Treatment
Normally, moderate pain does not require treatment with medication. In most cases, simple remedies such as heat applications using a hot-water bottle or some physical rest are sufficient. Herbal remedies such as chamomile tea or monk’s pepper can also often provide good relief from cycle problems.
The great advantage of these measures is that they do not have any other side effects such as painkillers. However, if there is very severe pain, these drugs should also be used. In this case, preparations such as Ibuprofen® or Novalgin® are particularly suitable.
However, the application should be limited to the case of need. As a rule, moderate pain only lasts for a few days around ovulation and rapidly decreases in intensity after ovulation. Persistent pain should be clarified with the gynecologist. In individual cases, the administration of hormone preparations may even be advisable. They are also often the remedy of choice in cases of severe moderate pain of high intensity that recurs every cycle.
Diagnosis of Mittelschmerzen
The diagnosis is determined classically by the calendar method. For this purpose, the first day of the last menstruation is asked and the now acutely occurring complaints are put into a temporal context. If they occur approximately 14 days after the last menstruation and there are no further abnormalities, the condition is called moderate pain.
Can you have a Mittelschmerz without ovulation?
Theoretically, you can also have moderate pain without ovulation. In women of childbearing age, one egg matures every month, which will then also “jump”. If, for various reasons, this mature egg does not jump, the woman will go through a normal cycle with all the possible symptoms.
Here it is really important to differentiate exactly whether the woman’s eggs are developing and what her hormone levels are.A girl clearly before her first menstrual period, for example, has no ovulation and no middle-ache. This question is therefore somewhat difficult to answer and needs to be clarified in each individual case. In any case, a woman must have a cycle in order to go through the classic hormonal fluctuations which then cause the typical middle pain.
Women who have not ovulated often take the pill. She deliberately suppresses ovulation by administering small amounts of hormones daily. These women of course also have a cycle.
However, the changes in hormone levels are influenced by the pill. For this reason, these women can also be referred to as having moderate pain, but this is not directly related to ovulation. Another topic that might also be interesting for you is: Can you feel your ovulation?
