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 in 5 women have pain around the time of ovulation. This is called mittelschmerz. The pain may occur just before, during, or after ovulation. This pain can be explained in several ways. Just before the ovulation, the growth of the follicle where the egg develops may stretch the surface of the ovary. This can cause pain. At the time of ovulation, fluid or blood is released from the ruptured egg follicle. This may irritate lining of the abdomen.