Ovulation Pain – 5 Reasons Not To Ignore Painful Ovulation

Ovulation Pain - 5 Reasons Not To Ignore Painful Ovulation

When some women ovulate, they experience a sensation commonly referred to as ovulation pain, which is also known as mittelschmerz.

The sensation is usually a sudden twang, pop or twinge in the lower abdomen, which coincides with the ovulatory stage of their menstrual cycle.

But some women would describe ovulation as being painful.

Because ovulation pain is common these days, it might come as a shock to hear that ovulation pain is actually not normal.

Yes, many women feel ovulation and it isn’t a big deal. But acute, severe, stabbing or debilitating pain is not normal.

Ovulation pain is a red flag that you have an underlying health issue that should be addressed. In fact, some of the underlying causes can result in fertility problems that can prevent you from getting pregnant.

Doctor Andrew Orr is a specialist in reproductive medicine and women’s health, with Masters degrees in both fields. He warns ovulation pain could be the result of any number of problems — all of which should be investigated by a professional.

The Most Common Causes Of Ovulation Pain

According to Doctor Orr, the most common causes of ovulation pain are:

#1: Cysts On The Ovaries

Ovulation pain is often the sign of cysts on the ovaries. Cysts can form, or can burst, during the ovulation period.

Women with PCOS (polycystic ovarian syndrome) often experience ovulation pain due to multiple ovarian cysts.

Cystic ovaries are the result of a hormonal imbalance, usually related to insulin resistance. Cutting out sugar and grains (which not only cause spikes in blood sugar levels, but also cause inflammation in the body) can be highly beneficial.

Doctor Orr recommends following a low GI or paleo/primal style of eating to get everything back under control — and it will keep it that way.

#2: Endometriosis

Endometriosis is an inflammatory disease which affects the ovaries and fallopian tubes. It can also cause pain during the ovulatory period.

Other symptoms include: pain during intercourse, migraines, constipation, headaches, dizziness and more.

#3: Adhesions From Prior Surgery

If you’ve had surgery — for example, a c-section or having your appendix out  — adhesions and scar tissue can cause ovulation pain, by restricting the ovaries and surrounding structures.

Ovaries can adhere to the bowel and other organs, causing you pain when you ovulate. This is something I’ve personally experienced, and having a laparoscopy during day surgery helped to mobilise my ovary. Unfortunately, the procedure was done only after much insistence and delay, hence the pain. The obstetrician/gynaecologist was pushing for me to go on the pill to prevent ovulation. This wouldn’t have fixed the problem, and who knows what might have happened if it had become worse.

#4: Bacteria From Medical Procedures

Bacteria can be introduced into the pelvic cavity through catheters, surgery and even childbirth. This can cause inflammation and infection, resulting in ovulation pain.

#5: Sexually Transmitted Infections

Another reason for ovulation pain is sexually transmitted infections (STI’s). One example is chlamydia, which can cause inflammation in the tubes, scarring and pelvic inflammatory disease. Chlamydia can also cause a condition known as a hydrosalpinx, where the fallopian tubes are blocked with pus. This causes inflammation and pain.

But I’ve Had Children, So It Shouldn’t Be A Problem

Even if you have had children, there are still issues that you might not be fully aware of. If it’s a condition that might eventually lead to infertility, are you comfortable gambling with that?

But My GP/Doctor/Friend/Other Said That Ovulation Pain Is Normal

Doctor Orr says that you should not let anyone tell you that pain during ovulation is normal. “Many GPs don’t know that much about gynaecology… remember that it’s not their field of expertise, they are general practitioners. Always get a referral to see a specialist”.

But I Have Had A Scan And It Came Up Fine

Unfortunately scans don’t pick up everything – especially scar tissue, adhesions and endometriosis.

Doctor Orr says, “I need to point out that scans do not always pick up pelvic pathology. They will not pick up endometriosis, so if you have had a scan and think that you have been checked for endometriosis – you haven’t. The only way to assess the pelvic cavity properly is through laparoscopy. It is the gold standard of investigations for gynaecological conditions. I always get so worried when I see comments where people have pain and think they are okay because they have had a scan. Just to repeat: scans cannot pick up endometriosis and other crucial pathology… and pain of any kind is not normal.”

Ovulation Pain - 5 Reasons Not To Ignore Painful Ovulation

This is what was missed by 3 doctors. A woman went to her GP (for a second opinion) and she told him she was getting rib pain, abdominal pain and shortness of breath. He sent her for a scan of the gallbladder, which found nothing. A week later the pain and shortness of breath were worse – and her stomach started getting bigger.

She went back to the GP, who sent her to a gastrologist. After an endoscopy, she was told she had reflux, which was causing her asthma, and that she should lose weight. This was the gastrologist’s definitive diagnosis – and she was sent away.

Two weeks later the poor woman was in excruciating pain and went back to the GP, who said he couldn’t help, because she needed to lose weight (as the specialist had said). He suggested she try a complementary medicine practitioner. She called Dr Orr’s clinic and explained her symptoms. Dr Orr immediately arranged for her to see his surgeon. They both decided that she needed to be investigated – and the mass, pictured above, is what was removed. So much for ‘there’s nothing wrong’. The anaesthetist joked afterwards, saying, “Well that will fix her asthma, won’t it?”

“Three primary care physicians missed a 5kg mass, and this woman was written off as a whinger. This is why you should never, ever, take pain as nothing and always get a second opinion when it comes to pain or any medical matter…. Get a third, fourth or fifth opinion if that’s what it takes for someone to listen,” says Dr Orr.

The reason Dr Orr has shared this story is not to berate doctors, but because he sees things like this often. It is easy to feel undermined by doctors, and to take their decisions as the final answer. But if you are in pain, you must seek help until you find someone who can help you.

If You Think This Is A Load Of Rubbish…

Unfortunately, we tend to become complacent about things that are common. If you think ovulation pain is normal, Dr. Orr has this to say:

“As a specialist in this field of reproductive medicine and women’s health, I can tell you that you aren’t meant to get pain. Sure, some slight bloating and a bit of pressure… but not pain. Many women are conditioned to the urban myth that period pain is normal, when it isn’t. Being a male doesn’t mean I don’t understand what women go through. I see hundreds of women every year, and have helped over 10,500 couples have babies. All of the women had period pain and other issues causing infertility – and this is what can happen.

I would much rather see women right away, for ovulation or period pain, than see them when they are trying to conceive, and some of the bad pathology has actually left permanent damage. People don’t realise that good bacteria in the vaginal tract can get into the cervix and turn infectious, and then travel up into the fallopian tubes and cause major problems (tubal blockage, tubal scarring and hydrosalpinx).

Worse yet, severe pain can be due to cervical or ovarian cancer. Many women die each year from cancers that could be prevented or treated through early intervention. But sadly, too many women leave it too late, thinking that pain is normal.

This is by no means meant to cause panic or sensationalism. This is a very serious issue that I see every day in my practice. I just want to help women relieve this unnecessary pain – or stop believing that pain is normal for them.

The pain you’re experiencing might be normal, but then again it might not be. Just get it checked, for peace of mind. It could save you in the long run.”

Do You Get Ovulation Pain?

Ovulation pain needs to be checked out by a professional. But, as you’ve read, finding someone who ‘gets it’ can be a minefield.

Some doctors give erroneous advice about ovulation pain. Some will even say that you’re lucky because knowing when you’re ovulating can help you to get pregnant!

It can be helpful initially to see a practitioner of traditional Chinese medicine who specialises in fertility and gynaecological issues. They not only diagnose and treat any underlying health issues, but they often know of great gynaecologists. Then you can ask your local doctor for a referral, so you can get the treatment you need and deserve.

“Don’t just see a GP for gynaecological issues – always see a specialist. Get the referral and go”, says Dr Orr.

As drastic as it might sound, sometimes surgery is needed to diagnose and treat disease states in the pelvis. After it is cleared up, via laparoscopy, there is also an increased success rate for pregnancy.

See our list of Australian Chinese medicine practitioners.

Do You Get PMS (Pre-Menstrual Syndrome) Too?

Then you must read our article on PMS here.

 
Last Updated: September 28, 2016

CONTRIBUTOR

Kelly Winder is the creator of BellyBelly.com.au, a writer, doula (trained in 2005), and a mother of three awesome children. She's passionate about informing and educating fellow thinking parents and parents-to-be, especially about all the things she wishes she knew before she had her firstborn. Kelly is also passionate about travel, tea, travel, and animal rights and welfare. And travel.


114 comments

  1. I have severe ovulation pain to the point I can not stand no pain killers relieve it. I was told I had 3 3cm blood filled cysts on my left ovary over a year ago but never had a follow up appointment to check on them. My pain last 2-3 days every 14 days

      1. I am dealing with the same thing I have never experience so much pain I have children now and never had ovulation pain. I was in so much pain I ahd to visit the er I wasn’t able to stand or lay down and it lasted for 3days and my left side was very very sore after wards. I have a follow up appointment this month.

        1. Hi. I have been dealing with pain on my left side during ovulation for the past 4 months. I woke up this morning in pain and it has gotten worse throughout the day. Every month it gets a little worse. I’m thinking I need to go to er. What did the dr tell you? if you don’t mind me asking.

          1. You just need a referral to a good ob/gyn who will listen to you and help without wanting you on the pill (it wont correct the problem). You may have PCOS, or adhesions (especially if you’ve had abdominal surgery).

          2. Hi,

            I also having pain on my left side for the past 6 months exact 12 to 10 days before periods for more than 48 hours. Some days before periods it get settle down itself. I first went for scan 10 days before my periods date, radiologist said there are many tinny cysts on left ovary border line. After that, my GP did blood work for hormones (LH, male, female hormones) all are fine.

            Swab test is also done twice at the same time by nurse and then dr. but came out no infection and manually checked by dr. Don’t have PID.

            Trying for baby for more than 1 year after very first baby’s misscarriage in 6 week.

            Pain is still there everymonth longer than 3 days. Irritating and getting phsyco..
            What to do??

    1. I went to the doctors last week had to set up an ultrasound got that done on 3/22/2016 the next day got the results its a benign cyst they said the pain was from that. Well today went to the hospital got another ultrasound and the same thing but this time with the cyst and found out I’m ovulating and the pains won’t ease up I get sent away am I crazy I feel like I want to cut it out that’s how bad it is I’m tired of the pain. Please i hurt badly, has anyone else felt this way?

      1. Oh I haven’t had a period since February 6 and they don’t know why it stopped its killing me. I have been late 2 days but nothing more than that and now it seems like it stopped.

    2. I have the same issue but no kids I get luteal cyst monthly and I have a bicornate uterus I’m 21 me & hubby have been ttc for awhile now I’m 3dpo experiencing extreme pressure in my pelvic area and twinges in my right ovary should I seek medical attention?

    3. I’m 34 year and had vaginal delivery ( 36 week) seven years back. After my delivery, I have started ovulation pain and it’s getting severe day by day. I had visited gynecologist two times and found cyst in my ovary but dictor said it’s not causing factor and prescribed me antibiotic for pelvic infection. After that pain stopped for a while but again the same condition. Some time pain stays more than three days specially at night, I can’t sleep without hot water bag. As bonus now from few months I’m showing all thee symptoms of PMS. I kept moving from one place to another. I hardly have sex now a days. What should I do??

      1. You are definitely not alone! I have suffered with ovulation pain since 2008, was diagnosed with endometriosis, had laparoscopy surgery but didn’t stop the pain. Two years ago had a UFE procedure that stopped the monthly bleeding but this last period that came 61 days later, I’m currenting in a constant burning kind of pain. I’ve been prescribed all differ kinds of strong pain killers but find that if I take 3 ibprofen every 4 hrs it will take about 45mins to kick in. Been tested for cancer and STDs but always come back normal and I’m not sexually active. Funny thing is about 5 years ago went to a nutritionist and detox and noticed a 50% reduction in my pain when I cut out SUGAR! Sadly I’m a sucker for ice cream, chocolate, wine, cocktails and I think it’s the sugar that is constantly consumed!! If you have the will power, test out cutting out sugar and go on a whole food binge for at least 21 days. It may not stop the pain completely but will certainly reduce to pain to being tolerable and may save your kidneys from the harsh effects of painkillers!

  2. I get pain on my right side when I ovulate it’s always on my right and vary bad some time I get the pain when I am on my period I have been to the doctors over and over again I have had blood test ex rays ultrasounds and they have found nothing I have gotten to the point where I lay in bed and cry it hurts so bad nothing helps but the doctors say there is nothing wrong and send me on my way

    1. Same thing going on with me. Lower right abdominal pain. I did ct scan, mri 2 times, xray, colonoscopy, ultra sounds frequently… everything came out normal and I am still having pain on my lower rt side abdomen.

    2. I was always having severe pains on my right side when i got my period. Not long ago i had an ectopic pregnancy due to scarring in my right tube. They had to remove my tube because it was that bad and i haven’t experienced any severe pain in my right during periods since surgery.

  3. I’m in pain now with ovulation and have been to the doctors and had scans thank you for this write up i will be going back and demanding to see a specialis.

    1. I very regular cycle with no normal days but painful ovulation have been pregnant before trying to get pregnant again it this affect my fertility?
      can l use this pain to try get pregnant

  4. I am lightly sore for three days around ovulation. I believe it is from my ovaries preparing to ovulate and then actually doing so and most months I can feel a sharp pain on either side, (it fluctuates), for just a couple seconds at most. I was also on birth control for five years and seem to have more sensory input now than I did before.

  5. Hi,i think I started ovulation some days ago(mild sensation). Bt last night,i had abdominal cramp though it didn’t last long n I have had Endometritis before. Is d pain normal,whats my chance of becoming pregnant or do I need to see a specialist again?

  6. Hi, I have pain on upper part of my stomach on Friday morning, then at night it moved to lower right abdominal. This is the second time this has happened to me. The first time I went to see doctor, he ordered me to have ultrasound and pelvis scan. Both came back normal, although I have a small cyst, which is normal too. The last couple of months my ovulation was on the left ovary, no pain at all. This time on the right ovary. Does this ever happened to any?

  7. Im writing this in agony. I’ve had lots of pain ovulating and during my period. After doctors refusing to prescribe anything for the pain one doctor was kind enough to realise this isn’t normal and has referred me straight for a laparoscopy as urgent. Don’t ignore the pain. I saw a consultant on Friday and he wants me in surgery this week.

    1. Unfotunately I have horrible ovulation pain to the point I can’t walk, & pelvic pain at other times of the month. Dr thought I had endometriosis, has a laparoscopy, nothing found. My organs were A+. No known cause of your debilitating pain can be depressing. The doctors then go, nothing can be done for you, go see a pain dr, who then says, there is no known cause of your pain? We can’t prescribe you pain management 🙁

  8. thanx very much for the enlightenment about ovulation pain.
    I have had abnormal bleeding for over four years now, some times I skip months and sometimes bleed for over a month, heavily n with clots on diagnosed, I was told that its due to hormonal imbalance. I was also diagnosed with ovarian cysts and fallopian tube ( left) blockage.
    I used traditional medicine to unblock the tubes n clear the cysts, then I was given some medicine to help the eggs to mature n ovulate. Luckily, I saw my days only for five days, but didnt become pregnant. I also went 5 days in the following Month, but had a severe waist pain on the 7th day.
    I don’t know y, please I need help.
    I am 30 yrs, never had a child, am seriously in need of many children. plse help.
    may almighty God bless u with more knowledge to women’s problems. All the best

  9. Every month at day 16 I spend anywhere from 4-6 hours in pain. It’s been going on for a very long time. My last ultrasound diagnosed poly cystic ovaries and fibroids but I was told they were both nothing to worry about. That I didn’t have PCOS because I have had kids and I’m not obese. Time for a second opinion. I’m over scheduling my life around ovulation pain and painful long winded menstruation.

      1. Thanks Kelly. Still suffering (as we speak) and still not being heard. Only treatment offered was the pill – which doesn’t agree with me and I don’t agree with. I feel so disheartened. This pain is debilitating and it now lasts up to 24 hours. Today’s pain had me bent over unable to stand up straight, nauseous and vomiting. I’ll get 5 days relief before my period pains show up. No fun at all!

  10. Pain like this is so frustrating and doctors don’t seem to get how it interferes with daily life and emotional well being. I feel like I’m in pain all the time. I go from having severe period pain, to severe ovulation pain and, what I was told is IBS. I have stomach issues all the time with cramping, bloating, diarrhea and so on. I am now also getting cramps before I ovulate too. I have had 2 ruptured cysts, and have now finally found a very good gynae who seems to understand how this severe pain is impacting on my life. I’m 34 and have never got to the bottom of this. My new gynae wants to do a laparoscopy as she thinks endometriosis, and likely also the cause of the ‘IBS’ too. I’m slim, fit and otherwise very healthy, but this has really impacted on my health and gets me down. I love to run and can barely even do this anymore as I am in pain more often than not. Thank you for your informative site and making it clear that being in severe pain is NOT normal! So many doctors have normalized this pain despite frequent hospital trips and even having to be on an IV because of the rupturing. I so hope I can get this properly diagnosed and sorted out soon. Fingers crossed!

    1. Yes, some causes of ovulation pain can impact fertility. Definitely seek a referral to a specialist who will listen and take you seriously, and not try and put you on the pill to mask it.

  11. i started feeling ovulation pain 7yrs now, after having my last child, i am 46 now, n it is painful, visited my gynaecologist took 2 ultrasound they came back negative. sometimes it started on day 11 or 13 n lasted for 7 days n more for few hours apart my symptoms headaches,vomiting,nauseous,severe pain on left side,sometimes became hot, when the pain leaves i started shivering n get drowsy i don’t know what else to do,i gave up on my doctor. I NEED YOUR HELP!!!

    1. I am 42 and have the same pain you do. I’m going for an ultrasound this Wednesday. Hoping for good results. It’s frustrating and scary.

      1. I had the same thing, went to the er the team ct scan, blood work ask was fine. Went to Gyni, had ultra sound done, found small cyst but she said that shouldn’t be the problem, so here I am still in pain with no reason why and they make you feel like your just a wimp or making it up 🙁

      1. I had a laparoscopy & they found nothing. My dr, the head of ob/gyn at at top medical center, said it happens. Lots of women have no identified cause of horrible pain, and this they can’t fix it. I almost killed myself after hearing that. Chronic pain is a life sentence.

        1. It all depends on who you saw and what their surgical skills are like. Not every specialist can do a laparoscopy well. Some can only do minor surgical treatments with laparoscopies. You need to see someone more specialised. It all depends if they were private, or in the public system too. Big difference most of the time
          Plus endometriosis and especially adenomyosis isn’t always visible. There can be microscopic implants of endometriosis there and not visible to the naked eye, this is why multiple site biopsies are often needed
          If you are in pain, it means there is something there, or , you specialist hasn’t looked hard enough. You need a second opinion and more than happy to provide you with any details to help fix this, or even refer you to my surgeon whom I work with. He is the best laparoscopic surgeon and I know so many women like yourself who have been told they can’t find anything, only for these ladies to come and see me and the surgeon I use and we find stuff. Don’t give up hope after just one opinion. We get 5 quotes for our house, or buying a car etc, yet many of us take one opinion from a so called medical expert. As someone who is a specialist in this field, please get another opinion. Don’t give up hope yet. Regards Dr Andrew Orr

  12. I have been having this pain for over 20 years now, I have had scans ultrasounds and surgery to investigate, and found nothing at, the only time I haven’t gotten the pains is during my 4 pregnancies but after each one the pains come back with a vengeance, the pain creeps up for a couple of days and then it hits badly, I can walk or sit without being in excruciating pain, my temp goes up and then vomiting, and not once has my gp or any of my numerous gynos said that it could be ovulation pain, I was just told that if I don’t get a period I won’t get the pain, so they gave me the depo, thank you all for your stories, even tho it’s a horrible horrible thing it’s comforting to know there are others who know how I feel

    1. Scans and ultrasounds don’t pick everything up. In fact most of the common causes (as listed here) cannot be detected on ultrasound. I would insist laproscopic surgery, as suggested by Dr Orr.

  13. Am having problem of secondary infertility and i did HSG test dat read right tubal blockage, uterine synagehie,severe pelvic adhension,left patent fallopian tube with wild hydrosalpinx.

  14. Ill be booking into the Doc this week. Iv always had mild ovulation pain but these last 6 months or more have been painful. Its through my whole lower abdomen and also back, its tender when pushed. Couple times iv had a really bad pain in my right side to the point i cant move and am in tears. Iv had the same partner for 15 yrs and 2 young children

    1. Good luck! If you’ve had a c-section it could be adhesions, which can be fixed if you have surgery. Don’t let a doctor fob you off, ask for referral to a specialist and ask them for a procedure to check for endo, pcos, adhesions or other infections. They may want to scan or put you on the pill… but find someone who will help you.

  15. I have bad pain on my left side every time I have my period the pain goes down into my leg…..can u tell me is this normal

  16. Hullo i also get this pain not every month but when it comes its like a crump on my right ovary.. had surgery on the same side fr an ovarian cyst exactly 1yr and 9mnths ago..cd it be the scar…lst mnth scan showed a clear lower abdomen..jst worried am jst 25.

  17. Hi I have been experiencing very bad pain in lower back an left ovary the pain shoots from the back round. I have always had pain but thought it was Normal but from i took this very bad pain about 1 month ago I have become very sick aswell most times I eat they don’t no if it’s connected I have had an Mri an ultrasound as the doctor thought it was kidney stones but they have seen a 2 cm cyst an thickness of the uterus would this cause the pain as my gp said 1 so small shouldn’t. Amy help will be greatly appreciated.x

  18. I normally have pain during ovulation. In fact i am presently undergoing painful ovulation and my doctor diagnosed PID which he explained to be a sexually transmitted disease. But funniest of all, i have never had sex. The condition still persist after several medication and am not going to relax. My question is, why the PID when i have not had sex before? or does it just come? because doctors don’t want to believe me.

  19. I am presently undergoing painful ovulation. My doctor diagnosed PID earlier before now. After series of medication the condition persist. My question is that, doctor explained that PID is sexually transmitted and i have never had sex. So does PID just come ordinarily? because doctors don’t want to believe me.

  20. Hi kelly, I love your articles God bless. I do have painful see, and my husband has not been able to penetrate into my Virginia for a year now because of the pain, my tummy comes up(swollen) when expecting my period. Please I need your advice

    1. Unfortunately I can’t help – this really needs an experienced gynaecologist to investigate. Scans wont pick up everything, as for a full investigation to diagnose the underlying issue. Good luck!

  21. What about painful bowel and urination during ovulation and period? During ovulation it’s not quite as bad, but, during period it feels like my uterus is ripping loose and falling out. I have come close to passing out due to pain from bowel movements during my period.
    Other symptoms:

    Painful sexual intercourse
    Bleeding after sexual intercourse
    Bloating
    Swelling during ovulation
    Pain in right over during ovulation (the pain goes down my right leg)
    Pain in my lower back (similar to period cramps but more intense)

    1. You should definitely see a specialist and get investigated surgically, as suggested in the article. It could be a couple of things, but I think you need to sort it out asap. Don’t just agree to scans, they wont pick everything up. Ask for a full investigation, and get a good gynaecologist to do it.

  22. I always have ovulation pains every month in between my menstrual cycle, most times on my right side and a few times on my left. The pain is terrible and comes with severe fever and nausea, the good thing is that it doesn’t last more than 12 hours (though those hours are excruciating). Doctors I have met say there is nothing to worry about but next time around, I shall see a specialist as I need to be sure that I have nothing to worry about.

    1. Definitely ask for a referral to a specialist. See if you can get a name of someone good in your area, so you can be sure they will take care of you! It doesn’t sound right, you poor thing!

  23. I am 28 years. got married for four years without an issue. I got pregnant once and loss it after six month, since then nothing as such ever happened. I took Clomid before I got pregnant. since I loss the pregnancy after six month, clomaid doesn’t work on me anymore. now I always feel pains at my lower abdomen after menstruating which I suspect to be ovulation. its been a long time that I don’t ovulate. please I need your help.

  24. I am 27 years old. I have had severe pain every month during ovulation for years. Sometimes I can not even walk properly with the pain. 2-3 years ago I was referred to hospital and specialists who did a number of tests including a laparoscopy. They found nothing and said everything was perfect. I am also suffering from unexplained secondary infertility for the last 6 years. However I now get this ovulation pain twice a month now. One week after ovulation and randomly other times of the month and equally as intense. Should I go back to GP? Should I be worried?

  25. The pain I feel is unbearable. Between 10 and 8 days before my period. I lay in bed and cry. I cant stand straight or move my legs. And yet the pain is so bad i still cant stay still. I have seen a gynecologist and other doctors and they can’t find anything. Done scans and nothing. I feel helpless and unfortunately our medical facilities are not as advanced here in Zambia. I am 29 with no kids. I have no idea what to do. Thanks for the article though it’s very insightful. In my wildest dreams I wish I could meet Dr. Orr

  26. I have been having severe hip pain for the last few months during ovulation, it can last 4 days and I struggle to sleep and it radiates into my lower back.
    I also exercise and jog which makes it worse, but its always during ovulation which makes me with its hormonal and not hip/back issues.
    I am off to the doctors again and requested a referral for a Gyn appointment and will push for a laparoscopy.

  27. I have two children. Last one is 11 months old. I still have ovolusion pain. Ultra sonography report is normal. How To Overcome This Pain Please Suggest.

  28. I have been experiencing pains at my lower left back for 5 years now am married but hardly allowed my husband to have intercourse. The pain was just too much during my period and ovulation! I’m dying.,please help!

  29. ‘I recently gave birth to a baby girl on 8/14/15 i have been on my menstrual cycle since then I brought it to the attention of my obgyn the middle of october. he schedule me to be checked on 10/23/15 he agreed that it wasent normal. my period is bright red with passing of small blood clots. he suggested i start the pill and that might regulate my cyle. I also mentioned that my lower right side hurts and feels tender when i place pressure on it. i even feel pain when i walk. i have children and never experience this before.

  30. Kelly, Pls am having pain at my right lower abdomen a week after abortion, it comes with fever, could it be normal or could it be dat am ovulating. Pls I need ur reply urgently, so as to know what to do.

  31. Hi,

    I am trying to conceive from last 6-7 months. I was detected with PCOS . I am having irregular periods( periods sometimes skipped for three months).Taken Ayurvedic medicine for three months. But it didn’t help me to conceive ,so my husband insisted me to shift to Allopathic treatment. The gyne started with a medicine so that my periods should come , after taking that medicine for seven days periods started and they put me on ovulation induction treatment from third day of my periods. Today is fourth day of my periods and i am experiencing very bad pain in lower back and pelvis with heavy abnormal bleeding from last 2 days . Is it usual or something serious? Is that needs the immediate medical attention? We had tested for pregnancy 2-3 times before starting the treatment.

  32. I have had aching pain in right side for about 6 months. Had US in August found small hemorrhagic cyst 2.5cm or so and 2 fibroids also small but growing since last scan 1 yr ago. No one seems concerned. I have been having increasing pain the last few weeks. Ive been taking ib and tylenol which was helpful but not anymore. 1st day last cycle 11/2. Went to GP last night in excruciating pain. Pain has changed from aching uncomfortable to burning twisting pain mostly in ovary area but radiates now to inside pelvic bone and lower back. Its horrible so bad it is waming me up in middle of the night nauseous and shaking. Dr advising its ovulation pain and gave me Toradol shot. It didnt barely touch the pain. He did cbc pending results on that. Any suggestions? This is getting unbearable I just feel like something else is going on. Also, sorry if tmi but should i have vaginal bleeding with bowel movements the week leading up uo period? Its a huge gush. Ive had pink and brown tinged vaginal discharge as well. My abdomen is growing as well. Please help if you have any thoughts.

  33. I am 41yrs old. I have never been able to have children. In the last few months I have had this sharp pain in my pelvic area in center to right side. The doctor did the laperscopic surgery for endometriosis but said it was not that it was scar tissue from my appendix that was removed when i was 15. Well the surgery is over time has past and the pain is back worse then before the surgery/procedure! Is there anyone in TN area you recommend? I do know this if I cant find a dr here I may come see you. I do not see how anyone could live with this pain for 1yr. Thank you.

  34. Hi, I have PCOS and am an ovulatory. I have only ovulated on clomid but this is always painful. It starts with a pain on one side then both sides I have pain for 2 to 3 days culminating in debilitating pain in my uterus that lasts a few hours. Then I’m fine. I have had 2 early miscarriages and one 2nd trimester miscarriage all in the past couple of years and I have child who is 9. Hysteroscopy and HSG tests found no structural abnormality. What could be causing this? I am 6 weeks pregnant now but this was my 12th and last chance on clomid.

  35. I was wondering if I could be having ovulation pain even though I am only 17 years of age because after reading this article I have realised I have been getting all these symptoms everytime I have my periods and now today I have gotten my period and I have painful back pain and also painful stomach cramps only in my left side and I also find that I get a little tingles in my back

  36. I have painful ovulation and periods since I was 14. I have been on at least 5 different birth control hormones since I was 15. Until I was 22, I had many cyst ruptures. I have one amazing child, being pregnant was the only time in my life where I didn’t have pain monthly (she just turned 6). This last year it’s been worse. They found a fibroid (very small) in my uterus. I have seen 3 different gynecologists since June. The first one said there was nothing he could do. The second told me it was normal to have pain while ovulating, after telling me that I can no longer have children because I don’t ovulate, and then cyst rupturing started again. I saw a 3rd gynecologist. She is going to do a surgery to look for endometriosis. I am terrified she won’t find anything. I am 28. I also was diagnosed with ulcers when I was 24 and they took my galbladder. I still have stomach issues but no more ulcers. I’m wondering if my reproductive issues could have caused my GI issues… I just want stop the pain.

  37. I had surgery in 2012 to remove a cyst off my ovary and to have endometriosis removed. I’ve started to have the same pains again and I’m curious to know if the endo could be back?

  38. Hello everyone
    I have had severe and mild pain on my right side near ribs since the birth of my daughter 19 months ago she is my 3rd. Been to the doc who sent me for scan with nothing come of it. She thought it was gallstones or kidney stones or even bowel issues which i now follow a diet for ibs sufferers due to bloating. I get pms and feel like the world is against me and for the week after my period is when the pain increases plus i am on the pill. I don’t know if it’s ovulation pain but the symptoms sound very similar to mine. Getting a second opinion asap!!

  39. My daughter who’s almost 12 has really bad ovulation pains, where she can barley walk and would rather crawl around its that bad. Nurofen and panadol is what I was told is pretty much the only thing to be given which she says does absolutely NOTHING anyway. Currently waiting for an appoiment in the public system, at PMH for gynochology. Pains started December,maws suspected appendicitis many blood test and three ultrasounds later, nothing was found, and the Drs put it down to ovulation pain, even tho she’s not really had a full on period has had spotting and some times that spotting can last two weeks, and she often has lots of mucousy discharge. But ever since this first time in late November early December 2015, she says the pain has not completely gone, but it gets worse on and off. She hates missing school and I want to cry with her when she can’t even stand straight to walk. 🙁 She’s too young to have such horrible pain.

    1. Hi Lissy-Loo, this was me as a teen. I can’t tell you the amount of times my mum had to come and collect me from school curled up in the foetal position unable to stand up straight. So many ultrasounds because the doctors suspected appendicitis. Unfortunately, 20+ years later nothing has changed pain wise. Ask for a laparoscopy to make sure there is nothing sinister going on and give her a hug from me – poor thing xxx

  40. I have been dealing with ovulation pain for 2yrs now and have been trying to get pregnant for 2yrs as well my CT scan was normal Mri was normal ultrasound was normal. My Ob is finally scheduling me for a laparoscopy surgery next month the pain is so serve I have to go into the Er for a morphin shot each month and I can’t stand or walk or move and after I finally ovulate my ovary is sore for atleast 4days

  41. Hi Dr kelly…. I’m a girl of 24yrs of age nd I have been having the similar pain a week after my period which Is my ovulation But it doesn’t occur every month..have been feeling the pain after my last abortion in 2012 nd am still feeling it now samething with my elder sister who will b 30 dis yr nd she hasn’t conceive pls We really nid ur help cus Dr nd nurses are tellin us it’s normal which I think isn’t…. REPLY

  42. When I have my periods My left ovary and my right foot is so painful I’m not sure of this is normal. I’m 42 and have been trying to have a baby. Do you think I should see a doctor?

  43. Hi my name is Lisa. I have experienced really bad pain in my overies. Even during menustration.my periods are irregular. It hurts so bad to have sex. I have three kids and a tubal clamp. I know something is wrong. I kept telling my Dr. Every time I went in for my kidneys that something was wrong,but he never checked. He just told me it was my kidneys gave me medicine for my kidneys and sent me home. The pain has gotten worse during intercourse. It is also getting worse when I menestrate.some one please help because it’s effecting my marriage and my sex drive.

  44. I went to the doctors the last week all because my period never came. Well then they had to set up an ultrasound sound to figure out the pain and why there was no period. Got all that done plus blood work to establish that I wasn’t pregnant and I want I knew it. Got the results back on 3/23 it was a benign cyst. The pain has gotten worse since still no period the last one I had was back in February 6 and still hasn’t came. I went to the hospital today another ultrasound was done all they could say was its the cyst and your ovulating that’s what’s causing the pain here I wrote a script for ibuprofen 800. Has anyone out there feel the same as I do getting sent away and some doctors and nurses making you feel like an idiot? I sure did but I know my body and I know when something isn’t right. This pain had been intensifying ever since it has started like 2 weeks ago. Where do I go from here they say an obgyn…..

  45. I had a hysterectomy in 2009 due to fibroids but my ovaries were healthy so the surgeon left those in place, prior to my hysterectomy I occasionally experienced slight discomfort on my right side and always believed that this was when I was ovulating or the fibroids, over the last couple of years I have experienced acute pain again in my right side resulting in saliva build up and feeling like I was going to be sick but not actually being sick, this has not happened monthly but maybe once every 4-6 months apart from the last two months where I have experienced excrutiating pain in my right side in the same place just to the right of my pubic bone at the same time in the month and carried on for some 6 hours and resulting in me being physically sick and once sick the pain tends to alleviate, I had an internal ultrasound about a year ago which showed nothing

  46. hi!
    I have had these pains since 2002! I was told by my moms friend that it is normal to have these pains. I am currently going through that now, n just decided to look it up. I am soo worried becouse I have had this for many years!!!! I am 30 years old now and I am planning to have babies soon. now I am very worried after reading this. I dont even have medical aid to see a specialist!!!! ohhh lord!

  47. I was diagnosised with endo and I have had 3 births. The last was 16 months ago and I just started my cycle again 2 months ago. I have incredible pain for about 5-7 days during ovulation likened to early stages of birth (pressure, painful bowel movements, distended belly, low back pain, pain during intercourse, dizziness, nausea, etc). I do not want to take any abortifacients (birth control) are there any other options for me? I am also still nursing (does not take any cows milk so about 24 oz per day or 4-6 times).

  48. I’m 18 and I’ve had ovulation pain since I first started getting my period at 11. It is never on the same side but it always hurts. I have a period tracker and the pain happens EXACTLY when I am supposed to be ovulating. Since this pain is supposed to be serious, what does it mean if you’ve always had it? And around the same time each month?

  49. I am desperate for help, I have been experiencing acute lower abdominal pain on and off for many years. Iv’e been diagnosed with irritable bowel syndrome and modified my diet in many ways without success. Interestingly the pain disappears when I’m pregnant or on the pill (I have 3 children). I had to come off the pill due to severe breast pain and since then my periods have been very regular for the first time ever. This has allowed me to keep a diary of the pain and it starts around day 14 of my cycle every month. The pain is excrutiating and lasts around 7 days. I saw a gynaecologist who told me ovulation pain is normal and the treatment would be to stop ovulation and suggested using and injection to stop my ovaries working and put me into a pre-menepausal state!! I dont feel happy puttung my body through that kind of treatment without a definitive diagnosis. I dont know where to turn now and the pain is really interferring with my life and making me feel quite depresses:( Any advice or help would be apreciated.

  50. Okay heres the deal I’m only 14but I have incapacitating pain in my left right sides of my abdominal area it hurts when I lay on my stomach or any pressure is applied to my bladderish area what is it?

  51. im going through something like that i had a c-section when i had my twins almost two yrs ago i had my tubes tied while i had my c-section they said they ware having a hard time tying my tubes ive been in nothing but pain i spot while not even on a period i get sharp pains in my ovaries. it hurts to have sex ive went to the dr they told me i was fine but i knew better then that im still in pain but do to the government insurance i have a hard time finding a dr to see me the er told me it was not there problem basicly im just stuck in pain im contently using the bathroom like if i was pregnant i dont know what to do.

  52. This is a really useful article – thank you for writing it, and thanks everyone for your stories.

    My story is that I had stabbing pain for years which felt like knives cutting me from the inside out. I also often had difficulty having sex in different positions other than missionary or sex at all because it sometimes hurt. The GP did as you said Kelly, offering me the pill which I refused to go on having been on it years prior, because it affected my mood preventing me from feeling like myself feeling no highs and no lows. ..I felt like a robot and couldn’t continue with them. Eventually I called a specialist and went to see him. He pushed my belly and around the areas where I tended to get the pain along the fallopian and ovarian region. His assessment was that I could have an investigatory laproscopy and he would remove anything he might find when he did it, BUT he wouldn’t advise it as he didn’t think there was anything wrong with me and I should just go on the pill. I thought about it for a week and then called him to tell him I wanted the investigatory exploration. So surgery day came, and there I was in my hospital bed in my hospital gown, and he has the nerve enter my room and reiterate (when I’m already prepped for theater) that he will do the laproscopy, but he doesn’t advise it because he doesn’t think there’s anything wrong with me. I was quite surprised this having already made this large decision (going under anaesthetic is no picnic, especially as I am sensitive to it and often find I need less than the advisory amount). It was so thoughtless and even moreso just before I was going to be anaesthetized. Anyway he did left, did the surgery and the next time I saw him was when I had reawakened and he reported that there was a 3mm cyst which he removed which would be conducive with the pain I was having which was removed. He said he also pushed blue fluid through both fallopian tubes to make sure there were no blockages. He said one side went through fine, the other side did not, but he put that down to just not getting enough pressure and didn’t think there was a problem. That bothered me…I thought I was under, he was in there, why the hell didn’t he try again? But I didn’t say anything because he had finished, and it wasn’t like I would have another surgery to do a pressure test. Let me stress that this specialist without giving too much away is meant to be ‘the’ top guy in the UK. His Draconian backward manner for something he specialised in, and the fact I knew he had treated famous people, shocked me. So the pain I had had went away for a couple of years – it was amazing. I could have relatively pain free sex and I didn’t get painful periods. I then got a little bit of discomfort for a year where there was a small amount of pain around my menstrual cycle but nothing to write home about, and for about a year after that bringing us up to present day, the pains are more intense and the stabbing has started to return. I have a much better GP who is one of the better ones at my practice and he immediately said he’s sending me for the kind of scan where you insert this cone looking scanner as it gives much better resolution than the traditional ones they put on your belly. It’s not particularly pleasant but I had one before when they thought I had an ovarian cyst burst which gave me burst appendix-like symptoms, and the resolution is far more advanced. I’ll know in a couple of week’s time if they find anything. The idea of having another surgery is not appealing and I definitely wouldn’t use the last surgeon again. I can’t imagine how medicine and technology have progressed so far and yet it feels like those medical professionals who have already been trained in medical school and have thriving careers have mindsets and knowledge that are completely out of place, stuck in the past and do not benefit women and our needs. This still feels like an uphill battle and I personally don’t feel like I should need to get 2,3,4,5 ‘second’ opinions in order to get good, effective treatment. Even when I did do this and forced an appointment with a country renowned surgeon, I still had to say I wanted the procedure because the surgeon said it wasn’t needed and I’d be better off going on the pill. How are women meant to feel safe and cared for by the medical community (who incidentally we are paying for this inferior service, either through national insurance, private insurance or directly privately)? It feels so backwards.

  53. I had my daughter (via c section) 5 years ago. Up until becoming pregnant with her I had always taken the pill (since age 16 and I am now 36). About 2 years ago (age 34) I started having terrible pain while ovulating. I feel like my insides are going to fall out. It got so bad at one point that my obgyn finally ordered an ultra sound to take a look. I had a few small cysts but nothing that seemed to be an issue in his eyes. Jump forward to last year and I had an abnormal pap. It was a low grade lesion and nothing to worry about. I have now had another abnormal pap (now a high grade lesion) and go in for another colposcopy tomorrow. Does anyone have experience with lesions and ovulation pain? I’m just wondering if the two could be related.

  54. Ok so I’m 17 and I have really bad pain in my ovaries and if I put pressure by my ovary it hurts to the point that I start to cry it hurts so much and i get really bad cramps during my period but this is ten times worse and my boyfriend try’s to help my deal with the pain idk what to do please help

  55. Hi am a young girl of 18 years ,am still a virgin,i expreince a very severe ovulation pain on both of my ovaries that i can’t even sleep,and it limit me from walking and i also have a strong headeche with small pain through my vigianal passage

  56. So, you’re trying to tell me that my OB/GYN, who is the best in the field in my area, lied to me when she told me that it’s common to have cramps when on your period and/or experiencing PMS because the uterus contracts (often like you’re in labor), and I shouldn’t worry about them (despite being severe) since every single test/exam she could do came back clear unless there’s a bad change in them? Lovely. I guess that means that I can’t trust any doctors to know what they’re doing or talking about, even in their field of expertise.

    1. Common doesn’t mean normal. And it’s possible to have sensation, but if you can’t carry on with your life or stay in bed due to cramps, you likely have endometriosis. It’s a choice at the end of the day, to accept a diagnosis, or to look further into things. If you’re happy, great! But if you’re not, there are people out there who love looking at the root cause of problems rather than treating symptoms. It is confusing and frustrating, but worth it to those who suffer badly from it.

  57. Hi since being sterilised three years ago I have had nothing but trouble when I ovulate,the pain is really bad, I’ve been to my gp several times,and I was given transexamic acid to take I’ve also been told to take the pill which caused me to gain so much weight I ended up depressed and suicidal. Now I’m at a point where I’m struggling to function I have no sex drive…or go the opposite way and end up in pain because I can’t get release…does anyone else that’s been sterilised have this issue..my gp just keeps fobbing me off

  58. Wow, us women get the rough deal don’t we !

    My earliest memory of ovulation pain was when I was in about 14 and I used to get woken in the middle of the night with a dull, horrible, deep ache in my lower abdomen.

    I didn’t know what it was and I was always scared I might have cancer and used to hope it would go away. I never told anybody.

    It was at 24, doubled up in excruciating agony, thinking that I was having an appendicitis attack that my boyfriend rushed me to hospital whereupon I was advised I had “ovulation pain”. Huh ? What’s that ?

    And so, over the years it has reappeared intermittently – no rhyme or pattern.

    I have had a Mirena for 4 years now, but I still get debilitating ovulation pain once in a while.

    This morning I woke up, feeling swollen and doubled up in pain …. here we go again. Last time was a year ago. 14hrs later it’s still really bad and I am struggling to walk. We all know that pain that feels like someone is driving a stake through our rear snd up into our lower abdomen !?

    Have been couch ridden all day, my son had to entertain himself all day and I didn’t get a single thing done all day – this SUCKS.

    Have just taken 2 Nurofen and am going to bed with a hot bean bag now 🙁

  59. will be 35 next month. I’m having this pain called ovulation pain. Right now in my bed dying, crying. when will this pain stop? have gone to scan because of this and they diagnosed subserous fibroid. pls can this fibroid be the cause of this ovulation pain? I’m in pains loosing hope. no child. pls come to my rescue by telling me what to do doctor Kelly. thanks a lot.

  60. Please can you help me get in touch with a specialist or even Dr Orr??

    I am currently in and out of hospital with severe abdominal pain. Lower left side. Every time it’s the same I get loaded with pain relief and sent home with more… the pain comes back a few weeks later. Seems like every month. and we end up back in hospital. Ultrasound comes back with nothing. They say they don’t want to do a laperoscapy as I’ve had one over 3 years ago and apparently nothing will have changed… is this correct??

    I have had laperoscapy in the past 3 times to remove cysts and to explore. First one was 8 years ago and Last one was over 3 years ago. I was put on the depo Provera to stop my periods as they were unbearable and I always ended up in hospital from the pain.

    I have recently had a child. She is now 4 months old. I had retained placenta which was diagnosed 6 weeks after I gave birth and I had a D & C. Since then I have been getting Severe pain in my abdomen possibly during ovulating but unsure as I am exclusively breastfeeding.

    I am writing to you because I want answers. There must be a reason I curl over in pain every 4 or 5 weeks. I am sick of being told to go home and take more pain meds. Currently I am on sevredol codeine and tramadol and as soon as the pills ware off the pain is there.

    Please if you can help me I would appreciate your time

  61. I was 16 I had my 1 ovary and 2 tube taken because my ex gave me clamitia . I went throw pain I couldn’t never explain. 14 years I have been 2 so many doctors and ER they can’t find what is wrong . I never have pains during my cycle and it’s every month the pains can be okay I can handle or I might need to go to the ER for stronger pain killers .I can’t have sex most of the time . Even when I don’t hurt , I will during or after . I’m to the point it scares me to have sex .what are my options and how can I make this pain stop so I can enjoy my life .

  62. I experienced heavy pain on right side during and immediately after my period. Would sometimes feel it during ovulation as well. Ultrasounds showed what looked to be a multi septated cyst, surgery later confirmed that it was an endometrioma. Endometriosis covered my right ovary and fallopian tube so a unilateral salpingo-oophorectomy was done. Pain is not normal. See a Gynecologist as soon as possible.

  63. I have experienced painful periods since having a baby 3 years ago (natural vaginal delivery). The aching “bruised” feeling isn’t unbearable, but the stabbing pains catch/stop me in my tracks, particularly when I go to stand from a sitting position, or lift my child say. My GP says this isn’t uncommon. Could it be an issue caused/subsequent to childbirth? (There is direct family history of ovarian cysts and hypothyroidism).

    1. Period pain and painful ovulation is not normal – I would keep seeking opinions until someone helps you. Make sure you ask for a referral to a specialist, a GP isn’t skilled in gynae issues.

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