Cramping Pain During or After Ovulation?

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Philip Druce

By Philip Druce, Founder of Ovulation Calculator

When you are trying to conceive, every ache and pain is put under the microscope. Could it mean you are pregnant? Is something wrong?

In reality, many of the feelings you will have during your cycle are completely natural and they were probably even present long before you were trying to conceive - they are just much more noticeable now.

But what about cramping 1 day after ovulation, or even 2, 3, 4, 5, 6, 7 days after ovulation? Is that a normal part of your cycle or an indication of pregnancy?

We asked 9,670 women if they experienced any pain during or after ovulation that felt like cramping and 50% said yes. See the survey results below.

Cramping pain survey

There are over 3 million cases of ovulation pain each year in the US.

If you are trying to conceive, it's important to get the timing right. Luckily that's what Ovulation Calculator does. Learn when you ovulate by clicking here.

Ovulation and Mittelschmerz

Cramping pain during ovulation affects about 20% of women. Some women experience very painful ovulation.

Here's what happens. The follicle (capsule containing the egg) is surrounded by follicular fluid in the ovary. When you ovulate, the egg, fluid and some blood are released from the follicle and ovary.

Causes of ovulation pain

There are a few theories as to what causes this pain;

Ovulation pain cause by theories

The pain is referred to as mittelschmerz, which comes from the German words for "middle" and "pain." As this phenomenon describes a pain that occurs in the middle of the cycle, the name makes perfect sense. Contrary to popular belief, the presence of mittelschmerz in a cycle does not indicate pregnancy. It simply indicates ovulation.

However, there is one important distinction. Mittelschmerz occurs during ovulation. This is normally about 15 days before your next period, depending on your cycle and luteal phase length. If you are tracking your cycle closely, have never experienced pain or cramping during ovulation, and are certain that your cramping occurred after ovulation, it may be an indication that you are pregnant (more on this below).

Mittelschmerz affects 1 in 5 women and is most common between the age of 14 and 40.

Mittelschmerz age affects

We've made a list of 20 ways to increase your fertility - make sure you read #18

Ovulation pain symptoms

A pain on one side of your lower abdomen and pelvic area that occurs about 15 days before your next period is due.

Cramping pain symptoms

The pain can be described as a sharp and sudden abdominal pain or a dull and cramping like pain. In some cases the pain can be severe, but it is usually mild. Most women experience the pain for a short period of time (a few minutes to a few hours), but for some women the pain can last days (two to three days).

Scientists, researchers and doctors cannot explain why some women experience this pain and others don't. It could simply boil down to genetics.

The pain can be agonizing for some women and can be confused for appendicitis. This pain will only stop occurring at menopause.


Treatment is not normally needed as the pain is not harmful. However, for severe cases of ovulation pain, it's recommended women take pain relievers that you can get over-the-counter.

Cramping pain treatment

Cramping AFTER ovulation

Most women ovulate about 14 to 16 days before the start of their period. If you are closely monitoring your cycle and the signs of ovulation, you should know when you are ovulating.

Cramping pain after ovulation

If you experience cramping after ovulation, it is possible that you are feeling the effects of implantation. About 20% of pregnant women report that they feel cramping after ovulation. This is a very positive sign that you may be pregnant, but please understand that not all women experience cramping at implantation. So if you do not feel cramps after ovulation, you could still be pregnant. Take the Implantation Bleeding or Period Quiz.

Other causes of cramping after ovulation

Pregnancy is the most common reason why women experience cramps after ovulating, but that uncomfortable feeling could be due to other things. A menstrual period causes cramps in most women, and although you are not likely to get your period so close to ovulation, it is possible. If you are cramping from your period, though, you should see normal period symptoms follow soon after the uncomfortable feeling sets in.

Endometriosis is another possible yet uncommon cause of cramping that could occur after ovulation. So, if you are experiencing cramping after ovulation and it is not a pregnancy or your menstrual period, you may want to schedule a visit to your gynecologist. Endometriosis can be a painful condition that may interfere with your ability to conceive, so it is important to involve your doctor early on if you think this may be a problem.

Other ovulation symptoms

Cramping pain is just one of 12 ovulation signs.

Knowing when you ovulate will greatly increase your chances of pregnancy
Got a question or a comment? Post your comment below.

New Join the Discussion!

  1. Zabb Feb 17, 2017
    Jane, I had no spotting during my cramps. Never had with my first baby. Only cramps.
  2. Zabb Feb 18, 2017
    I had spottting this morning and it was very bright red. Just a drop, then it's gone. I don't know whats going. My period is due on the 22nd. Anybody experince the same?
  3. Ash Feb 21, 2017
    My last period was February 7 to the 13th and I had unprotected sex on the 18th. The day after that, I've been cramping and feeling sick to my stomach and nauseous. Do you think I could be pregnant??
  4. Carmen Feb 22, 2017
    My last period was January 29th. My fertile window was from the 16th -21st. We had sex on the 19th into the 20th. I cramped all morning yesterday and then it stopped. Nothing now. How likely could it be that I will conceive or have?
  5. Frances Feb 22, 2017
    Very nice. It has really help me to know more about my ovulation.

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