Pulls the bottom of the abdomen with ovulation: a list of causes, methods for removing painful sensations

For most women, ovulation occurs unnoticed and does not cause unpleasant sensations. However, the rupture of the follicle and the release of the egg can be accompanied by pain and even a slight bleeding. If ovulation pulls the lower abdomen, it is considered normal and does not require treatment, except when the pain is too strong and adversely affects the quality of life.

How ovulation occurs

A ready-to-fertilize egg is released from the ovary in the middle of each menstrual cycle. Schematically this process looks like this:

• in the first phase of the cycle, which lasts on average from 10 to 18 days, the dominant follicle begins to grow under the action of estrogen hormones;
• in a vial filled with follicular fluid, the female germ cell matures;
• once the egg has fully formed, it tears the outer shell and leaves the follicle into the abdominal cavity;
• the further path of the oocyte - into the fallopian tubes, where the "fateful" encounter with the spermatozoon occurs or does not occur. If pregnancy does not occur, monthly bleeding and a new cycle of maturation of the follicle begins.

The moment when the egg leaves the ovary, and is called ovulation. The time interval in which the process takes place - the ovulatory period - takes from 16 to 32 hours. It is in this interval that a woman can experience painful sensations of all kinds: from slight discomfort to severe spasms.

Why during the ovulation the stomach aches

Painful ovulation is not considered a gynecological pathology, but at the same time it can not be called the norm for 100% of women of childbearing age. Very many are not able to determine by subjective sensations, when they have this event. The asymptomatic yield of the egg can be suspected only on the basis of indirect signs: mood jumps, increased libido, but not on the aching abdomen and lower back.

If the pain was always accompanied by ovulation, every woman would know exactly, with an error of 1 to 2 days, that she had an ovulatory period. However, it is not. To determine fertile days, ladies have to measure basal temperature, walk on ultrasound and do tests, otherwise they do not feel any pronounced changes.

Ovulatory syndrome is an individual feature of the body, as well as:

• the duration of the menstrual cycle and its individual phases;
• presence or absence of premenstrual discomfort, its severity;
• character of the monthly;
• soreness in the beginning, in the middle or the end of the ovulatory period.

Typically, discomfort at the end of the follicular phase is correlated with unimportant well-being during critical days and PMS, and pulling pains in the abdomen resemble those with monthly bleeding. Medicine is still not exactly identified with the culprits of ovulatory syndrome, but the most common explanation is the increased sensitivity of a particular organism to pain and hormonal fluctuations.

The main causes of pain and their nature are associated with the mechanism of increase and rupture of the dominant follicle.

Pain character	Probable cause
Drawing pain on the right or left of the abdomen bottom, depending on which side of the dominant follicle is located. Observed at the beginning of the ovulation period.	When the main follicle ripens, a cavity is formed, filled with liquid, which rapidly increases in size. If at the beginning the diameter of the formation is only 1 mm, then by the time of ovulation it increases to 16-20 mm, and the volume of the follicular fluid becomes 100 times larger. Graafov vesicle stretches the capsule of the ovary, causing pulling pains in the lower abdomen.
Acute thread from the side of the ovary in which the egg has matured. Occurs for a short time.	The release of the egg is accompanied by rupture of the wall of the follicle. A bloated vial can cause a sting in the abdomen, which passes in a few minutes.
Pains of various character( pulling, shooting, spastic) and intensity, covering the abdomen, lower back. Observed after ovulation.	At the moment of rupture, fluid and blood from the damaged vessels flow out of the follicle, irritating the peritoneum. If a woman is too sensitive to pain, she may experience prolonged discomfort. In a zone of special risk - ladies with copious spikes in a small pelvis.
Periodic spasms during and after ovulation.	Trying to grab and push the egg, the fallopian tubes perform contractile movements. Subjectively, a woman can feel it as strong spasms, repeated periodically.

Pain associated with ovulation should not last more than 3 days and be accompanied by severe bleeding. Allowed a small amount of clotting within 2 - 3 days.

How to determine that abdominal pain is caused by ovulation

Abdominal pain is always a cause for concern. Women with an established, stable cycle can best determine the onset of ovulatory syndrome. Each month, they experience discomfort, reminiscent of the sensations of menstruation, at about the same time. The period of ovulation depends on the duration of the cycle: the longer it is, the later the egg ripens.

For example, with a 28-day lap follicle rupture occurs at the very midpoint: the 14th day, at 32-day - on the 18th. Similarly, the estimated date of ovulation is calculated for another cycle time: 14 days are subtracted from the number of days between two menstruation( the average length of the second phase, which in most women is the same).Thus, around this time, plus / minus 1 to 2 days, the girl may feel unwell:

• slight discomfort in the lower abdomen;
• pulsating or shooting tingling right or left;
• aching sensations lasting several hours or days;
• sipping in the pelvic area from tolerant to strong enough;
• cramping attacks of pain.

It should be understood that these calculations are very approximate and rely on them for an ideally stable reproductive system. However, the female body is sensitive to various kinds of irritants. The cycle can fluctuate, and the date of ovulation - move in one direction or another, even with the timely start of menstruation under the influence of internal and external factors:

• stress;
• of an infectious disease;
• irregular or too active sex life;
• heavy physical exertion;
• diets.

Maturation of the egg can be premature and late, and in some cases - generally absent( the so-called anovulatory cycle).Women with irregular menses are even more difficult to predict the onset of ovulation. Therefore, it is not possible to exclude the appearance of symptoms not at the time when they are expected.

Thus, pains in the ovaries region, local, covering the lower abdomen and giving back, are considered a norm option if:

• occurs during the period of supposed ovulation;
• last no more than 2 days;
• are accompanied by minor "swabs" of the vagina;
• does not violate the normal way of life;
• is not complicated by additional symptoms( temperature, vomiting, signs of intoxication, etc.).

If the stomach pulls so much that it interferes with everyday activities, makes you refuse sex, it is better to turn to a gynecologist to exclude other causes of soreness.

Do I need to see a doctor if I pull the stomach with ovulation

If the ovulatory syndrome strikes a woman out of the rut every month, is displayed on the well-being and working capacity, this condition needs to be corrected. First of all, a survey is conducted to confirm that the pains are provoked by ovulation, rather than a pathological process in the pelvic organs and abdominal cavity.

If the diseases are excluded, the patient is offered to take oral contraceptives. Hormonal contraceptives suppress ovulation, and consequently, all the unpleasant symptoms associated with it. When planning pregnancy, tablets are canceled, and fertility is quickly restored: after 1 - 2 cycles, conception is possible.

Immediate medical attention is required if anxiety signs are attached to the usual monthly discomfort:

• nausea;
• vomiting;
• loss of consciousness;
• profuse bleeding;
• severe pain on the right side;
• atypical discharge from the genitals;
• high temperature;
• weakness and other symptoms of intoxication.

For abdominal pain in women, it is necessary to exclude:

• appendicitis;
• ovarian apoplexy;
• rupture of the follicular cyst;
• torsion of the leg of the ovarian cyst;
• inflammation of the appendages( salpingitis, oophoritis, salpingo-oophoritis);
• intestinal pathology( colitis);
• Cystitis.

Inflammatory diseases in the female genitourinary organs and symptoms of the "acute" abdomen require urgent treatment, in most cases - in a hospital.

Another reason for pulling the stomach in the middle of a cycle that a woman can confuse with an ovulatory syndrome is the onset of conception. The fertilized egg is attached to the uterine wall, causing uncomfortable sensations from the lower part and lower back. The droplets of blood that are allocated at this moment - not ovulatory, but implantation bleeding.

A woman may notice early signs of pregnancy:

• weakness;
• dizziness;
• breast swelling;
• sensitivity to smells and tastes;
• morning sickness;
• mood swings;
• sleepiness.

In the first days of pregnancy, a powerful hormonal alteration occurs in the body, which causes all these symptoms. However, the future mother does not always pay attention to them, associating deterioration of well-being with the ovulatory process.

What to do when pulling the abdomen with ovulation

Regular manifestations of ovulatory syndrome require a lifestyle correction on the eve and during a dangerous period. Basic recommendations that reduce abdominal discomfort:

• reduce physical activity;
• increase water consumption;
• to avoid stressful situations;
• minimize undercurrent and overvoltage;
• follow the diet;
• to reduce sexual activity if pain increases during coition.

pains are disturbed. From the menu it is necessary to exclude fatty, fried, salty foods, forget about coffee and chocolate for a few days. Black bread, legumes, cabbage and other gas-forming products provoke bloating, which, together with a bursting follicle, intensifies painful sensations.

. Remove unpleasant symptoms when ovulation is helped by a warm warming pad on the ovarian region, in extreme cases you can drink an analgesic drug: No-shpu, Ibuprofen, Paracetamol.

Video - Pain sensations in the lower abdomen. The main causes of