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Ovulation (and Mittelschmerz!)


Incredible REAL image of ovulation, taken just at the point of follicular rupture and release of a mature egg from the ovary. About 20% of ovulating women can actually feel ovulation, a sensation known as "Mittelschmerz". . German for "middle pain", Mittelschmerz refers to a lower abdominal or pelvic pain occurring midway through the menstrual cycle, at times localized to the point that some women can actually tell which of the two ovaries supplied the egg that month. Note that Mittelschmerz is different than and totally off-cycle from menstrual cramping. Thought to occur from the trauma of ovarian wall rupture (something we can clearly see here), the pain is indeed benign and usually lasts no more than a few hours. . Important to note though that the differential for pelvic pain is broad, and Mittelschmerz itself can unfortunately be severe 🙁; anyone with pelvic pain or with any concern should certainly see their physician for evaluation. #medicine #health #womenshealth . 📸 Jacqeus Donnez, Laparoscopic observation of spontaneous human ovulation. Fertility and Sterility, 2008

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