What causes intense pelvic pain between 18 days of periods?

Question

Hello doctor,

I am 18 years old. And about five or six times in the past year, I have experienced intense, nauseating pain that I can only guess is ovarian, but I cannot find anything on the internet to really pinpoint it. It alternates sides, lasts for a couple of hours, and is always between days 18-24 of my cycle. This morning it lasted hours, the pain reaching from my left ribs to my pelvis, which felt like a lot of pressure and made it painful to urinate.

Answer 1

Hello,

Welcome to icliniq.com.

The pain you have been experiencing is most likely the ovulatory pain, typical to occur in the midcycle when one has regular cycles of 28-30 days, or if you have you menstrual periods of varying dates, you can observe that exactly 14 days prior to the menstrual period. It is called Mittelschmerz syndrome or pain. It is a normal phenomenon and usually mild but rarely it can be severe. As your pain has been severe today, it would be better to get an ultrasound done to rule out any other causes of your pain. If you had mentioned the date of your last menstrual periods, it would have been helpful. You can take antispasmodic medications and see if the pain gets relieved, But if it does not, then it would be better to seek emergency medical help. And I am assuming that chances of pregnancy have been ruled out, if not then please evaluate yourself (just in case if sexually active).

I hope this helps.