{"id":12090,"date":"2026-09-23T01:24:50","date_gmt":"2026-09-23T01:24:50","guid":{"rendered":"https:\/\/nygse.com\/?p=12090"},"modified":"2026-09-23T01:26:31","modified_gmt":"2026-09-23T01:26:31","slug":"ovulation-pain-endometriosis","status":"publish","type":"post","link":"https:\/\/nygse.com\/es\/ovulation-pain-endometriosis\/","title":{"rendered":"Ovulation Pain and Endometriosis: When Mid-Cycle Pain May Be More Than Mittelschmerz"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"12090\" class=\"elementor elementor-12090\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2712a5b3 e-flex e-con-boxed e-con e-parent\" data-id=\"2712a5b3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-127cbd08 elementor-widget elementor-widget-text-editor\" data-id=\"127cbd08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pelvic pain does not always occur during a period.<\/p><p>Some people experience pelvic pain around the middle of the menstrual cycle, close to when an ovary releases an egg. This is known as <strong>ovulation pain<\/strong> or <strong>mittelschmerz<\/strong> and may affect more than <strong>40% of women of reproductive age<\/strong>. <a href=\"#references\"><sup>[2]<\/sup><\/a><\/p><p>Although ovulation pain is often harmless, recurring or significant mid-cycle pain can also occur in people with endometriosis, particularly when accompanied by other symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fce18f2 elementor-widget elementor-widget-image\" data-id=\"fce18f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"940\" height=\"627\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/09\/ovulation-pain-mittelschmerz-endometriosis-1024x683.jpg\" class=\"attachment-large size-large wp-image-12099\" alt=\"Medical illustration of ovulation and endometriosis showing an egg cell in the fallopian tube and a woman experiencing pelvic pain.\" srcset=\"https:\/\/nygse.com\/wp-content\/uploads\/2026\/09\/ovulation-pain-mittelschmerz-endometriosis-1024x683.jpg 1024w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/09\/ovulation-pain-mittelschmerz-endometriosis-300x200.jpg 300w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/09\/ovulation-pain-mittelschmerz-endometriosis-768x512.jpg 768w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/09\/ovulation-pain-mittelschmerz-endometriosis-18x12.jpg 18w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/09\/ovulation-pain-mittelschmerz-endometriosis-480x320.jpg 480w, https:\/\/nygse.com\/wp-content\/uploads\/2026\/09\/ovulation-pain-mittelschmerz-endometriosis.jpg 1536w\" sizes=\"(max-width: 940px) 100vw, 940px\" title=\"Ovulation Pain and Endometriosis\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-00b5f7f elementor-widget elementor-widget-text-editor\" data-id=\"00b5f7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Medical illustration showing ovulation (when the ovary releases an egg cell) on the left side and endometriosis on the right side.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34c5c0a elementor-widget elementor-widget-heading\" data-id=\"34c5c0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What Does Ovulation Pain Feel Like?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f01c378 elementor-widget elementor-widget-text-editor\" data-id=\"f01c378\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Ovulation pain typically occurs around the middle of the menstrual cycle and is often felt on one side of the lower abdomen or pelvis.<\/p><p>The discomfort may be mild, but some people experience more noticeable pain.<\/p><p>Research using ultrasound has demonstrated small amounts of free pelvic fluid around ovulation in otherwise healthy women. In one study, free fluid was detected in 40% of observed cycles and in two-thirds of cycles associated with mid-cycle pain, supporting the relationship between normal ovulation and mittelschmerz. <a href=\"#references\"><sup>[3]<\/sup><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0950e61 elementor-widget elementor-widget-heading\" data-id=\"0950e61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Why Can Ovulation Cause Pain?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7145404 elementor-widget elementor-widget-text-editor\" data-id=\"7145404\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>During each ovulatory cycle, a follicle develops within an ovary before releasing an egg.<\/p><p>Normal physiological changes occur in the ovary during this process. Ultrasound studies have demonstrated changes involving the developing follicle, corpus luteum, and small amounts of pelvic fluid around the time of ovulation. <a href=\"#references\"><sup>[3]<\/sup><\/a><\/p><p>This means that experiencing some discomfort around ovulation does <strong>not automatically indicate endometriosis or another pelvic disorder.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b94c45e elementor-widget elementor-widget-heading\" data-id=\"b94c45e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Can Endometriosis Cause Pain Around Ovulation?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eff36f4 elementor-widget elementor-widget-text-editor\" data-id=\"eff36f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Yes, pain associated with endometriosis does not necessarily occur only during menstruation.<\/p><p>Endometriosis-associated pelvic pain can have several patterns. A review of pain in endometriosis specifically describes <strong>dysmenorrhea and ovulatory pain as symptoms associated with cyclical changes<\/strong>, while other patients may experience chronic non-cyclical pelvic pain, deep pain during intercourse, painful bowel movements, or urinary pain. <a href=\"#references\"><sup>[4]<\/sup><\/a><\/p><p>Endometriosis is also an important pathological cause to consider in patients experiencing chronic cyclical pelvic pain. <a href=\"#references\"><sup>[5]<\/sup><\/a><\/p><p>However, <strong>ovulation pain alone does not mean that someone has endometriosis<\/strong>. The timing of pain is only one part of the overall clinical picture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-524637e elementor-widget elementor-widget-heading\" data-id=\"524637e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ovulation Pain vs. Endometriosis Pain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9c443eb elementor-widget elementor-widget-text-editor\" data-id=\"9c443eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Typical mittelschmerz occurs around ovulation and can happen in people without endometriosis. Endometriosis-related pain may follow a more complex or persistent pattern.<\/p><p>Further evaluation may be appropriate when mid-cycle pain is accompanied by symptoms such as:<\/p><ul><li><a href=\"https:\/\/nygse.com\/departments\/pelvic-endometriosis\/\">Severe or progressively worsening pelvic pain<\/a><\/li><li>Very painful periods<\/li><li>Pelvic pain at other times of the cycle<\/li><li>Pain during or after sex<\/li><li><a href=\"https:\/\/nygse.com\/departments\/bowel-endometriosis\/\">Painful bowel movements<\/a><\/li><li><a href=\"https:\/\/nygse.com\/departments\/bladder-endometriosis\/\">Urinary symptoms associated with the menstrual cycle<\/a><\/li><li>Difficulty becoming pregnant<\/li><\/ul><p>ESHRE recommends that clinicians consider endometriosis in patients with cyclical and non-cyclical signs and symptoms including dysmenorrhea, deep dyspareunia, dysuria, dyschezia, fatigue, and infertility. <a href=\"#references\"><sup>[1]<\/sup><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d37e14e elementor-widget elementor-widget-heading\" data-id=\"d37e14e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When Should Ovulation Pain Be Evaluated?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83b0878 elementor-widget elementor-widget-text-editor\" data-id=\"83b0878\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Occasional mild mid-cycle discomfort may represent normal mittelschmerz.<\/p><p>Recurring, severe, persistent, or worsening pain deserves more attention, particularly when it interferes with daily activities or occurs alongside other symptoms associated with endometriosis.<\/p><p>Importantly, pelvic pain has many possible causes. Endometriosis is one important consideration, but other gynecologic and non-gynecologic conditions can also produce cyclical or chronic pelvic pain. <a href=\"#references\"><sup>[5]<\/sup><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b10ac51 elementor-widget elementor-widget-heading\" data-id=\"b10ac51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Understanding the Pattern of Your Pelvic Pain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9fa4ba elementor-widget elementor-widget-text-editor\" data-id=\"f9fa4ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pain around ovulation can occur as part of a normal menstrual cycle. But when mid-cycle pain becomes severe, persistent, or repeatedly occurs alongside other symptoms, it may be worth investigating whether endometriosis or another condition is contributing to the pain.<\/p><p>At <a href=\"https:\/\/nygse.com\/\"><strong>New York Gynecology Surgery &amp; Endometriosis (NYGSE)<\/strong><\/a>, Dr. Pankaj Singhal and Dr. Elizabeth McLean evaluate pelvic pain in the context of each patient&#8217;s symptoms, medical history, imaging findings, and individual treatment goals.<\/p><p>If recurring ovulation pain is affecting your daily life or occurs alongside other symptoms of endometriosis, an evaluation with an <strong>NYGSE <a href=\"https:\/\/nygse.com\/meet-the-team\/\">endometriosis specialist<\/a><\/strong> can help determine an appropriate next step.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7f40a6e9 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class=\"button_size_elementor_custom alignment_block border_icon_none hover_none btn_icon_position_left\" href=\"\/contact\/\">\r\n\t\t\t\t<span class=\"gt3_module_button__container\">\r\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"gt3_module_button__cover front\"><span class=\"elementor_gt3_btn_text\">CONTACT US<\/span><\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t<\/a>\r\n\t<\/div>\r\n\r\n<script type=\"application\/json\" id=\"settings--1bfba326\">[]<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-4473fc42\" data-id=\"4473fc42\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f360750 elementor-widget elementor-widget-image\" data-id=\"2f360750\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/nygse.com\/wp-content\/uploads\/elementor\/thumbs\/icon-31-rdd68obr4igz20jqvuoqi3gy9h8jee0vs0vdqtlg0i.png\" title=\"icon-31\" alt=\"icon-31\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-6f62456f\" data-id=\"6f62456f\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element-custom_line_height elementor-element-custom_font_family elementor-element-custom_font_weight elementor-element-custom_color elementor-element elementor-element-2190b5aa elementor-widget elementor-widget-text-editor\" data-id=\"2190b5aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>CALL FOR AN APPOINTMENT<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element-custom_line_height elementor-element-custom_font_weight elementor-element elementor-element-1f906024 elementor-widget elementor-widget-text-editor\" data-id=\"1f906024\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #31609f;\"><a href=\"tel:631-533-9733\" style=\"color: #31609f;\">+631 533 9733<\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-13c248e e-flex e-con-boxed e-con e-parent\" data-id=\"13c248e\" data-element_type=\"container\" data-e-type=\"container\" id=\"references\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3820ae43 elementor-widget elementor-widget-heading\" data-id=\"3820ae43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">References<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element-custom_font_size elementor-element elementor-element-4bfed5d8 elementor-widget elementor-widget-text-editor\" data-id=\"4bfed5d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ol><li>Becker, C. M., Bokor, A., Heikinheimo, O., Horne, A., Jansen, F., Kiesel, L., King, K., Kvaskoff, M., Nap, A., Petersen, K., Saridogan, E., Tomassetti, C., van Hanegem, N., Vulliemoz, N., &amp; Vermeulen, N. (2022). ESHRE guideline: Endometriosis. <em>Human Reproduction Open, 2022<\/em>(2), hoac009. <a href=\"https:\/\/doi.org\/10.1093\/hropen\/hoac009\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">https:\/\/doi.org\/10.1093\/hropen\/hoac009<\/a><\/li><\/ol><p>2. Brott, N. R., &amp; Le, J. K. (2023). Mittelschmerz. In <em>StatPearls<\/em>. StatPearls Publishing. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31747229\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31747229\/<\/a><\/p><p>3. Hann, L. E., Hall, D. A., Black, E. B., &amp; Ferrucci, J. T., Jr. (1979). Mittelschmerz: Sonographic demonstration. <em>JAMA, 241<\/em>(25), 2731\u20132732. <a href=\"https:\/\/doi.org\/10.1001\/jama.241.25.2731\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1001\/jama.241.25.2731<\/a><\/p><p>4. Howard, F. M. (2003). Chronic pelvic pain. <em>Obstetrics &amp; Gynecology, 101<\/em>(3), 594\u2013611. <a href=\"https:\/\/doi.org\/10.1016\/S0029-7844(02)02723-0\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1016\/S0029-7844(02)02723-0<\/a><\/p><p>5. Won, H. R., &amp; Abbott, J. (2010). Optimal management of chronic cyclical pelvic pain: An evidence-based and pragmatic approach. <em>International Journal of Women&#8217;s Health, 2<\/em>, 263\u2013277. <a href=\"https:\/\/doi.org\/10.2147\/IJWH.S7991\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.2147\/IJWH.S7991<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Ovulation pain is common, but severe or recurring mid-cycle pelvic pain may sometimes overlap with endometriosis. Learn about mittelschmerz, possible causes, and when to seek evaluation.<\/p>","protected":false},"author":12,"featured_media":12099,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[69],"tags":[],"class_list":["post-12090","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endometriosis"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ovulation Pain and Endometriosis | NYGSE<\/title>\n<meta name=\"description\" content=\"Can endometriosis cause ovulation pain? 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