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Pain in ovaries at the time of ovulation, lasts for few days. On mirena. Causes?

I have had the Mirena in for 3 years. Initially I had no problems with it. After about 18 months I started to feel a bit of pain in my ovary areas around the time of ovulation . It would resolve in a few days until the next month. This pain has progressively gotten worse. It usually just lasts for a few days in a month. It is now so painful that I have to lie down or double over to handle the pain. What could be causing this?
Asked On : Tue, 15 Jan 2013
Answers:  2 Views:  111
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Diseases and Conditions
Dermatologist 's  Response
dont worry.
probably you have mid cycle pain(mittleschmerz pain).
pain occur due to ovulation.its a normal one.
but your severity is slightly in excess.
usually it occurs in young female.
is dull aching,one sided.
sometimes it become severe,yet mangable.
common nsaids(analgesic and antiinflammatory) can be taken for 3/4 days.
hope it will be relived.
you can contact me furthur with your age,sexual history,bleeding history.
best of luck.
dr surajit
Answered: Tue, 15 Jan 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
No one is really sure what causes ovulation pain. A few theories are that the extra fluid, released when the follicle ruptures releasing the egg, causes some irritation, leading to the pain.. Another theory is that the sharp, sudden pain may be caused by the egg itself due to bursting out from the follicle. Spasms of the fallopian tubes or uterus as ovulation approaches may result in this pain.

While ovulation pain is common, severe pain around ovulation should be checked out, especially if you're taking fertility drugs or it can also be a symptom of endometriosis or pelvic inflammatory disease
Severe stomach pain that comes during or just after ovulation, while taking fertility drugs, could be ovarian hyperstimulation syndrome.

I don't think mirena coil is the cause for your ovulation pain.
Do consult your doctor to look for any pathological cause,if any.
Answered: Tue, 15 Jan 2013
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