only ovulation pain" A 2nd opinion may also be helpful from an alternate OB GYN MD if there is no response to your initial conversation with him/her.