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ovulation and endo
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ovulation and endo

Just wondering what it means with the throbbing pain i get when i ovulate.  Does that mean its growing???
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Avatar_n_tn
Some women have pain with ovulation anyway.  It is called mittlesmertz or something like that (I am too tired tonight to get the med dictionary and look the darned word up for us!)  But, yes, it could be if you have an endometrioma that it has been swelling due to the growth of the endometrium during this portion of the monthly cycle.  Then again, my cyst just hurt, so that could be the problem as well.
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Avatar_n_tn
I think that i just notice it more because i know that i have a cyst. Before i just took it as that is they way my body is.
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Avatar_n_tn
Oh, yes!  There is that focus issue...where we can think, and only think, about every twitch and twinge and rumble down there.  The bad news is that I am over a year post-op from my endometrioma, and I am still "peritoneally paranoid"!!!
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Avatar_n_tn
Mittleschmerz is middle pain. Mid cycle pain. I've had it. it sucks but now that ovary is gone.
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Avatar_n_tn
I have had that ovulation pain too, even before I had the cyst.
Does anyone know if the cramping from the cyst might be worse during ovulation?
Thanks!
Marcy
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Avatar_n_tn
Hi, a question for you all: Does "Mittleschmerz/mid-cycle" refer specifically the "middle" of the month, i.e. the ovulation phase, or is it *any* time between periods. In other words, does it include the days when it's neither the period nor ovulation time?
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Avatar_n_tn
Ahh!!!  FINALLY, someone else who has heard of the term mittelsmerz!  When I was in high school (when I probably 15 y.o. - so around 23 years ago), I woke in the middle of the night with excrutiating pain in my abdomen.  My mom took me to my pediatrician the next day who diagnosed my pain as "mittelsmerz."  I haven't felt that type of pain in my abdomen since (even when my appendix nearly ruptured twenty years ago and even with all of my more recent reproductive issues).  

Just yesterday, I wondered out loud to my husband if the pain I felt when I was 15 y.o. was really a mid cycle, overwhelming, bend-over, breath taking cramp referred to as "mittelsmerz" or was it really an ovarian cyst rupturing...  Guess I'll never know, but it is interesting to hear the term mentioned by someone other than myself.
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Avatar_n_tn
Thank you. In the past I had mistakenly thought any irregular bleeding between periods is a "mid cycle" bleeding.
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Avatar_n_tn
Yes..that part is true. But the actual ovulating only happens between 10-14 days into your cycle. Hope that didn't confuse you more!
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Avatar_n_tn
Ovulation usually occurs between 10-14 days after the first day of your period I believe. So that's what that term usually relates to.
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Avatar_n_tn
Thank you for your answers they are very informative. now i have another question while you are here.  No i have ovulation pain come and go could these be muliple cyst that are rupturing?  For example it will throb for like 3 hours on and off for 5 mins at a time kinda like mini contractions.  Than it will go away and than the next day it will happen again. I had no problem all day than at the end of the working day i started feeling pains and now I am feeling it again.  So is it just one cyst that is ruptured or what???? lol  thanks

Drama Queen :)
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119341_tn?1232567357
My ovulation pain didn't start until a couple of months ago. Now I bloat, get sick to my stomach, and much cramping. But I don't have a cyst. Mines endo and scar tissue. So, it could mean its growing or it could be the trauma on your ovary from the cyst. Your ovary is just letting you know something is not right. Of course you  know something is not right, but that ovary don't know you know.

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Avatar_n_tn
Well, I can tell you what my friend says Mittlesmerz is, and since she is a retired gyn nurse, and her hubby was a gyn himself, she probably knows.  She says the pain is due to the NORMAL rupture of the cyst that contains the egg to be released that cycle.  (yes, these things all have fancy medical terms for them, but I am taking the simple route for everyone's ease of reading!)  Some women are sensitive to this pain; other women are not.  Some women feel this pain each month, some off and on through their reproductive years, and others never.

So, yes, Mittlesmerz is due to the rupture of a cyst.

By the way, for those who like cool tidbits of info...when I had my follow-up ultrasound for my cysts/polyps, I had a follicular cyst that had just ruptured.  It clearly showed in the  ultrasound image, and looked like a popped ballon leaning on its side.  It was cool to see.
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Avatar_n_tn
Can the ultrasound tech/radiologist distinguish between a follicle and a cyst (by follicle I mean what contains the egg, but "cyst" I mean the *abnormal* thing that contains either blood or other liquid)?  I suppose it's not a good thing if a cyst (not follicle) to rupture.

Also, are the pains caused by the rupture of a follicle similar to the pains caused by the rupture of a cyst?
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Avatar_f_tn
It is normal to have some pain as well as spotting or bleeding with Mittleschmerz and ovulation. It is pain that is associated only with ovulation though, not any other time. I frequently had pain when I ovulated, and, as the ovary I had removed was full of dozens of small cysts, I think the pain was because the ovum did not expell from the ovary properly. The pain would continue sometimes until I had my period, which isn't normal.
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Avatar_n_tn
Yes, the differences in the types of functional cysts (where they are in development) were obvious even to my relatively uneducated eye.  So, it follows that they can determine what type of cyst it is likely to be, unless the image is very complicated (many solids, and septations, for example.)
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Avatar_n_tn
It could be both,  a normal cyst rupture or multiple cysts rupturing.  Even when a normal cyst ruptures and collapses as part of the normal monthly cycle, there is going to be some very small amount of fluid released, and the newly 'deflated' cyst will have to be resolved by the body.  Think of it as a small wound.  And you know that if the pain from activities of the normal ovarian cycle has been given a name, then it can be quite bad, even when nothing is wrong!  Should if you have more than one cyst rupturing each cycle because of some hormonal condition, then we know it will be an even worse situation than the pain or discomfort from just  one.   When you add in stress, general aches and pains from a normal day of life, other health problems, etc., then even the normal monthly cycle can be overwhelming.
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Avatar_n_tn
I am patiently awaiting a Dr.s appt for pelvic/abdominal pain.  The pain is bad mainly between my period and ovulation.  It tops off during ovulation and the subsides to almost non-noticable. Most of the time the pain feels like pressure on more ovaries, and then somtimes there will be pain under either side of my ribs.  I was wondering if endo, cysts, or ovarian cancer are typicall for having increased pain during these times.

Thanks.

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Avatar_n_tn
I have an ovarian cyst. but today it really  hurts more then usual.
could i have had a ruptured cyst? what exactly does it feel like? and what happens after? should i go to the doctor.thanks!

Barbie
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Avatar_n_tn
Have you seen the doctor before?  When it ruptures it really hurts.  I felt like i was in labour I was vomitting and had a fever. Not sure if you will read this because it is so far down.  Post again if you can and you will have alot of answers from everyone
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Avatar_f_tn
I enjoy reading all of your stories....Here is my dilemma.  I am 43 and had a partial hysterectomy last year.  About 2 months ago I started getting severe pelvic pain.  It starts at the pelvic floor and then works its way around my bladder and them my ovaries and uterine area feels like something blew up in there!  Is anyone else having this sort of pain?  The doctors say that it is a hemorrhagic cyst and that it may be endo.  I have to wait for 3 months to get another check up?  I could use some feedback. Thanks
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