Painful ovulation
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It is through this highly vascular surface that the egg is ‘released’ – which means it leaves this hormone filled cyst space, ‘wiggles’ through the cyst surface and then heads off to the fallopian tube drawn by chemotaxic forces (a bit like a magnet), where it is hoping to meet sperm. This ovulation cyst/ follicle is usually about 3-4cm in size and has a fantastic blood supply around its outer surface. An eyeball is actually a cyst!! And the vast majority of ‘cysts’ on the ovaries are actually ‘congratulations your ovaries are working, I hope you are using contraception if there is a boy around-cyst’. I need to side track here – as a cyst in medical language is any roundish shaped structure filled with fluid. With organised hormones, the release of an egg involves the development of an ovulation follicle or cyst. Strangely, in girls whose periods start younger (eg at 10 years of age), the periods become regular sooner whereas those who start their periods later (eg 15 or 16 years), it can take the 4 years before the periods become regular. This explains why periods are usually irregular to start with – and can remain irregular for 1-3 or even 4 years. When this happen, the second hormone (progesterone) is then produced. Usually a bit later, a clock centre (in the brain) begins to coordinate things, so that periods are regular and an egg is released. Normally the messages from the brain start in a disorganised manner – so that things simply ‘switch on’. The Hypothalamic-pituitary-ovarian axis An irregular start The ovaries – which contain the eggs and the supporting set of surrounding cells then produce the key hormones we associate with being women – oestrogens and progesterones. The messages (hormones) to make periods happen originate in the brain – with messages coming from one part (the hypothalamus) going to another part of the brain (the pituitary) – which then sends messages to the ovaries. “Fluid Retention over the Menstrual Cycle: 1-Year Data from the Prospective Ovulation Cohort.” Obstetrics and Gynecology International, Hindawi Publishing Corporation, 2011, step back a little to think about what makes periods happen, and in the process discuss another cause for pelvic pain – but this time a pain that happens half way between periods. “Mittelschmerz.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 25 July 2019, White, Colin P, et al. “Beat the Bloat.” NHS Choices, NHS, 28 Aug. “Blood Pressure and Water Regulation: Understanding Sex Hormone Effects within and between Men and Women.” The Physiological Society, John Wiley & Sons, Ltd, 5 Nov.
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National Library of Medicine, July 2008, Wenner, Megan M., and Nina S. “Sex Hormone Effects on Body Fluid Regulation.” Exercise and Sport Sciences Reviews, U.S. “Management Strategies for Abdominal Bloating and Distension.” Gastroenterology & Hepatology, Millennium Medical Publishing, Sept. “Evaluation of the Menstrual Cycle and Timing of Ovulation.” UpToDate,, Foley, Anna, et al. “How Can I Tell When I’m Ovulating?” NHS Choices, NHS,, Welt, Corrine K. For enhanced accuracy, purchase an ovulation kit, which is designed to measure LH levels in your urine. This should raise your likelihood of getting pregnant. If you’re trying to conceive, engage in regular sexual intercourse in the five days before ovulation and on the day of ovulation.
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Changes in cervical position - Right now, your cervix might be softer, higher, and more open and wet than usual.If you’re trying to get pregnant, consider tracking it with a thermometer at the same time every morning before getting out of bed to monitor your fertility. Changes in basal body temperature - Your body temperature often rises slightly after ovulation.You may spot it on your underwear or panty liner, or feel it when you’re wiping after using the bathroom. Changes in vaginal discharge - Discharge becomes clear, stretchy, wet, and abundant.As mentioned, some people observe other symptoms of ovulation, including: