Diagnosis of mittelschmerz is generally made if a woman is mid-cycle and a pelvic examination shows no abnormalities.
2.
The pain of mittelschmerz is sometimes mistaken for appendicitis and is one of the differential diagnoses for appendicitis in women of child-bearing age.
3.
In some women, ovulation features a characteristic pain called " mittelschmerz " ( German term meaning " middle pain " ).
4.
Rupture of the follicle can result in abdominal pain ( mittelschmerz ) and is to be considered in the differential diagnosis in women of childbearing age.
5.
Furthermore, many females experience secondary fertility signs including Mittelschmerz ( pain associated with ovulation ) and a heightened sense of smell, and can sense the precise moment of ovulation.
6.
Some women experience acute mid-cycle abdominal pain around the time of ovulation ( sometimes referred to by the German term for this phenomenon, " mittelschmerz " ).
7.
Other signs may also be observed : these include breast tenderness and mittelschmerz ( ovulation pains ), urine analysis strips known as ovulation predictor kits ( OPKs ), and microscopic examination of saliva or cervical fluid.
8.
Other obstetrical / gynecological causes of similar abdominal pain in women include pelvic inflammatory disease, ovarian torsion, menarche, dysmenorrhea, endometriosis, and Mittelschmerz ( the passing of an egg in the ovaries approximately two weeks before menstruation ).
9.
The charting of such symptoms & mdash; primarily basal body temperature, Mittelschmerz and cervical position & mdash; is referred to as the sympto-thermal method of fertility awareness, which allow auto-diagnosis by a female of her state of ovulation.
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