Eisprungschmerzen aka Mittelschmerz

Mittelschmerz: the pain around ovulation

Mittelschmerz is pain that occurs around the time of ovulation in the menstrual cycle. About 40% of menstruating people experience it regularly. But what causes Mittelschmerz, and what can you do if the pain affects your well-being? We’ll give you tips for managing Mittelschmerz.

Contents:

What is ovulation pain?

Does ovulation pain indicate the fertile phase?

What are the symptoms of ovulation?

What causes ovulation pain?

What can I do about ovulation pain?

 

 

Pain that only hurts a little. Pain that occurs in the middle of the body. Or what is the right answer to the question “What exactly is ovulation pain?”

Ovulation and its symptoms: What is ovulation pain?

So-called ovulation pain is pain that occurs around the time of ovulation in the menstrual cycle. Since this time is often mistakenly referred to as the middle of the cycle, this ovulation pain has become known as mid-cycle pain - the middle of the cycle. Regardless of the terminology, ovulation pain is actually regularly experienced by around 40% of menstruating people. 

Ovulation pain symptoms-everyyin

While it may be a mild pulling sensation in one person, it can manifest as cramp-like or sharp pain in the lower abdomen in others. For some, it lasts only a few hours, while for others, it lasts several days. This pain usually occurs on the side of the body where the developing follicle is located. But back pain, limb pain, a tense feeling in the pelvis, pressure in the lower abdomen, or even headaches or hot flashes can also indicate the release of the egg.

Whether or not the pain is perceived varies from person to person and does not indicate your state of health. Ovulation pain can also feel different from cycle to cycle.

Does ovulation pain indicate the fertile phase?

If you monitor your cycle closely and take other signs of fertility into account, such as the consistency of vaginal discharge or your body temperature, ovulation pain can give you a good idea of when you are in your fertile window and a mature egg is on its way to the uterus.

Ovulation pain occurs when the concentration of LH in the body is at its highest. This also causes estrogen levels to rise sharply, and the egg is released. This is interesting for women* who want to conceive, because this is the best time for fertilization. If you would rather not get pregnant, you need to bear in mind that sperm can survive in the uterus for several days and that fertilization can occur if you have unprotected sex in the days before ovulation takes place.

What are the symptoms of ovulation?

You can identify ovulation by monitoring fertility signs. Right around ovulation, the cervical mucus is stretchy between the fingers, i.e., it forms threads. The best way to check is to take some vaginal discharge between your thumb and forefinger and gently open and close your fingers. If this is uncomfortable for you, you can also collect the discharge with a piece of toilet paper. 

Your basal body temperature will rise by 0.2–0.6°C due to ovulation. In some people, the temperature also drops slightly just before ovulation due to high estrogen levels. 

The cervix is soft and open at the time of ovulation.

If you want to conceive and would like to determine the best time for fertilization, you can identify ovulation very reliably using LH test strips (luteinizing hormone). These are dipped in urine and show a positive result approximately 24–36 hours before ovulation when a certain LH concentration is reached. 

By the way, monitoring fertility signs and measuring LH concentration is not a very reliable method of contraception, as the fertile window begins approximately 5 days before ovulation. Sperm can survive in the uterus for this long.

A somewhat non-specific sign of ovulation can also be an increased desire for sex.

Where does ovulation pain come from?

There is no definitive consensus on the exact cause of ovulation pain. The fact is that this phenomenon has been described and studied in gynecological journals for over a century. Possible causes discussed include tension in the fallopian tube caused by the rapid growth of the follicle, or the rupture of the follicle when ovulation occurs, which involves considerable pressure. Modern research has focused on prostaglandins, which are triggered by ovulation and can cause inflammatory pain. Ultimately, however, the significant change in the concentration of sex hormones also has various effects on the body, so that depending on sensitivity to hormonal fluctuations, ovulation pain symptoms can occur.

 What can I do about ovulation pain?

Tips for ovulation pain

 Ovulation pain is nothing to worry about and should go away just as quickly as it came. However, if you find this phase uncomfortably painful or if it is accompanied by malaise, we recommend anything that has a pain-relieving and cramp-relieving effect.

Tips for ovulation pain

A hot water bottle or a warm bath can be very helpful here. Antispasmodic teas with rosemary or mugwort, or anti-inflammatory ingredients such as ginger or turmeric, would also be the drink of choice at this time. If you suffer from period pain, you may already have a good idea of what can help you.

If the pain is exceptionally severe or lasts for a very long time, do not hesitate to seek medical advice.

 

Interested in women's health?

Was ovulation pain news to you? If you want to better understand your cycle and support your health naturally, take a look at the Akademie der Naturheilkunde . The Academy offers a comprehensive distance learning course on women's health, that will provide you with valuable knowledge about the female body. In the course, you will learn to better understand the female body as well as typical women's health conditions and individual, holistic, preventive solutions.

Illustration von Schafgarbe

Did you know that?

Yarrow for menstrual cramps

Yarrow is officially recommended in phytotherapy for cramps during menstruation. This is just one of 4 indications for which yarrow can be used. A tea or a dry extract of yarrow can also support you in your cycle if you have digestive problems such as flatulence. Yarrow is an old lady plant. It belongs to the composite family and was used by herbal women and midwives primarily for menstrual problems such as nausea, heavy bleeding, intermenstrual bleeding or to heal birth wounds.

Illustration von Schafgarbe

Did you know that?

Yarrow for menstrual cramps

Yarrow is officially recommended in phytotherapy for cramps during menstruation. This is just one of 4 indications for which yarrow can be used. A tea or a dry extract of yarrow can also support you in your cycle if you have digestive problems such as flatulence. Yarrow is an old lady plant. It belongs to the composite family and was used by herbal women and midwives primarily for menstrual problems such as nausea, heavy bleeding, intermenstrual bleeding or to heal birth wounds.

Did you know that?

What is proven to help with PMS and period cramps?

When it comes to pain such as middle pain or period cramps, resorting to painkillers is often the quickest and easiest option. But did you know that you can also do a lot through your diet to relieve your cramps or put them under less stress? Some plants and nutrients have been scientifically proven to have an effect.

Illustration von Kamille

Chamomile

According to studies, chamomile can relieve stomach cramps, period pain and PMS.

Illustration von Kurkuma

Turmeric

Turmeric is anti-inflammatory and antioxidant. Studies with menstruating women have shown an improvement in PMS symptoms.

Illustration von Ingwer

Ginger

Ginger is anti-inflammatory, immune-boosting and helps with headaches. In studies, ginger was able to relieve menstrual pain when consumed a few days before and during your period

Illustration von Magnesium

Magnesium

Magnesium can be used to relieve menstrual cramps. Especially in combination with vitamin B6, PMS symptoms such as emotional fluctuations can be reduced

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Can we recommend something to you?

balance x cycle

For all complaints relating to the cycle, z.B. PMS, period pain, cycle fluctuations, we have developed our popular fenou balance x cycle. The valuable herbal ingredients are aimed at the progesterone-estrogen balance. The vitamins and minerals it contains support u.a. your psychological stability and hormonal activity. Read everything about the ingredients and health claims in our shop.

fenou balance yams mönchspfeffer

Can we recommend something to you?

balance x cycle

For all complaints relating to the cycle, z.B. PMS, period pain, cycle fluctuations, we have developed our popular fenou balance x cycle. The valuable herbal ingredients are aimed at the progesterone-estrogen balance. The vitamins and minerals it contains support u.a. your psychological stability and hormonal activity. Read everything about the ingredients and health claims in our shop.

Unterkörper weiblich gelesen mit Kalenderblatt und Marker in der Hand kreist Daten ein

Still curious?

Lemon cake for middle pain?

We hadn't heard of Mittelschrei very often either. Exciting, right? In fact, this is not unusual, as we talk far too rarely about these “women’s complaints”. We want to change that, you should become the expert for your cycle. So read on quickly and find out everything you need to know about ovulation - the pivotal point of the cycle!

Unterkörper weiblich gelesen mit Kalenderblatt und Marker in der Hand kreist Daten ein

Still curious?

Lemon cake for middle pain?

We hadn't heard of Mittelschrei very often either. Exciting, right? In fact, this is not unusual, as we talk far too rarely about these “women’s complaints”. We want to change that, you should become the expert for your cycle. So read on quickly and find out everything you need to know about ovulation - the pivotal point of the cycle!

For Further Reading

References

Brott NR, Le JK. Middle pain. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.2022 May 8.
Krohn pl. Intermenstrual Pain (the “Middle Pain”) and the Time of Ovulation. Br Med J. 1949 May 7; 1(4609): 803–805. doi: 10.1136/bmj.1.4609.803
https://www.folio-familie.de/service/blog/wunschbaby/der-mittelschmerz/ accessed on March 23rd.

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