Experiencing uterine cramps after ovulation, either continuously until your next menstrual period or several days after ovulation, may be linked to different underlying causes. Two common possibilities include:
1. Incomplete Follicular Maturation or Follicular Persistence
In some cases, ultrasound reports may show the presence of dominant follicles; however, some follicles may not have matured fully or may fail to rupture. When eggs do not reach maturity or are not released, these persistent follicles can lead to the formation of ovarian cysts. This process may trigger pelvic discomfort or cramping after ovulation.
2. Progesterone Insufficiency or Impaired Endometrial Response
After ovulation, progesterone plays a key role in preparing the uterine lining (endometrium) for implantation. Low progesterone levels can cause uterine contractions or cramping due to inadequate support for implantation. In some cases, a woman may have normal progesterone levels, but the endometrium may not respond effectively to the hormone—a condition sometimes referred to as reduced endometrial receptivity.
Why Evaluation is Important
If you experience persistent cramping after ovulation, it is important to consult a qualified healthcare professional. Hormonal evaluation, pelvic ultrasound, and endometrial receptivity assessment may be required to identify the cause. Addressing hormonal imbalance, improving follicular development, and enhancing endometrial receptivity can increase the chances of successful implantation and pregnancy.
