Some women in the middle of the menstrual cycle, pain bottom of the right or left half of the stomach and small spotting. After the examination, diagnosis is often installed "mittelschmerz." What does that mean, and how dangerous mittelschmerz?

The monthly menstrual cycle of women

The monthly menstrual cycle of women due to the influence of hormones that are released under the influence of the nervous and endocrine systems. It begins with the brain, where the main bodies that "team" all the rest of the endocrine system in the body. The area of ​​the brain - the hypothalamus affects the endocrine glands pituitary and pituitary - ovaries - female sex organs that produce hormones. The aim of all these actions - to allow the egg to mature and get out of the ovary (where it matures in the follicle) for fertilization, as well as to prepare the uterus to receive a fertilized egg.

In the first 14-16 days of ripening follicle grows and produces the female sex hormone estrogen Estrogen - the key to bone health . This process is regulated in the brain hormones (pituitary gonadotropic hormones) and ovaries.

On day 14-16 follicle ruptures and the egg is released into the fallopian tube to connect it with the sperm. Under the influence of the pituitary luteinizing hormone ruptured follicle becomes yellow (yellow body) and starts to produce female hormones - progesterone Progesterone - norm and pathology   and estrogen, which, falling into the blood, the body prepares for a possible pregnancy. If the implementation does not occur (ie, pregnancy does not occur), then the prepared lining of the uterus is torn away and menstruation occurs.

Ovulation

Ovulation may be accompanied by short-term pain in the abdomen in the middle of the menstrual cycle. At the same time the woman may receive an increased libido and mucus, due to the high content of female sex hormones (estrogens).

Violation of ovulation caused by inflammation of the female genital organs, dysfunction of the adrenal cortex and thyroid tumors, and so on.

What mittelschmerz

In some women at the time of ovulation, there is significant pain in the abdomen Abdominal pain: Types and Symptoms   and spotting. The pain may be brief or longer, aching, drawing, stitching in the lower abdomen (but sometimes in other parts of it, for example, at the top), with the side where ovulation has occurred. If such pain occurs on the right, they can be confused with appendicitis pain.

Pain associated with the rupture of the follicle and promotes egg, which has a considerable size, of fallopian tubes. If the pipe has inflammation or consequences in the form of tubes adhesions to the surrounding tissues, the egg is moving with difficulty, which causes pain.

Spotting that lasts 1-2 days after ovulation due to the fact that at the time of ovulation in the blood reduces the number of female sex hormones (follicle ruptures and corpus luteum has not yet been formed) pogesterona that causes partial detachment of endometrium. But as soon as the corpus luteum begins to function, hormonal balance is restored and all is normalized.

But in order to figure out the reason for his appearance (it's - version of the rules, the result of inflammation or hormonal deficiency) and to rule out other causes of pain and bleeding, you need to contact the gynecologist, because the same symptoms can be, for example, ectopic pregnancy and ovarian apoplexy - conditions that require emergency surgery.

Diagnosis ovulatory syndrome

Confirm the presence of ovulatory syndrome can only gynecologist after a thorough examination of women by eliminating other similar diseases and to confirm that pain and bleeding coincide with the moment of ovulation.

The moment of ovulation can be confirmed by means of ultrasound, which is seen as increasing, and mature follicle bursts. It is possible to conduct laboratory examination of blood on hormones. Finally, for determining the time of ovulation is measured the temperature in the rectum, said ovulation about a slight decrease in temperature on the day of ovulation and its ascent to the next day (approximately 0, 3º).

Treatment of ovulatory syndrome

Treatment ovulatory syndrome is carried out if it is a consequence of inflammation or hormonal disorders in women. After the elimination of these causes mittelschmerz runs itself.

If mittelschmerz is a variant of the norm, it does not require special treatment. By appointment gynecologist and after the test so women can use hormonal kontratsiptivami that prevent ovulation Ovulation - How to determine as accurately as possible? . There will be no ovulation, there will be no pain.

  Galina Romanenko

Start time of ovulation may vary significantly from woman to woman. Some women ovulate as scheduled due on the same day of the cycle, at other times it may start to shift every month. The first step to determining the time of ovulation - is to determine the approximate time interval to ovulation (exclude days when precisely for this too early and too late - but the remaining days and will thereby interval).

Pregnancy and ovulation are inextricably linked, so if you are trying to conceive a child, you need to have a clear idea of ​​how the menstrual cycle occurs, and what exactly the signs indicate ovulation.

Initial signs of ovulation

• Changes in cervical mucus. If it is a thick, viscous - before ovulation there is still time. Liquid, consistency and resembles an egg white cervical mucus is a sign that ovulation is about to occur or has already occurred. Normally, mucus becomes more liquid the day of ovulation. To learn to see these changes, it is necessary for a few months to monitor the condition of cervical mucus and other signs marking the beginning and end of the different phases of the menstrual cycle.
• Change the basal temperature Basal temperature - try to move less   body (BBT). Since the beginning of menstruation and before ovulation BBT changes very little. A slight decrease in BBT, as a rule, says the approach of ovulation, and ovulation will occur as soon as it will increase significantly. If you keep track of BBT for several cycles, you'll soon learn to identify exactly when ovulation occurs, and with it - and the best time for conception Conception, ovarian cycle, fertilization and genetics of a child .
• Changing the position of the cervix. During ovulation, and as it approaches the cervix is ​​further away from the entrance to the vagina, in addition, it becomes more soft and moist. If not soon ovulation, the cervix is ​​firm and is located closer to the entrance to the vagina. For women who want to conceive a child, it is recommended to carry out self-examination, to be able to better determine the time when the likelihood of fertilization is greatest. Many at first it seems strange and even shameful, in fact - it's your body, and this experience will allow you to get to know and learn to understand it. It is just as it should wash their hands before inspecting and try not to hurt yourself fingernails.

Secondary signs of ovulation

There are other signs, which can determine the approach of ovulation. They may not appear at all women, and not every month, so if you do not notice at the following changes - do not worry, it's just a normal variant.

• Cramping and pain in the lower abdomen - in most cases they are mild or moderate. This pain is also called mittelshmerts, which means "middle pain cycle." Usually held in a few hours, but can last for several days.
• Pain and tenderness chest. Women, who for some time trying to conceive a child, may decide that this is an early sign of pregnancy Early signs of pregnancy: to believe or not to believe? . In fact, many women have breast tenderness, changes due to hormonal fluctuations during the menstrual cycle Menstrual cycle and its characteristics .
• Increased sexual desire. Nature itself seems to have made sure that women have sex when their fertility is at its peak. However, this feature is considered an accurate indicator of ovulation is impossible, as the libido may decrease and increase under the influence of a huge number of factors, including psychological.
• Bloating can be a sign of ovulation, but can talk about what you need to change something in your diet.
• Aggravation of sight, smell and the ability to taste. It is also associated with hormonal fluctuations, but, until the obvious reasons, such changes are observed not in all women.