For Women Only: Is pain during Ovulation normal

The older we get, the more comfortable we seem to get with talking about our cycles. I think it’s because it’s something that we’re getting more and more used to as we grow over. We begin to realize what’s normal for us and what isn’t normal. And with period tracking apps, these days it’s even easier to know what’s normal month to month.

I had a friend tell me once that she used to always get a very sharp pain in her abdominal area when she was ovulating. At first, she wasn’t sure what this pain was, but as she started tracking her period, she began to realize that it was relatively normal for her. Recently, I’ve been noticing that I too experience more of my abdominal pain symptoms (usually caused by ETAP) while running during my ovulation time table. I can’t say for sure if those two things are related, but it did get me thinking about how many women probably actually experience this kind of pain. When is experiencing ovulation pain normal and when is it something you should be talking to you OBGYN about?


What is pain during ovulation?

etpainThe technical pain for abdominal pain during ovulation is mittelschmerz, which is medically defined as lower abdominal pain on one side of the abdomen. This pain usually occurs about 14 days before your next menstrual period, right about the time when you are ovulating.

The pain is usually described as either a dull, cramp-like pain or a sudden, sharp pain at one side of the lower abdomen. This pain is usually, but not always accompanied by blood or discharge.  The pain occurs on one side of the abdomen, as that is the side that is releasing the egg (Mayo Clinic, 2019).


What causes Mittelschmerz?

As we have established, Mittelschmerz occurs during ovulation, the phase in which the egg-containing follicle ruptures to release the egg.  It’s thought that this pain may occur because as the follicle grows before rupturing, it may stretch the surface of the ovary causing pain. Similarly, blood or fluid that comes from the ruptured follicle can irritate the lining of the abdomen and cause pain.  Although it is not 100% known what the for sure cause for this pain is, these theories are the most practical estimate that researchers currently have discovered (Mayo Clinic, 2019).

ovulation.png

During the Follicular phase of the cycle, the follicle ruptures and releases the egg. This is when Mittelschmerz is said to occur.  (Photo is retrieved from the period tracking app: Clue)


What can be done for Mittelschmerz Pain?

Usually, medical attention isn’t needed for this type of pain, similar to how medical attention isn’t usually needed for cramps. This is especially true if you have noticed that this is normal for your cycle. For the most part, an over the counter pain medication, such as ibuprofen, will help to relieve symptoms (Mayo Clinic, 2019).


What if it becomes too bad?

If the pain is too intense, an oral contraceptive can be prescribed to better control the menstrual cycle. However, before you jump into this sort of situation, I think it’s something you should highly talk about with your doctor to make sure you go on the right type of contraceptive with the right dosing for you. (In the future I want to make a post about some real-life stories of how people have reacted to contraceptives, but we’ll see if that ever happens).


When should you see your doctor?

A trip to your OBGYN might be needed when the pain is so intense that it is interfering with your normal, day to day activities, if pain is occurring outside your ovulation window, if your mid-cycle bleeding becomes heavy and mimics that of your period, or if you develop a fever or other symptoms along with pain (Nwadike, 2018).


All in all, pain around different parts of your cycle is all totally normal. Being a woman can be so much fun sometimes, especially if you are in pain twice a month all because of your cycle. However, as long as the pain is normal and manageable, it’s nothing you should be concerned about.  Just keep tracking your period and recognizing what is normal for you so in case something out of the normal does happen, you’ll be right on top of it!

What other cycle topics do you want me to talk about coming up? Let me know in the comments below.

Until next time,

Kat

 

Sources and further reading:

Mayo Clinic (2019). Mittelschmerz. Retrieved from: https://www.mayoclinic.org/diseases-conditions/mittelschmerz/symptoms-causes/syc-20375122

Nwadike, V.R. (2018). What does ovulation pain mean? Medical News Today. Retrieved from: https://www.medicalnewstoday.com/articles/323572.php

For Women Only: What’s the deal with spotting between periods?

I’m sure I’m not the only person who has had this happen: you’re going about your normal business, period two weeks away so it’s not even in your mind yet, but when you go to the bathroom you notice blood.  Not a lot, just a little bit, but enough to spark your attention.  Maybe it’s light pink in color or maybe a shade of brown instead, but you know one thing for sure, you definitely are not due for your period yet.

calenderSpotting is considered to be any bleeding outside the normal cycle.  And although it isn’t uncommon for women, it is considered irregular.  Sometimes bleeding between periods can be a sign of something serious going on inside your body, especially if the “spotting” is more like a light flow than a couple of drops.  But other times, period spotting can be caused by something not very serious and is just a part of life.

So today, I want to talk about some of the reasons we spot and what is causing that spotting to occur.  While most of what I am covering today are not serious at all, other potential causes should be talked to with your doctor, so if you are concerned, please take some time to visit your doctor and discuss your cycle.


You’re new to your period

This one probably goes without saying, but in case I do have any younger readers stumble across this blog post, I wanted to mention this first and foremost.  If you are new to your period or have just recently had your first one and have had some spotting after, it is absolutely nothing to be concerned about.  When starting your period, it could take multiple months for your period to become regular.  So if you aren’t able to track your period accurately just yet, nothing to fear, you are young and it will all even out soon.


You’re changing birth control of starting a new one

This is first and foremost similar to what I said before about just starting your period.  Starting a new birth control method can really mess with hormone levels which may take a few months to regulate.  So it’s difficult to track exactly what is normal for a cycle when a new birth control method is being used.

Now as far as what those hormones are and how they can specifically affect your period and spotting, there are actually exact details about that.

 

Estrogen, which we have talked about A LOT when discussing periods on this blog, actually works to keep the uterus lining in place.  So when estrogen levels are normal, the lining stays on, but when they drop, the uterus lining sheds.  Birth control can change estrogen levels within the body throughout the time of the month.  This can actually cause for extra uterus shedding apart from the normal period cycle.  It should regulate out as the body grows used to the hormone changes.


Delayed or Partial Period

This happened to me when I was sick at the beginning of the year and my periods got cut off short.  I found myself spotting in between my periods and right before my period begun.   But unlike a bright pink blood color, it was very dark almost brown.  This was because my period cut off short when I was sick and my uterus wasn’t able to fully shed the lining during my cycle.  Therefore when my next period started, my uterus first had to shed what was left over from before which was a dark, more dried up blood.

This can also shed in between your cycles when the new uterus wall is growing.  This forces the old wall to fall off and therefore causes for you to spot between periods.  The clue that this is the reason for your spotting will be the deep and dark color of the blood.


Stress

Stress can be a major player in irregular periods, including spotting.  And this can be emotional, mental, or even physical stress like working out.

Stress on the body makes the body release more of the hormone cortisol which actually makes the body release less estrogen and progesterone as a result.  As stated earlier, estrogen holds the uterus lining in place, so when levels drop your period can either be early, late, or spotting can occur.

A new workout routine or a very strenuous workout can put a lot of stress on your body and cause for these changes to occur.  This should regulate itself the more you work out and as your body gets used to the new routine.


Ovulation

Ovulation can be another common factor for spotting between periods.  Some women notice this every once in awhile and others see it more frequently.  This spotting is caused by the surfacing of ovarian follicles.  When these follicles mature and burst they can cause mild pain and light bleeding.  This causes some spotting to occur.


Other medical reasons for spotting

Although most of these reasons for spotting are nothing to be concerned about, there could be other medical conditions that may cause for bleeding between periods.

Vaginal dryness, uterine fibrosis, slow thyroid, STIs, endometriosis, and cancer can all cause bleeding in varying degrees and should be discussed with your health care provider.


There are many different reasons for bleeding outside your normal cycle.  Tracking your period can help you determine what the cause may be.  If you have regular spotting you should see a doctor to get a medical checkup just to make sure that everything is going well inside your body.  Also if any degree of bleeding, even small and just once concerns you, make an appointment with your doctor to get a checkup.  Sometimes all you need is a little peace of mind.

Have you ever experienced spotting between your periods?  Did it freak you out?  Let me know your thoughts in the comments below!

 

Until next time,

Kat

 

Further reading:

Moss, Gabrielle (2015).  Why Am I spotting Before My Period?  12 Reasons You Might Be Bleeding At Unscheduled Times.  Bustle. https://www.bustle.com/articles/84176-why-am-i-spotting-before-my-period-12-reasons-you-might-be-bleeding-at-unscheduled-times

Team Medicine (2017).  29 Reasons Why You are Spotting Before your Period.  Buoy Current. https://www.buoyhealth.com/current/29-reasons-why-you-are-spotting-before-your-period/