It may preceed the onset of period for about a week. The pain is often a dull ache felt equally on both sides of the lower abdomen and back, sometimes extending down the thighs. If everything is normal, then generally analgesics like aspirin ibuprofen, or naproxen are recommended. The most effective medical treatment is to use the birth-control pill. It acts by stopping the ovulation and decreases prostaglandin levels.
Regular exercise can also help minimize pain and cramping.
To find the cause, the doctor may perform a pelvic exam.