Mittelschmerz

Background

Lower abdominal or pelvic pain during ovulation; From German for "middle pain."

Clinical Features

occurs roughly halfway of menstrual cycle

Differential Diagnosis

RLQ Pain

LLQ Pain

Evaluation

A gray-scale sonogram shows a dominant follicle with a much smaller, cystic-appearing structure at the periphery of the follicle, the cumulus oophorus (arrow). This is indicative of imminent ovulation.
  • Frequently a diagnosis of exclusion

Management

  • Benign

Disposition

  • Outpatient

See Also

External Links

References