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Gynaecology & Obstetrics General 75541196

Which of the following is indicated by the term 'mittelschmerz'?

A
Fern pattern of cervical mucus
B
Peritoneal irritation from corpus hemorrhagicum
C
Rise of body temperature due to effect of progesterone
D
LH surge before ovulation
High-Yield Explanation
The follicle that ruptures at the time of ovulation promptly fills with blood, forming what is sometimes called a corpus hemorrhagicum. Minor bleeding from the follicle into the abdominal cavity may cause peritoneal irritation and fleeting lower abdominal pain ("mittelschmerz"). The granulosa and theca cells of the follicle lining promptly begin to proliferate, and the clotted blood is rapidly replaced with yellowish, lipid-rich luteal cells, forming the corpus luteum. Ref: Alford C., Nurudeen S. (2013). Chapter 4. Physiology of Reproduction in Women. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.

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