Comment Reply

If your mid-cycle pain is from ovulation (mid-cycle is the time you would ovulate), having your tubes tied would not prevent any pain, as tubal ligation does not prevent ovulation. Miscortes mentioned other possible causes, including endometriosis or adhesions.

Pelvic pain is not uncommon, and the ACOG's Pelvic Pain online brochure outlines possible causes, including something called "mittelschmerz" (German for "middle pain"). "All causes of pain should prompt a visit to your doctor. Your medical history will be taken and you will have a physical exam. Some tests also may be done to find the cause. Your doctor may then be able to suggest treatment."

This brochure recommends that you keep a Pain Journal, so that you can provide your doctor with specific descriptions of your symptoms:

"In your pain journal, note when you feel pain:
* Time of day
* At certain times of your menstrual cycle
* Before, during, or after:
o Eating
o Urination
o Bowel movement
o Sex
o Physical activity
o Sleep

Describe the pain and note how long it lasts:
* Is it a sharp stab or a dull ache?
* Does it come in waves or is it steady?
* How long does it last?
* How intense is it?
* Does it always occur in the same place(s)?
* Is it mostly in one place or over a broad area?
* What makes it better or worse? "

ACOG= American College of Obstetricians and Gynecologists