Treatment and causes of ovarian pain

Most of the time, ovarian pain is felt as a stabbing pain on the right or left side of the lower abdomen. Women sometimes say that both of their ovaries hurt at the same time. This type of illness can result from typical changes in a woman’s body, but it can also be a symptom of a disease like endometriosis, cysts, or inflammation of the appendages.

The pain from the ovaries is in the lower abdomen. A woman who is healthy has two ovaries, one on each side of the uterus. The gonad, which is the organ that makes the reproductive cells, is the ovary (ova in women). It responds to hormones and is important for a woman’s menstrual cycle.

Almost every woman has pain in her right or left ovary, or sometimes in both. Most of the time, the ovaries hurt before the period, during menstruation, and when they release an egg (approximately in the middle of the cycle). So, ovarian pain isn’t usually a sign of something serious and doesn’t always mean you need to see a gynecologist.

Pain in the ovary or ovaries right after your period may be more worrying. Then it is harder to explain it with changes in how the body works. If you have more symptoms, like nausea, vomiting, diarrhea, bloating, constipation, fever, dizziness, or urinary symptoms, you should see a doctor (urinary pressure, pain during urination). When these kinds of symptoms come along with ovarian pain, it’s often a sign of a medical problem.

Ovarian pain and endometriosis

Sometimes, ovarian pain has nothing to do with how the body works and is caused by a more serious disease. Endometriosis, in which the lining of the womb (the endometrium) grows outside the uterus, is a common cause. This is one of the main reasons why it’s hard to get pregnant. The main sign of the disease is abnormal bleeding, like heavy, painful periods and bleeding between periods.

Endometriosis is diagnosed by vaginal ultrasound , magnetic resonance imaging, and computed tomography. Laparoscopy is the main method of treatment. Before surgery, painkillers are given to the patient to ease the pain caused by the disease.

Cervical erosion and ovarian discomfort

The cervix may also wear away, which can cause pain in the ovaries. An erosion is when a different kind of epithelium grows in the vagina instead of the normal kind. It is a common condition that affects up to one in four women, according to estimates. Besides ovarian pain, other signs of cervical erosion are:


spotting between menstrual cycles, 

  • discharge, 
  • pain during intercourse and spotting after intercourse , 
  • itching in the genital area.

The treatment of an erosion depends primarily on its size. In many cases, it does not require treatment. Tablets or pessaries are sometimes  used .

Other treatments include:

  • chemical coagulation (lubrication of the lesion with a chemical preparation),
  • burnout of the lesion with a laser or electricity,
  • cryotherapy (freezing). 

Ovarian pain and ovarian cyst

Another cause of pain can be ovarian cysts . In addition to pain, you may also experience: 

  • menstrual cycle disorders, 
  • problems with urination, 
  • pelvic pain, 
  • finger pains, 
  • bleeding not related to menstruation, 
  • bloating, 
  • nausea and vomiting. 

But these symptoms aren’t very specific, so ovarian cysts are usually found during a regular gynecological exam. We still don’t know why the changes happened. Some people believe that untreated inflammatory changes and genetic factors are to blame for the cysts. How ovarian cysts are treated depends mostly on how big and how many there are. Most small sores go away on their own. The ones that are bigger and more numerous need surgery.

Ovarian pain and polycystic ovary syndrome

Polycystic ovary syndrome, or PCOS, is a hormonal disorder in which too many male sex hormones make the ovaries work too much. It is also the most common reason why people can’t have kids. Polycystic ovary syndrome does not cause pain in the ovaries. People with this disease have trouble getting pregnant, have irregular periods, and often have too much hair growth (hirsutism) and acne.


Ovarian pain and acute oophoritis

Another name for this is adnexitis. It is a sickness that mostly affects women who are sexually active. Bacteria in the appendages are what causes the disease. Most of the time, they get there sexually, but they can also get there during menstruation, childbirth, or gynecological procedures. In addition to ovarian pain that gets worse during sexual activity, these other things can happen:

  • fever or subfebrile condition, 
  • high heart rate
  • nausea, 
  • vomiting, 
  • diarrhea. 

The disease is diagnosed on the basis of a gynecological examination. Treatment usually consists of  giving the patient antibiotics . You can also use paracetamol or ibuprofen as an analgesic.

If acute inflammation of the ovaries is not properly treated, it can turn into chronic inflammation of the ovaries, which in turn can result in the formation of a cyst.

Pain in the left ovary, pain in the right ovary—what does it mean?

Ovarian pain can be caused by a variety of conditions, such as constipation, enteritis, ectopic pregnancy, renal colic, changes in the ovary, hernia, pyelonephritis, appendicitis, small and large intestine diseases, renal colic, pyelonephritis, ectopic pregnancy, abscess or hernia. It is important not to confuse physiological ovarian pain with another condition. Pain in the left ovary may indicate constipation, enteritis, ectopic pregnancy, renal colic, changes in the ovary, hernia, pyelonephritis, appendicitis, small and large intestine diseases, renal colic, pyelonephritis, ectopic pregnancy, abscess or hernia.

Pain in the ovaries before period, sore ovaries after period

Ovarian pain can be caused by a variety of conditions, such as constipation, enteritis, ectopic pregnancy, renal colic, changes in the ovary, hernia, pyelonephritis, appendicitis, small and large intestine diseases, renal colic, pyelonephritis, ectopic pregnancy, abscess or hernia. It is important not to confuse physiological ovarian pain with another condition. Pain in the left ovary may indicate constipation, enteritis, ectopic pregnancy, renal colic, changes in the ovary, hernia, pyelonephritis, appendicitis, small and large intestine diseases, renal colic, pyelonephritis, ectopic pregnancy, abscess or hernia.

Ovarian pain and the onset of pregnancy

Pain in the ovaries can happen at any time during pregnancy, but most women notice it right away. Pain in the uterus and light bleeding can happen very early in pregnancy. This shows that the fertilized egg has most likely taken root in the wall of the uterus. This is called a “spotting” for implantation. Pain in the ovaries during pregnancy can also be a sign of something wrong, like an ectopic pregnancy, a cyst, or inflammation of the appendages. Some of these conditions are dangerous for both the pregnant woman and the foetus. If you have abdominal pain, you should see your doctor.

Ovarian pain and cancer

Ovarian pain is a common complaint, but it can sometimes be a sign of something serious, like cancer. Because it is found so late, ovarian cancer is a dangerous type of cancer. It should be noted that at first, there are no signs of it. Only when the tumor grows and puts pressure on the tissues around it does the woman start to feel sick enough to go to the doctor. A lot of the time, ovarian cancer is found by accident during a regular ultrasound.

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Author: DoctorMaryam.org

4th Professional Medical Student. Karachi Medical and Dental College.

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