Swelling of ovarian follicles prior to ovulation: early in your cycle, multiple follicles begin maturing, with one of them eventually becoming dominant.There are several hypotheses for what actually causes ovulation pain / mittelschmerz: The pain is usually mild, but when it is severe, it can sometimes be mistaken for appendicitis.For other women, the pain is sudden, sharp, and lasts for only a moment.For some women, the pain is a dull ache that persists for a few minutes to a few hours.It may alternate sides from cycle to cycle (this alternation happens randomly, because ovulation happens on a random side each cycle). ![]()
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