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Universidad de Antofagasta
Facultad de Ciencias de la Salud
Departamento de Obstetricia y
Puericultura
Obstetricia y Puericultura
MITTELSCHMERZ
Andrea Naranjo
Rebeca Escobedo Rivera
Yerko Tabali Pasten
16 noviembre 2009
DEFINITION
 Mittelschmerz
is one-sided
lower abdominal pain that
occurs in women at or
around the time of am egg
is released from the
ovaries (ovulation)
ALTERNATE NAMES


Midcycle Pain
Ovulation Pain
OVERVIEW

About 20% of women
experience mittelschmerz, or
pain associated with ovulation.
The pain may occur just before,
during, or after ovulation.
CAUSES


There are several explanations for
the cause of this pain. Just prior to
ovulation, follicle growth may
stretch the surface of the ovary,
causing pain. At the time of
ovulation, fluid or blood is released
from the ruptured egg follicle and
may cause irritation of the
abdominal lining.
Mittelschmerz may be felt on one
side one month, then switch to the
opposite side the next month, or it
may be felt on the same side for
several months in succession.
ADVANTAGE

The pain is not harmful
and does not signify the
presence of disease. In
fact, women who feel this
pain may be at an
advantage when planning
or trying to avoid
pregnancy.
OVULATION AND PRENGANCY
A
woman is most likely
to become pregnant
either just before, on
the day of, or several
days after ovulation,
although birth control
methods that rely
solely on predicting
ovulation are far from
completely reliables.
SYMPTOMS & SIGNS
Lower abdominal
pain that is:







One-sided
Recurrent or with similar pain in past
Typically lasting minutes to a few hours,
but may extend as long as 24 to 48
hours
Usually sharp, cramping, distinctive pain
Severe (rare)
May switch sides from month to month
or from one episode to another
Begins midway through the menstrual
cycle
DIAGNOSIS & TESTS
A pelvic examination shows no
abnormalities.
Other diagnostic procedures (such
as an abdominal ultrasound) may be
performed to rule out other
causes of ovarian pain if ovulatory
pain is prolonged.
TREATMENT
 No
treatment is
usually necessary.
Pain relievers
(analgesics) may be
needed in cases of
prolonged or intense
pain.
PROGNOSIS (EXPECTATIONS)
The outcome is
expected to be…
EXCELLENT!!
COMPLICATIONS
CALLING YOUR HEALTH
CARE PROVIDER
Call for an appointment with your
health care provider if ovulation pain
seems to:
-
Be last longer than usual
Occurs with vaginal bleeding.
PREVENTION
Hormonal forms of
contraception can
be taken to
prevent ovulation
and therefore
But otherwise there isnt
known prevention
Ovulatory
pain
CONCLUSIONS


Mittelschmerz should not have any complication
at all. In fact, its an advantage for womens who
wants to get pregnant.
Mittelschmerz must not get confused with pain
during the menstruation.
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