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Weird Period Symptoms – Mittelschmerz

Periods! That monthly (or less regularly, or missing) friend

In an ideal world, your period would turn up without the fanfare of PMS Symptoms. It would be not too heavy and not too light. And definitely would not bring with it any pain. After 5 days it would disappear, not to be seen again for another 21 days.

Unfortunately, only a lucky few experience cycles like this. Most of us have a number of symptoms which range from mild to extreme. And some of these symptoms are a little weird!

Over the next few Fridays, we are going to delve into these weird and somewhat annoying cycle symptoms.

Mittelschmerz – Ovulation Pain 

Hands up if you experience ovulation pain! If you put your hand up, you are one of the unlucky 40% of women that do.

Ovulation pain has been termed Mittelschmerz. It is German for ‘Middle Pain’. This pain is generally experienced around ovulation and can for a few seconds to around 48 hours. It can be a sharp pain or a dull ache that is usually felt on one side of the lower abdomen, usually on the side that you will be ovulating from (in case you wanted to know!).

It usually doesn’t start until a few years or more after the first period, when the cycle is more established. And for those that do experience it, it may not happen every month.

Like with many women’s health issues, the how and why is not quite known just yet. Here are some possible theories:

  • It may be caused by a peak in LH before follicle ruptures causing contraction of the perifollicular smooth muscle
  • It’s possibly caused by the follicle being stretched by the growing egg before it is released
  • It may be caused by the follicular fluid released when the follicle ruptures to release the egg. This fluid may irritate the lining of the abdomen.

Whatever, the reason it is not a pleasant experience.

So what can you do?

  • Acupuncture can help by reducing pain and inflammation
  • Magnesium can help reduce cramping, pain and bloating
  • Heat can relieve pain and discomfort
  • A Naturopath can provide hormone support supplementation and recommend dietary changes to help with the symptoms.
Contact the clinic on 08 8296 4333 or email us to book in with one of our Acupuncturists or Naturopaths.

If the pain lasts longer than 48 hours or is severe, please speak with your Health Care provider.


Brott. NR. and Le, JK. 2021. Mittelschmerz. In: StatPearls [Internet]. Available at: Mittelschmerz – PubMed (

Miller, K. 2017. What You Should Know About Mittelschmerz, aka Annoying Ovulation Pain. SELF. Available at: What You Should Know About Mittelschmerz, aka Annoying Ovulation Pain | SELF

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