Menstruation is a natural process. In this process the clinical symptoms that often make some women feel uncomfortable. Clinical symptoms are mittelschmerz.
Mittelschmerz (read: miselmers) (Germany) or middle pain (UK) is a pain that occur during menstruation or in the middle of the menstrual cycle. However, said Dr. Teguh Pramayadi Cepi SpOG, mittelschmerz is not a disease or syndrome, but only a clinical symptom. This phenomenon became known only after the patient went to a gynecologist.
"Usually patients come to the doctor and complained of abdominal pain,"This phenomenon is actually a natural phenomenon. It's just that some women feel less comfortable.
"The meaning of pain at the time of ovulation is still considered normal. That's actually a normal process. Precisely this is good because it shows is fertile. If you want to get the child, can relate to that moment. But back again to the female. Are they going to feel disturbed quality of life or not? In some women it causes discomfort at all, ".How does this pain can arise? To date the emergence of the pain is still investigated. There are two theories used. First, the pain comes because of the syndrome that appears at the time of the follicles to release eggs.
"First when the egg will break, will cause the follicles ready to release the egg. Well, when the follicles get ready for going to explode there is a hormone that causes the exit. And hormonal changes which then cause pain, "Second, when the egg is cracked, broken-fractions against the wall of the uterus. And this is what causes the pain appears.
"Fragments of blood or fluid that comes out along with the egg will stick to the wall of the stomach. And that's painful, "When viewed from this second theory, the pain associated with sensitivity of the uterine wall. That means that not all women will experience mittelschmerz. Only women who are sensitive to the walls of her womb that feel pain.
"Yes, there is sensitivity of the cell wall. And baseball all women experience it. There are sick and there is no pain, yes. One in five women during ovulation, the fertile, can be like that (having mittelschmerz), "Symptoms mittelschmerz is the emergence of pain at the bottom. "From the navel down,"
The pain is similar to the cramps and often barely distinguishable bida. That is why some women often say they experience abdominal cramps.
"The symptoms are usually abdominal cramping feeling, especially at the bottom. Can be on one side, left or right. And the emergence of a sudden, "he continued.
In some cases it also appears other symptoms such as bleeding, mucus, and followed by white.
"Sometimes it may be accompanied by discharge, there is little blood or spots, or too white,"Specific symptom is pain that typically in mid-cycle in one cycle, but repeated in every cycle. And this pain does not last long.
"The distance is approximately the 14th day of the first menstruation. No more than 1 hour. If more that means we have to suspect there are other causes, "Patients who experience mittelschmerz usually go to my gynecologist because it was uncomfortable. To establish the diagnosis, should be completely eliminated differential diagnosis. That is, is really no cause other accompanying pain. This is necessary because some diseases show similar symptoms with mittelschmerz.
"It must be carefully and get rid of diagnosis. What exactly this pain is normal ovulation pain or any other causes? Since some disease symptoms are the same. Could be due to inflammation of the pelvic cavity. Or it could be due to pregnancy outside the womb. Or a myoma or a cyst or disease outside the womb, ie the appendix, "It was not until later doctors performed anamnesis (patient interview). The doctor will ask about pain for diagnosis. And history is very dependent on the patient. Honesty patients to answer questions the doctor will determine the diagnosis. The problem is, patients often forget when asked and cover up what he felt.
"Usually we ask whether the routine is often experienced anything like this or not. Try to note her menstrual cycle. Whether in the mid-cycle or not? If mid, it's called mittelschmerz, "It is also often carried out investigation. The doctor will determine the location of the pain that appears to menegaskanapakah pain in accordance with mittelschmerz symptoms or not? Not only that, the investigation also often performed with ultrasound.
"Examination in addition to history, will be the location of pain. Where next? Can the right or the left. Rarely a position in the middle. We make our investigation as well. We make sure no other causes with ultrasound, "Given mittelschmerz is not a disease, mittelschmerz not require special handling. Usually, patients are encouraged to take analgesic drugs.
"But if the mother already feels uncomfortable, which we love most simple is usually a mild analgesic such as paracetamol. If it comes with it does not help, we love contraceptive drug, but the consequences are not menstruating, "In addition, this pain can also be overcome by compressing the pain. "If the pain at home, it can be without drugs. We stick on the sick. Or when the pain we do not do activity, "
