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