What causes stomach pain during ovulation?

Stomach pain during ovulation may be related to factors such as changes in hormone levels, stimulation of follicle rupture, pelvic inflammation, endometriosis, gastrointestinal dysfunction, etc. It usually manifests as unilateral dull pain or bloating in the lower abdomen. It can be relieved by hot compress, diet adjustment, drug analgesia, etc.

1. Changes in hormone levels

Elevated levels of estrogen and prostaglandins during ovulation may stimulate uterine contractions, causing mild abdominal pain. This physiological pain usually lasts for 1-2 days. It is recommended to take appropriate rest and observation. If pain affects your life, you can follow your doctor's advice and use analgesics such as ibuprofen sustained-release capsules or acetaminophen tablets, and avoid taking drinks containing caffeine.

2. Follicle rupture stimulation

Follicular fluid released when mature follicles rupture may irritate the peritoneum, causing unilateral lower abdominal pain. Some people may experience a small amount of vaginal bleeding, but generally no special treatment is required. When the pain is obvious, you can use a hot water bottle to apply heat and avoid strenuous exercise. If the amount of bleeding exceeds menstrual flow, you need to seek medical attention promptly to check for rupture of the corpus luteum and other conditions.

3. Pelvic inflammation

Patients with chronic pelvic inflammatory disease may experience worsening abdominal pain during ovulation, often accompanied by abnormal leucorrhea or fever. Diagnosis needs to be confirmed through gynecological examination, and metronidazole vaginal effervescent tablets combined with cefixime dispersible tablets can be used for anti-infective treatment as directed by the doctor. Sexual intercourse should be prohibited during the acute attack period and the perineum should be kept clean and dry.

4. Endometriosis

Ectopic endometrial tissue may bleed and swell under the influence of hormones during ovulation, causing progressively worsening dysmenorrhea-like pain. The diagnosis requires laparoscopy. Mild cases can be relieved by taking Sanjie Analgesic Capsules. Moderate to severe cases may need injection of leuprolide acetate microspheres to inhibit ovulation.

5. Gastrointestinal dysfunction

Hormone fluctuations during ovulation may affect bowel movements, causing bloating or cramping. It is recommended to eat small meals frequently, avoid gas-producing foods such as beans, and drink moderate amounts of warm mint tea to soothe the gastrointestinal tract. For persistent colic, acute abdominal diseases such as appendicitis need to be ruled out, and belladonna tablets should be taken orally to relieve spasm if necessary.

During ovulation, attention should be paid to avoid overexertion and cold stimulation, and drink 1500-2000 ml of warm water every day to promote metabolism. When the pain lasts for more than 3 days or is accompanied by fever, vomiting and other symptoms, gynecological ultrasound and routine blood examination are required. Daily abdominal breathing can be practiced to relieve discomfort, and those with regular menstrual cycles can take precautions in advance by recording the ovulation time.