Thursday, November 4, 2010

mittelschmerz

Ladies, have you ever experienced pain over the lower abdomen, near the inguinal region? The pain is dull-aching (senak) in nature, and you have difficulties to walk with a straight posture thus you prefer walking while bending your body forward a little. It is very similar to appendicitis ( inflammation of the appendix )

I've encountered that frequently. They say, it is because of frequent handling with heavy objects which causes the female organ to descend ("they" means the elderly). I accepted their views and thoughts since I wasn't that knowledgeable then. The elderly sayings make logic sense anyway. But, I've encountered it too frequently and it did not correlates with carrying heavy objects either. hmpphhh..

My question was answered when I'm in clinical years in medical school. This pain is actually called "Mittelschmerz". It is a mid cyclical pain which corresponds to ovulation. For people with regular cycle of 28 days, they will get the pain at day 14th.

Unfortunately, my cycles are not regular. Sometimes 30 days, sometimes 34. But the cool part is, our menstrual period is divided into two phases. Phase before ovulation i.e. follicular phase and the second phase is after ovulation i.e. secretory phase. The second phase is constant 14days but the follicular phase is irregular.

So, when I get the pain, I will calculate and after 14days, I'll get my menses =)

And the pain alternate sides. One month it'll occur on the left and the next month on the right and so forth.

I'm not sure what is the cause of this pain. and why only some would experienced this pain when they ovulate, and some don't.


Ovulation : a mature ovarian follicle ruptures and discharges an ovum (also known as an oocyte, female gamete, or casually, an egg) ; wikipedia.org

3 comments:

Anonymous said...

yana..i slalu kene mcm tu..ade one time tu rasa sakit sangat then kene bawak g hospital serdang after doctor kt clinic upm sahkn ade kene appendicitis...then smpai kt hspital serdang doc tu plak ckp bukan..padahal i da x leh jalan da that time..mmg kene bend gile2...normal ke bende tu...

Chocolate Lover's Soul said...

wow izza, really? haah, the pain is similar to appendicitis.
u dapat every month ke? mitterschmerz is normal. nothing pathological. dia sakit sbb kilang telur keluarkan telur, or when the telur in the tube, the tube undergo peristaltic movement (kembang n kecut) to gerakkan the telur which may also be the cause of the pain.

but i tatau kenapa some dapat, some tak dapat. maybe our sensitivity to the inner organs kot. but the advantage is, u can know when u ovulate! so in future, if nak plan for anak will be easier. hehe!
i usually get it for one day. but each individual varies.

if tak tahan, u mkn pain killer. it might do some good ! =)

norashikin rahmat said...

kak ezyana..thanks for this info..! :)