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Mittelschmerz

Also known as Painful Ovulation, Mid-cycle Pain, and Ovulatory Pain

Mittelschmerz (German: "middle pain") is a medical term for "ovulation pain" or "midcycle pain". About 20% of women experience mittelschmerz, some every cycle, some intermittently.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with mittelschmerz, 84% report having sharp abdominal pain, 74% report having lower abdominal pain, and 68% report having pelvic pain. The symptoms that are highly suggestive of mittelschmerz are lower abdominal pain, pelvic pain, painful menstruation, long menstrual periods, acne or pimples, and involuntary urination, although you may still have mittelschmerz without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with mittelschmerz often receive urinalysis, complete blood count, hematologic tests, radiographic imaging procedure, standard pregnancy test, pelvis exam, ultrasonography and kidney function tests .

Common Medications

The most commonly prescribed drugs for patients with mittelschmerz include ethinyl estradiol / ethynodiol, acetaminophen / tramadol, leuprolide (lupron), ortho cyclen, medroxyprogesterone, hydrocodone, chlorpheniramine / phenindamine / phenylpropanolamine, mecamylamine, grepafloxacin (raxar), malathion topical, gemtuzumab (mylotarg), gadoteridol (prohance) and carbinoxamine / dextromethorphan / phenylephrine .

Who is at risk?

Groups of people at highest risk for mittelschmerz include age 5-14 years, sex == female and age 15-29 years. On the other hand, age 75+ years, sex == male, age 60-74 years, and age 1-4 years almost never get mittelschmerz.

Age

< 1 years
0.1x
1-4 years
0.0x
5-14 years
2.0x
15-29 years
2.7x
30-44 years
1.4x
45-59 years
0.2x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
1.4x
Hispanic
1.2x
White
0.9x
Other
0.9x
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