Last updated on Feb 17th, 2021 at 03:31 pm

Chances are you paid close attention to your cycle when you were trying to fall pregnant, so ovulation pain (known among members of the medical fraternity as mittelschmerz) was a signal that it was a good time of the month to start trying (or keep at it). But, if you’ve already had your kids, you probably don’t think about it much − especially if you’re using hormonal contraception.

Here’s why you actually need to take note (and possibly schedule a gynae appointment).


Although endometriosis is often a silent condition with silent symptoms, it can also be accompanied by ovulation pain, dizziness, constipation, headaches and painful sex. It’s of particular concern if you’re trying to fall pregnant.


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Ovarian cysts

In this case, the pain occurs because the cysts may burst during ovulation (ouch!). It’s especially prevalent if you suffer from polycystic ovarian syndrome (PCOS), which is definitely something you want to have checked out. Happily, a change in diet often proves highly effective in managing PCOS – you can start by cutting down on sugar.

ALSO SEE: The facts about Polycystic Ovarian Syndrome

Sexually transmitted diseases

It’s not something we want to think about, but STDs (especially chlamydia) can lead to inflammation. In fact, pelvic inflammatory disease is often caused by inflammation of the fallopian tubes and scarring − a fallout from chlamydia.

ALSO SEE: STDs and your pregnancy – what to expect

Surgery aftermath

If you’ve had surgery like an appendectomy or a C-section, ask your doctor to look out for scar tissue and adhesions. This can be extremely painful, because the ovaries will be restricted during ovulation if they stick to another organ, such as the bowel.

ALSO SEE: Caring for your C-section scar


Again, you’re most likely to be affected by bacteria if you have undergone a medical procedure like a C-section or natural labour. Transfer of bacteria into the pelvic cavity isn’t difficult and catheters are notorious culprits. The result is Inflammation and infection, ultimately leading to pain during ovulation.

It’s important to note that many of these conditions may affect your fertility going forward, making it difficult to conceive more children even if you found it easy to fall pregnant the first time.