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Is it normal for Mittelschmerz pain to get worse during the perimenopause years? I am 45 and it seems that for the last year or so that my mid cycle pain is more than it was when I was in my thirties. I never used to take any pain relief but now occasionally I need to take a Naproxen on one of the mid-cycle days due to cramping. In my thirties I would notice it but don`t recall it ever being as painful. Thank you.


Mittleschmerz and menstrual cramping can get worse for some women around the time of menopause.  Such symptoms should be reported to your physician for monitoring and evaluation when indicated.

For more information:

Go to the Menopause health topic, where you can:

Response by:

Margery   Gass, MD Margery Gass, MD
Formely, Professor, Clinical Obstetrics & Gynecology
College of Medicine
University of Cincinnati