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Luteal phase intense cramping pain

Posted by W425 @bhoomika, Nov 6, 2022

I have been having debilitating pain around 12-13 days before my periods. It lasts about 8-9 days.. I start having massive digestion issues I feel, like, lots of flatulence, but it feels trapped which causes more pain. Starts with a dull pain mostly on lower right (have got ultrasound done to rule out appendix pain) which turns into major cramping for half and hour or so and then it goes away..sometimes I have to have a medicine or apply heat.
I notice this also happens 45 minutes to an hour or hour and a half after having food or when I’m starting to feel hungry (emptier stomach)…but it happens multiple times during the day and I have woken up several times during the night as well writhing in pain! I have tried birth control pills but each time I stop after the recommended time by doctors, the pain returns.
I have PCOD but no one has been able to confirm anything or give me a proper diagnosis as to why I keep having this painful issue.
It started 6-7 years back and I have gone to several doctors and done alternatives therapies without any relief!
I am not sure how to reduce the pain or what the course of action for something like this should be.
Decided I would try this forum and see if anyone can guide me in the right direction so I could find a solution somehow. Im literally unable to do anything during these painful days.. so I’m basically not functioning for around 100 days in a year!
So Please help!

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Helen, Volunteer Mentor | @naturegirl5 | Dec 20, 2025
In reply to @freyaaya "Hi, I know this thread is a couple of years old but just wanted to say..." + (show)
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Hi, I know this thread is a couple of years old but just wanted to say I’ve searched the internet so long to find out any information that could explain the intense symptoms I get every month. So I’m so grateful to hear your experiences. My pains/cramps start pretty much 2 days after ovulation and radiate around my pelvis and lower back. They wake me up several times in the night and are worse when I’m hungry. I also get a lot of stomach gas and suffer from migraines just after ovulation and just before my period. I’ve noticed my cramps change around 8 days after ovulation - they become duller and more like period pains. Nonetheless, I’m in pain for pretty much two weeks out of every month and it’s depressing.
I have also been trying to conceive, without luck for a long time now. I wonder if my symptoms are preventing me from having a successful pregnancy. Has anyone else managed to conceive with such pains? And, if so, did you have the same pains in your successful cycle?

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@freyaaya Welcome to Mayo Clinic Connect. While this thread has posts from a few years ago there are recent posts so hopefully you will get some informative and supportive responses to your post and queries.

I'm menopausal and so while I do recall lower back pain a few days before my period started and discomfort around ovulation I wonder now if the depressive episodes I experienced were around these times. No one much talked about this in the 1970's and 1980's. I do know a few women who are in their 30's and experience much the same as you especially with changes in their mood.

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