All About Mittelschmerz
10. Potential Underlying Medical Issues
Mittelschmerz symptoms may also be present for those who have underlying conditions such as a sexually transmitted infection (STI). An STI such as chlamydia can cause scarring and inflammation around the ovaries and fallopian tubes, which causes ovulation pain. Women who had abdominal surgery such as from having the appendix removed or from a caesarean section may also have scar tissue around the ovaries and other surrounding structures.
The scar tissue can cause restriction and result in pain when ovulation occurs. Women who have pain during ovulation may have endometriosis, an inflammatory condition that affects the fallopian tubes and ovaries. Women with endometriosis have presented with pain during ovulation. Mittelschmerz is usually harmless but may signify the presence of an underlying condition if the pain is prolonged and severe.
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