Physical examination was unremarkable: there was no palpable adenopathy; breath sounds were clear to auscultation bilaterally in all lung fields; there were no appreciable murmurs, rubs, or gallops; there was no organomegaly or tenderness on abdominal examination; there were no appreciable rashes on examination of the skin; and there were no sensory ...
1 Each follicle contains an immature egg (ovum) but only one follicle usually survives to maturity. It is supposed that ovulation pain is caused by the expanding follicle stretching the membrane of the ovary.  Ruptured follicle - when the egg is mature, it bursts from the follicle. This may cause slight bleeding.
1. Painful Menstruation. One of the most common symptoms of endometriosis is painful menstruation. This pain can start one week before ovulation and continue until one week after the end of menstruation. The pain may be a constant discomfort, or it can cause cramping. The cramping pain may radiate and come in waves.