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Mid-cycle pain
Last reviewed: 06.07.2025

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For many women, painful periods are a common occurrence, but when pain occurs in the middle of the cycle, it becomes a signal to contact a gynecologist. Statistics say that almost every fifth woman can feel such pain inside the pelvic bone in the lower abdomen in the middle of the cycle. How to determine when that very middle comes? To do this, you need to count two weeks until the first day of menstruation.
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Why does a woman feel pain in the middle of her cycle?
The main reason for pain in the middle of the cycle is painful ovulation. Such an absolutely physiological phenomenon cannot be considered a pathology and is a normal feature of the female reproductive system. Painful ovulation does not affect the possibility of developing other gynecological diseases. Why is pain felt during ovulation at all? The fact is that during the "birth" of the egg, there is very little bleeding from the ovary. This causes irritation of the abdominal wall, which inevitably leads to pain. After some time, such bleeding is completely absorbed. Both the degree of bleeding and how much pain a woman feels depend on the characteristics of each individual organism or the presence of various gynecological diseases or pathologies.
If a woman has a regular menstrual cycle of 28 days, then exactly on the 14th day from the onset of menstruation, painful sensations may occur. The location of their localization may change every month - once on the right, another time on the left. This happens because in different months both ovaries can perform their main functions in turn. But, pain can also occur in the middle of several cycles in the same place. The nature of this pain is easily recognizable for every woman, because she experiences similar pain in the first days of menstruation. Depending on the individual characteristics of each individual woman, such pain can be dull, and sometimes very sharp. In terms of time, painful sensations can last throughout the day, but still more often they pass within a few minutes or hours after their occurrence. But even if the pain in the middle of the cycle lasts the whole day, as a rule, it does not cause much panic, since it is not very intense.
What to do if it hurts too much
Sometimes there are cases when the pain in the middle of the cycle becomes really strong and it is difficult for a woman to endure it. If you have even the slightest suspicion that such pain may indicate the presence of some disease in the body or simply do not have the strength to endure it - consult your gynecologist. The first thing the doctor should do is check whether your painful sensations are really associated with the ovulation process. To do this, you will need to undergo some tests, as well as inform the doctor about all the features of your menstrual cycle. If you keep a personal menstrual calendar, then additionally mark in it those days when pain occurs in the middle of the cycle - this information will be very useful to you at the gynecologist's appointment. Well, and if you do not have such a calendar yet - correct this situation and be sure to get this easy and simple cycle controller.
Once the results of the tests have arrived and the doctor has every reason to diagnose you as "intermenstrual pain associated with ovulation," you can take some measures to relieve it. Oral contraceptives (birth control pills, as they are commonly called) are sometimes used. If you are already using contraception during intercourse, this prescription is especially suitable for you - at the same time, you will be able to control the process of childbirth and get rid of painful ovulation.
But self-medication or an attempt to diagnose yourself can be a big mistake. The fact is that pain in the middle of the cycle can also be a symptom of complex diseases or inflammatory processes in other, neighboring organs. For example, such sensations can occur with appendicitis. And in this case, delay is actually like death. Remember, if the pain in the lower abdomen becomes unbearably strong, lasts longer than a day and can be accompanied by fever and nausea - immediately call an ambulance or go to the nearest clinic for examination. If everything is fine with you and simply due to reasons such as an individual characteristic of the body or a low pain threshold, very severe pain still occurs as a result of ovulation, the doctor will prescribe you effective painkillers.