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Mittelschmerz (German: [ˈmɪtl̩ʃmɛʁt͡s] ⓘ) is a term for pain due to ovulation. It occurs mid-cycle (between days 7 and 24) and can last minutes to up to several days. [ 4 ] The pain affects one side of the lower abdomen and may be dull or sharp in nature.
Breakthrough bleeding (BTB) is any of various forms of vaginal bleeding, usually referring to mid-cycle bleeding in users of combined oral contraceptives as attributed to insufficient estrogens. [5]
The actual duration of how long symptoms can last varies in length, from a few days to two weeks. [3] Premenstrual water retention could be passed off as little weight gain before the start of a menstruation cycle, but should be carefully watched if weight is gained quickly within days.
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Menstrual Disorders ix. 135 The pain undoubtedly emanates from the ovaries, since neither hysterectomy nor resection of the presacral nerve..eliminates mittelschmerz, but bilateral oophorectomy does. *1971 Vogue Nov. 60/2 Have intercourse as near ovulation as possible. This can be detected..by the pain that some women experience (Mittelschmerz).
The Society for Menstrual Cycle Research holds that this use of COCPs does not have sufficient safety studies to justify promotion as a lifestyle choice (as opposed to medical indications), and criticizes what it perceives as negative portrayals of normal menstrual cycles in promotional literature for extended and continuous COCP use. [14]
In most girls, menarche does not mean that ovulation has occurred. In post-menarchal girls, about 80% of the cycles were anovulatory in the first year after menarche, 50% in the third and 10% in the sixth year. [ 13 ]
Ovarian torsion (OT) or adnexal torsion is an abnormal condition where an ovary twists on its attachment to other structures, such that blood flow is decreased. [3] [4] Symptoms typically include pelvic pain on one side.