A member asked:

I get extreme pain on the first day of my period but only every other month. like clockwork. one month is extreme pain then next is 0 pain. is this to do with which side you ovulate from, or cysts?

A doctor has provided 1 answer

Pain can occur from rupture of an ovarian cyst, but seldom "like clockwork" on alternate sides. Endometriosis can certainly cause pain at the outset of menstruation, but is usually bilateral, and at 30, a history may include loose bowels concurrently. See your gyn provider for an exam and ultrasound testing.

Answered 6/16/2021

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