Mittelschmerz and Dysmenorrhea

Physiologic conditions that are diagnoses of exclusion

  • Pelvic exam is normal
  • Urine Pregnancy Test is Negative

Mittelschmerz occurs midcycle, lasts several hours to 2 days

Dysmenorrhea occurs at onset menses, or just prior

  • BEWARE — Don’t confuse “menses” with Ruptured Ectopic or Threatened Abortion
  • If menstrual pain not a usual symptom for pt., get Urine Pregnancy Test