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You suspect you may have endometriosis or adenomyosis

Why does ovulation pain last for days?

Topic:Symptoms
Affected areas:pelvicabdominalback

Ovulation discomfort is often brief, but when pain lasts for days it can be a sign that something more than the egg release itself is driving the flare. With endometriosis, inflammation and irritated pelvic nerves can stay activated after ovulation, so the pain doesn’t “switch off” right away.


Scar tissue and adhesions can also keep pelvic organs under tension, making everyday movement continue to tug on sensitive areas and prolong soreness. And once pain starts, the pelvic floor muscles may reflexively tighten to guard the area, which can create a persistent tight, achy feeling even after the initial trigger has passed. If multi-day ovulation pain is becoming your pattern, our team can help you sort out the likely causes and next steps—reach out to schedule a consultation.

An illustration of a female sitting down, hunched over in discomfort.

Think You Might Have Endometriosis?

If you suspect endometriosis or adenomyosis may be causing your symptoms, our specialists can provide expert evaluation and guidance on next steps.

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Have a question?

Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420