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Post by mom2jnl on Mar 5, 2011 15:19:46 GMT -5
Hi, ladies! I am still learning about endometriosis. I am still not sure if I have it yet. My lap is scheduled for Tuesday morning, so I will know then.
Anyways, my pain starts around ovulation and lasts through my period. Why does it hurt during ovulation? I know during your period, you bleed where the endo is, too. But why is there pain during ovulation? Does that mean it is likely on my ovaries if I have endo? Thanks for the help.
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Post by ouchy2 on Mar 5, 2011 21:20:09 GMT -5
Many women, even those without endo, experience this. It can be from the egg/cyst growing to a pinch when the egg/cyst ruptures (ovulation). In some women, especially those w PCOS, sometimes painful ovulation is exceedingly painful. Pain during ovulation is termed "mittelschmerz." (Spelling?)
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Post by Karen on Mar 6, 2011 9:36:28 GMT -5
I used to have that, too. My pain would start around ovulation and just get worse and worse until my period. My theory is that it is a hormone imbalance. From ovulation until your period is when progesterone is the dominant hormone. Women with endo typically have an excess of estrogen, or they don'y have enough progesterone to balance out the estrogen they have, which could account for that pain when progesterone is supposed to be dominant. I don't know if I'm explaining that well. Anyway, point is, once I started supplementing with bio-identical progesterone, that pain between ovulation & period went away. Hope that helps a bit, and let me know if I should clarify! I just woke up and am a bit fuzzy...
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Post by chicagogal2 on Mar 6, 2011 21:02:54 GMT -5
I had 2 days of ovulation pain and then it went away - I'm going to start tracking this as well and see if it happens again.
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Post by ouchy2 on Mar 6, 2011 21:20:54 GMT -5
You can chart your basal body temperature first thing upon waking in the morning and see if the pain matches up to right before and the day of ovulation. It's really pretty cool to see!
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Post by chicagogal2 on Mar 6, 2011 21:52:44 GMT -5
Good idea. My period is starting today, I have spotting but so far no flow - should I start temping tomorrow morning? I need to do this before I even get out of bed right?
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Post by Karen on Mar 6, 2011 22:20:28 GMT -5
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Post by mom2jnl on Mar 6, 2011 22:33:43 GMT -5
@anastasiabeaverhausen - Thanks! I know this isn't "normal" ovulation pain. It has only been happening the last 3 months. Hopefully, it will go away after surgery. I love charting! It helps me know what is up with my body! karen - Thank you for your input! That does make sense. @chicagogal2 - You do need to temp before getting out of bed. It would be fine to start now. www.fertilityfriend.com is great for charting!
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Post by omaklackey on Mar 6, 2011 23:20:48 GMT -5
Hi, I had this pain too, It turned out mine was caused by cysts in, on and around my ovaries. They couldn't always be seen on ultrasound although one doctor was pretty convinced they were there! (turns out he was right) They liked to take turns hurting and I ended up in the docs office twice and once in the ER. Both of those times they were visable on ultrasound so it was a good visit with a physical reason for pain (which can be a blessing when you are looking for answers) Good luck on your surgery though!!
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Post by mom2jnl on Mar 7, 2011 11:17:17 GMT -5
omaklackey - Thanks! I do get cysts sometimes. A ruptured cyst is actually what took me to the doctor first. I have been having other symptoms of endo and when the "ruptured cyst pain" didn't go away, we realized it wasn't all the ruptured cyst and started suspecting endo. Guess I will find out in the morning!
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Post by italialynn on Mar 7, 2011 11:21:00 GMT -5
A lot of times, ovulation will hurt because a good number of us with endo have adhesions or scar tissue on our ovaries...when follicules grow, they're stretching that tissue (which sometimes will have nerves) and cause pain and cramping. A good number of us too will develop Corpus Luteum "cyst" that don't rupture that can lead to a good amount of pain.
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Post by ouchy2 on Mar 7, 2011 13:38:36 GMT -5
You can get a clue if corpus luteum cyst is part of the problem if the luteal phase is longer than 16-days (excluding pregnancy, of course). Charting is so awesome! The books say it's rare, but I've had 2 (confirmed w/ ultrasound and hormone workup) in the past 6-yrs of charting.
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Post by JC on Mar 7, 2011 14:23:58 GMT -5
When I had my lap my doc found a corpus luteum cyst. At the time I was like WTF?? But my very very first symptom of endo was ovulation pain. My ovulation pain was far worse than my period pain which was a mystery to most people. But I guess the corpus luteum cyst explains that one!
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Post by mom2jnl on Mar 7, 2011 14:42:09 GMT -5
I don't know. I had an ultrasound when I was having this pain (though not this severe at the time) last month and there was not a cyst. Guess we'll see.
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Post by ouchy2 on Mar 7, 2011 14:52:45 GMT -5
It's also compltely normal to have a corpus luteum cyst every month. That's the cyst that is visible after ovulation. It forms after ovulation, secretes the progesterone, then breaks down if you're not pregnant. When it doesn't break down and you're not pregnant, that's when it causes problems.
You can also have excruciatingly painful ovulation and not have endometriosis. Or you can have both painful ovulation and endometriosis. Or like italialynn said, scar tissue, etc. can play a part in the pain.
Our bodies are just so complex, it's hard to say what's what all the time. Everythign is so scrunched down there, and referred pain can also play a part. Like I thought my insane pain was my ovary encapsulated in endo. Wound up actually beign my appendix trapped in endo and scar tissue and pulling on other parts of my intestine. Ovary was clear.
You just never know other than it hurts. Sometimes, exceedlingly badly!
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