Why does my stomach hurt after ovulation?

Abdominal pain after ovulation may be caused by physiological ovulation pain, pelvic inflammatory disease, endometriosis, ovarian cysts, corpus luteum rupture, etc., and can be relieved by hot compress, drug intervention, or surgical treatment. Abdominal pain during ovulation usually manifests as unilateral dull pain or bloating in the lower abdomen, which lasts from several hours to 2-3 days.

1. Physiological ovulation pain

When the follicles rupture, a small amount of bleeding and follicular fluid irritation to the peritoneum may cause transient abdominal pain, which usually occurs around the 14th day of the menstrual cycle. When the pain is mild, you can choose to rest in bed or apply heat to the lower abdomen. No special treatment is required. Some people may be accompanied by slight vaginal bleeding or breast tenderness, which usually resolves on its own within 1-2 days.

2. Pelvic inflammatory disease

Patients with chronic pelvic inflammatory disease may experience worsening abdominal pain during ovulation, which may be related to fallopian tube congestion and edema. It usually manifests as persistent dull pain in the lower abdomen, increased secretions, and in severe cases, fever. It is necessary to use antibiotics such as metronidazole tablets and levofloxacin capsules as directed by the doctor, and cooperate with pelvic floor physical therapy to promote the absorption of inflammation.

3. Endometriosis

When ectopic endometrial tissue grows on the surface of the ovary, it may cause severe abdominal pain during ovulation. The pain often worsens periodically and may be accompanied by painful sexual intercourse or painful defecation. After diagnosis, dienogest tablets and ibuprofen sustained-release capsules can be used to control symptoms. In severe cases, laparoscopic lesion resection is required.

4. Ovarian cysts

Follicular cysts or corpus luteum cysts that enlarge during ovulation may pull on the ovarian capsule and cause pain. When the diameter of the cyst exceeds 5 cm, it may be accompanied by nausea and a feeling of swelling in the anus. Changes in the cyst need to be monitored by ultrasound, and Guizhi Fuling capsules or cyst puncture should be performed if necessary.

5. Rupture of corpus luteum

Abnormal rupture of the luteal blood vessels after ovulation can cause sudden, severe pain that may be accompanied by intra-abdominal bleeding. The pain usually starts within 1 week after ovulation and worsens when the body position changes. In emergency situations, hospitalization is required for observation. Laparoscopic hemostasis is required when bleeding is severe. Mild bleeding can be treated conservatively with tranexamic acid tablets.

It is recommended to record the relationship between the occurrence time of abdominal pain and the menstrual cycle, and avoid strenuous exercise during ovulation. If pain persists for more than 3 days or dizziness or fever occurs, you should seek medical attention from a gynecologist in time. Drink appropriate amounts of ginger tea daily to relieve spasms and keep the vulva clean to reduce the risk of infection. Ultrasound examination can effectively distinguish physiological pain from pathological lesions.