Endometriosis and pain during ovulation

One of the most frequently reported symptoms endometriosis There's pain. Although it's most intense during menstruation, it can also occur during other phases of the cycle, including ovulation. Many women experience some discomfort during this time, but in the case of endometriosis, it can be significantly more severe. In this article, I'll try to explain the pain associated with ovulation. 

Is pain during ovulation normal?

Ovulation, commonly known as ovulation, is a physiological process that involves the release of a mature egg from the ovary. It could be said that this is the culmination of the entire menstrual cycle, as this is when the chances of conception are highest. Ovulation occurs approximately halfway through the menstrual cycle. In the case of "textbook" 28-day cycles, egg release occurs on day 14. Of course, this can vary slightly for each woman. If your cycles are longer, shorter, or irregular, day 14 is not a perfect indicator. 

The occurrence of ovulation can be initially assessed based on changes occurring in the body. symptoms Ovulation symptoms include changes in the cervical mucus, which becomes clearer, more stretchy, and more egg-like. There's also a slight increase in body temperature, about 0,5 degrees Celsius. Many women also report an increase in libido during this time. 

Ovulation can also cause lower abdominal discomfort and, in some cases, pain. Ovulation pain is directly related to the rupture of the Graafian follicle in the ovary. It is most often felt on one side, in the lower abdomen. It generally lasts only a few minutes, does not negatively impact daily functioning, resolves spontaneously, and requires no further action. However, in some women, ovulation pain can persist for up to two days and can be very bothersome. While mild discomfort during ovulation is not cause for concern, pain should always be discussed with a doctor.

Pain during ovulation as a symptom of endometriosis

Women with endometriosis may experience more pain during ovulation. This is due, in part, to hormonal changes and fluctuating progesterone and estrogen levels, which can impact endometrial lesions, inflammation, and, consequently, pain. Furthermore, the chronic inflammation associated with endometriosis can damage nerve endings and make them more sensitive. Therefore, ovulation pain can be more noticeable. 

Remember that the menstrual cycle is associated with very dynamic changes that we as women go through every month. But pain is never normal. Whether you have already been diagnosed with endometriosis or are currently undergoing treatment, diagnostics, don't be fooled by statements that "it's your beauty" and that "it will pass after pregnancy”, or that “sometimes it has to hurt.” 

What can you do if you experience ovulation pain due to endometriosis? In fact, the basis is leczenie the underlying disease through changes in diet, lifestyle, supplementation, and pharmacotherapy, if you choose it. Pain during ovulation is a symptom of the disease, so treatment focuses on reducing inflammation and slowing the progression of the disease. We wrote about how you can cope with endometriosis in the following articles, which I cordially invite you to read:

• "Herbs for endometriosis – recommended species, properties and uses"
• "N-acetylcysteine ​​(NAC) – supportive action in endometriosis"
• Endometriosis Drug – Current Information 2025 
• What medications should I take for endometriosis?  
• Biohacking as a lifestyle for endometriosis 

Summary

Ovulation can be associated with brief, mild discomfort in the lower abdomen, but pain should never be ignored. If you experience ovulation pain regularly, consult your doctor, whether you have endometriosis or are just trying to figure out the cause of your symptoms. 

Źródła:

1. Ovulation pain, https://www.nhs.uk/symptoms/ovulation-pain/ [accessed: 17/09/2025]
2. Endometriosis Pain During Ovulation: Symptoms, Causes and Treatment, https://www.nawcare.com/blog/endometriosis-pain-during-ovulation [accessed: 17/09/2025]
3. Maddern J. Pain in Endometriosis, https://pmc.ncbi.nlm.nih.gov/articles/PMC7573391/ [accessed: 17/09/2025]