All About Mittelschmerz
Reviewed: Dr. Gromatzky
4. Presentation
In mittelschmerz, the woman presents with pain located in the pelvis or lower abdominal area. It can be localized to the right or left side. It may occur at the same side every month or different sides. When timed accordingly with their menstrual cycle, this pain usually occurs around the mid-menstrual cycle. Some women experience the pain every month while some only have it intermittently.
The pain usually resolves in several hours but can last several days or even until the next cycle. In some women, there is associated mucoid vaginal discharge or slight vaginal bleeding. Some have also reported the swelling or tenderness of a lymph node in the groin or swelling of the vulva before ovulation begins.
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