Mittelschmerz is one-sided, lower abdominal pain associated with ovulation. German for "middle pain," mittelschmerz occurs midway through a menstrual cycle — about 14 days before your next menstrual period.Mittelschmerz doesn't require medical attention. For minor mittelschmerz discomfort, over-the-counter pain relievers and home remedies are often effective. If your mittelschmerz pain is troublesome, your doctor may prescribe an oral contraceptive to stop ovulation and prevent midcycle pain.
Pain at any other point in your menstrual cycle isn't mittelschmerz. It may be normal menstrual cramping (dysmenorrhea) if it occurs during your period, or it may be from other abdominal or pelvic problems. If you have severe pain, see your doctor. Pain relievers are the treatment of the disease. The pain may switch sides every other month, or you may feel pain on the same side for several months.
Mittelschmerz rarely requires medical intervention. However, contact your doctor if a new pelvic pain becomes severe, if it's accompanied by nausea or fever.Mittelschmerz occurs during ovulation, when the follicle ruptures and releases its egg. Some woman have mittelschmerz every month; others have it only occasionally.