S. Gladin Sudha
Associate Professor, P.S. College of Nursing, Thalakulam, Kanyakumari District, Tamilnadu, India.
*Corresponding Author E-mail: sudhajazzil@gmail.com
ABSTRACT:
Miltelschmerz is one sided lower abdominal pain associated with ovulation. The exact cause is unknown. It can feel like a sharp, or like a dull cramp. It is not dangerous, and is usually mild. It generally lasts a few hours, and for some people can last a few days.
KEYWORDS: mittelschmerz, ovulation, salphingitis, endometriosis.
INTRODUCTION:
Mittelschmerz is a medical term for “ovulation pain” or “mid cycle pain” About 20% of women experience mittelschmerz some every cycle, some intermittently. It occurs midway through a menstrual cycle about 14 days before your next menstrual period. In most cases mittelschmerz doen’t require medical attention.
DEFINITION:
Mittelschmerz is one sided lower abdominal pain associated with ovulation.
CAUSES:
The exact cause is unknown, but possible reason for the pain include there,
· Increased tension of the Graffian follicle just prior to rupture.
· Peritoneal irritation by the follicular fluid following ovulation.
· Contraction of the tubes and uterus.
· Cyst on the ovaries.
OVULATION PAIN AND UNDERLYING MEDICAL PROBLEMS:
Severe and prolonged ovulation pain or other pain felt in the lower abdomen can be symptomatic of various medical conditions including
· Salphingitis
· Pelvic inflammatory disease
· Endometriosis
· Ovarian cyst
· Ectopic pregnancy
· Appendicitis
SYMPTOMS:
· Abdominal tightness
· Abdominal tenderness
· Spotting
· Fever
· Vomiting
· On one side of lower abdomen pain may be sharp and sudden, dull and cramp like pain.
· Mild vaginal bleeding.
· Pain lasts from few hours to 2- 3 days.
DIAGNOSIS:
· Abdominal examination
· Pelvic examination
· USG
· Trans vaginal pelvic ultrasound
· Blood test
· Medical history
· Cervical culture
· Exploratory surgery (Laproscopy or keyhole surgery).
TREATMERNT:
1 Wait it out:
If your symptoms are minor, if they tend disappear quickly. Don’t need do anything to all.
2 Take over the counter pain relievers.
· Ibuprofen
· Naproxen
· Acetaminophen
3 Use heat:
Apply the heating pad to the lower abdomen. The heat works it enhances blood flow to the area of pain, relaxes the muscles and releases cramp.
4. Cold Pack:
Cold compress can help to alleviate pain
5 Consider taking birth control pills.:
6 Watch for symptoms of a more serious problem.:
TIPS OF RELIEVING OVULUATION PAIN:
· Drink plenty of water
· Dehydration can make the cramping pain more intense
· Take warm bath. It help the to relieve pain.
CONCLUSION:
Ovulation pain, sometimes called miltelschmerz, can feel a sharp, or like a dull cramp, and happens on the side of the abdomen. where the ovary is releasing an egg (1-3days). It is not dangerous, and is usually mild. It generally lasts a few hours, and for some people can last a few days.
REFERENCES:
1. Https:/ helloclue.com >cycle –a-z
2. Https:/www.mayoclinic.org
3. Https:/my.clevelandclinic.org >health
4. Abele pillitteri (2003) Maternal and Child health nursing (4th) Lippincott Williams & wilkins (1439-1440).
5. Dc Dutta (2001) Gynaecology (3rd) new central book agency(p) ltd (172)
6. Lowdermilk, Perry, Maternity nursing (6th) Mosby (54)
Received on 18.08.2019 Modified on 11.10.2019
Accepted on 06.12.2019 ©A&V Publications All right reserved
Int. J. of Advances in Nur. Management. 2020; 8(1):103-104.
DOI: 10.5958/2454-2652.2020.00025.6