Pain in the left ovary treatment. Causes of pain in the ovaries and characteristic features of various diseases of the pelvic organs

Quite often, women complain that their ovaries hurt. Concern about discomfort in the lower abdomen is fully justified. After all, it indicates possible disorders in the pelvic organs, inflammation, cancer or cysts. There can be many reasons. It is possible to find out why the ovaries hurt and what kind of health threat exists only after a comprehensive examination.

Feeling pain in the lower abdomen, a woman often doubts whether the ovaries or some other organ (for example, appendicitis) hurt. How to understand that the ovary hurts? Unfortunately, it is quite difficult to independently determine the cause of discomfort. Many diseases of the pelvic organs are localized in the lower abdomen and can be given to the lower back, leg or thigh. Therefore, without consulting a doctor, it is strictly forbidden to take any medication.
Where do the ovaries hurt? If the gynecologist confirmed that the discomfort is really caused by the appendages, then most often the pain appears in the lower abdomen, it has an aching, pulling or stabbing character. Sometimes it gives to the leg, lower back or the entire back. It often happens that . This is due to the fact that it was in the right appendage that ovulation occurred, a cyst appeared, or some other disease arose.

Causes of pain in the ovaries associated with the phases of the menstrual cycle

Throughout the entire menstrual cycle, a woman's reproductive organs and hormone levels change. So the ovaries are constantly undergoing changes.

During ovulation

Some women do not feel signs of ovulation. Others, on the contrary, say that the pain in the ovarian region during this period acquires a stabbing, pulling character. Short-term discomfort does not pose a threat to the body and does not require any treatment. This is due to the rupture of the follicle, which releases a mature egg for conception. It can also inject due to exacerbation of inflammatory processes of the pelvic organs (,). At the same time, after training, stress, lifting weights, unusual discharge is observed.
To reduce pain and relieve discomfort in the lower abdomen, a woman is recommended to take analgesics (Spazmalgon, No-Shpa). If, after taking the painkiller, the ovaries still hurt, then the reason is not ovulation. The patient needs to consult a doctor, be examined, and begin appropriate treatment.

Remember! Every woman experiences ovarian pain differently. It all depends on age, chronic diseases, pain threshold and other individual characteristics of the body. However, if for a long time it shoots in one of the appendages, while nausea or fever is observed, the woman urgently needs to see a doctor! Such symptoms can speak of both a cyst and ovarian torsion.

During menstruation

It is considered normal if the pain in the ovaries appears a few days before the onset of menstruation, and becomes stronger during it. On the first day, women feel slight nausea, dizziness. The nature of the pain is twisting, stabbing, aching. There are cases when, by the end of menstruation, a woman vomits. This is a rather rare symptom of menstruation, therefore, if such a “side effect” has not been observed before, a gynecological examination and ultrasound diagnostics should be performed.

Weight lifting, overwork, psycho-emotional disorders, constant stressful situations lead to an increase in pain and aggravation of the general well-being of a woman. What can be done in this situation and how to reduce the pain? No treatment for painful periods is required. It is enough for a woman to take an anesthetic (for example, Tamipul) or apply a warm heating pad to the lower abdomen. Well removes herbal infusions and decoctions. If it is summer at this time, you can collect fresh leaves of a pine forest uterus, a red brush, chamomile flowers, or simply purchase ready-made herbal preparations at a pharmacy.

During menopause

Menopause is accompanied by a series of hormonal changes in the body due to the lack of blood flow. She appears individually. Menopause occurs at the age of 45-50 years. The onset of menopause can provoke soreness of the ovaries, but such pain does not last long.
During this period, a woman is more susceptible to infections and viruses. If the discomfort in the lower abdomen does not go away for a long time, painkillers do not help, and the pain only grows and intensifies, you need to urgently contact a gynecologist.

There are such causes of pain in the ovaries after menopause:

  • inflammation;
  • cyst;
  • malignant.

Pain in the ovaries is accompanied by a change in the vaginal tissue, frequent urination, sweating, impaired defecation, and fever. Therapy depends on the nature of the complaints and the identified cause of discomfort.

Causes of pain that require treatment

As mentioned earlier, if the pain in the ovaries lasts more than two or three days, while there is a discharge of an uncharacteristic color and smell, this indicates a disease of the pelvic organs. Most often it is inflammation, cystic neoplasm, cancer, miscarriage or ectopic pregnancy. Let's take a closer look at each reason.

Inflammation of the ovaries

Inflammation can be accompanied by severe pain in the lower abdomen and fever. It happens unilateral (affects one appendage) and bilateral (occurs on two ovaries at once). In acute inflammation, the following symptoms appear:

  • sudden severe pain in the ovarian region;
  • fever;
  • chills;
  • purulent vaginal discharge;
  • cramps in the abdomen;
  • constipation;
  • nausea.

Due to lack of treatment, and as a result of scarring, symptoms may persist for many years, even after healing. If it sharply pricks in the lower abdomen, then the ovary is inflamed. The occurrence of infection of the appendage is affected by:

  • frequent change of sexual partners;
  • vaginal contraceptives (spiral);
  • smoking;
  • regular vaginal douching;
  • curettage, abortion.

Pelvic inflammatory disease is treated with oral antibiotics and vaginal suppositories. Therapy depends on the nature and severity of the pathology. If the ovaries are very sore, the signs are pronounced, up to loss of consciousness, hospitalization and intravenous antibiotics are required.

Cystic mass on the ovary

Cyst

Formed in a woman who has reached puberty. The symptoms of a cyst depend on its size. Small formations of only a few centimeters usually do not cause discomfort. Mostly they are accidentally discovered, and further growth is observed without the use of any medication. Cysts larger than 2 cm are manifested by impaired urination. Sometimes a girl may feel a pulling pain (spasm) in the lower abdomen. Formations larger than 5 cm begin to put pressure on neighboring organs, causing tingling in the ovary or cutting pain. A sudden worsening of the symptoms that accompanies bleeding indicates complications, such as twisting of the fallopian tubes, rupture of the formation.

What to do if the ovaries hurt with a cyst? Treatment methods depend on the size and type of cyst ( , ), clinical signs, and the age of the patient. If extremely large ovarian cysts are found, hormonal agents or surgery are prescribed. In the event that, after hormone treatment, the appendages continue to hurt, and the formation increases in size, doctors decide on an urgent operation (, laparotomy). Such a measure is mandatory in order to prevent malignant degeneration of the cyst. Analgesics or folk remedies will help temporarily relieve pain. You can find out the TOP 10 alternative methods of treatment for ovarian cysts.

Crayfish

A common malignant neoplasm that affects the female body, regardless of age. It can be unilateral or bilateral. What causes cancer and severe pain in the ovarian region, what are the risk factors? Women over 30 years of age are more susceptible to the occurrence of pathology. An important role is played by genetic predisposition and infertility.

Cancer symptoms:

  • change in the duration of menstruation;
  • profuse uterine bleeding with clots;
  • severe pain in the lower abdomen;
  • from the side of infection, the ovary begins to pull or pull;
  • increase in waist circumference, asymmetry of the abdomen;
  • fatigue;
  • bloating;
  • dyspepsia.

Metastases most often occur on both sides. Of these, about 30% reaches the uterus, and 20% to the mammary glands. In addition, if the ovary tingles, and the cancer is already at the last stage, metastases can move into neighboring organs - the stomach, liver, lungs. If the ovary twists, a sharp pain appears that has a shooting character, a feeling of fullness means that the malignant formation has reached the intestines and bladder.

If you already know about the presence of cancer and the ovaries hurt, what should be done and what measures should be taken? Treatment in this case is strictly individual, it can only be prescribed by a specialized oncologist. In case of detection of a malignant formation, the examination should be carried out every year.

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Improper implantation of the embryo causes pain in the ovarian region

Miscarriage or ectopic pregnancy

Can the ovaries hurt after a miscarriage? Spontaneous abortion is a premature termination of pregnancy during the first 20 weeks, when the fetus is not yet able to survive outside the uterus. About 10-15% of women experience pain after a miscarriage. More than 40% of all pregnancies end in spontaneous termination, and most are unaware of the presence of a fetus. After a miscarriage, the pain in the lower abdomen lasts for some time, as the uterus contracts, returning to normal. Brown or red discharge may appear on underwear. If after a miscarriage they last more than two weeks, you should go to the hospital. Why is it necessary to visit a doctor with such prolonged discharge? To detect the source of bleeding and prescribe treatment, the gynecologist conducts a transvaginal ultrasound, in which the device is inserted into the vagina.

After a miscarriage, women often struggle with guilt, blaming themselves for the situation. Depressed mood, hysteria, psychological trauma have a direct impact on the nervous system. Migraines, body aches, poor health appear. Painful symptoms worsen.

An ectopic pregnancy is manifested by improper attachment of the fetal egg. So, the embryo can be placed on the fallopian tube or ovary. As she grows, a woman first develops a pulling, then a sharp pain.

If a woman has, then most likely she has inflammation, a hormonal imbalance, or a corpus luteum cyst.

Thus, pain in the ovary has a different cause of appearance. Sometimes the "culprit" of discomfort in the lower abdomen is ovulation or menstruation. But, unfortunately, very often pain indicates the development of a particular pathology. That is why, if unusual sensations appear, you should definitely consult a doctor.

Remember! Taking painkillers only relieves the pain syndrome, but does not eliminate the cause. Timely examination aimed at treating the origin of pain will help to avoid unwanted complications.

If a girl has a pain in her right ovary, she immediately thinks about what to do with this problem. Sometimes the causes of pain can be hidden in a mild illness. Then you need to be patient, because the pain will pass by itself. But in some cases, the ovary hurts on the right to such an extent that the woman does not have the strength to endure it. In this case, you can take painkillers. But do not forget that the pills will only eliminate the spasm, but will not relieve you of other symptoms.

The female reproductive system has striking differences from the male, not only in appearance. Women are more susceptible to viruses and hypothermia than men. Therefore, we can say that women are more likely to suffer from diseases of the appendages than the male half of the population. Since the possibility of conception depends on these glands, it is dangerous not to pay attention to the pulling and aching sensations in its area.

Note: Women often ask themselves why does the ovary colitis? Pain in the right ovary may be the first symptom of oophoritis. This is an inflammatory process that is formed on the right. It develops due to bacteria, colds, worries, strong physical exertion or weakened immunity. Adnexitis is another answer to the question of women why it hurts in the right ovary. This disease appears in a woman due to candidiasis, mycoplasmosis and chlamydia. Severe pain may radiate to the lower back. If you experience these symptoms, contact your doctor immediately. Delay is fraught with infertility.

If the right ovary hurts, then we can assume the presence of polycystic. Its symptoms are the formation of several cysts on the ovary. In computer diagnostics, this disease looks like a ball of round formations. Each formation is actually a cyst. If we talk about the number of neoplasms, then there can be at least ten of them. This disease cannot be called common, but its outcome is obvious - the onset of infertility.

If you find the symptoms listed above, then you need to be examined with the help of tests and ultrasound. If you decide to conduct a preliminary examination on your own, then you will not be able to get an exact answer after reading the medical literature. Even many doctors find it difficult to give an answer, having a description of the symptoms, since the diseases are similar in signs.

Symptoms of pain

Pain in the right ovary can lead to unpredictable consequences. Therefore, it is very important to identify the cause of its occurrence in the early stages. You should not think that colitis in the right ovary is only in middle-aged women. A stabbing pain can also occur in a girl who has not yet reached puberty. This is due to the inflammatory process that develops due to hypothermia.

Signs of a possible illness include an atypical course of critical days for you. Each woman experiences this period in her own way. Someone has an ache in the lower abdomen, and someone has an ovary. What is the relationship between the menstrual cycle and pain in the right ovary?

When a woman's period ends, a corpus luteum forms in the ovary. It consists of several cells that form progesterone. If this body has not developed sufficiently, then the mucous membrane of the uterus may be partially destroyed. Therefore, during menstruation in women, it can prick in the ovary. Sometimes pain can occur simultaneously in two ovaries. It does not bring serious consequences, but it is recommended to visit a gynecologist so that he gives an accurate answer that the cause of pain is not any disease.

The right ovary can be very painful before the onset of menstruation - two weeks before. Pain is caused by the process of release of the egg from the ovary. It creates a small opening from which blood enters the peritoneal region. It is the blood that causes pain, because it irritates the abdominal area. Unpleasant sensations can be heard in the left, as well as in the right ovaries. You can not worry if this phenomenon lasts no longer than twelve hours. If a woman has a fever and pulls her right ovary for a very long time, consult a doctor immediately. The blood flow can enter the peritoneal area and cause peritonitis.

Important: If a woman experiences discomfort during menstruation, then she may confuse them with pain in the uterus. This is due to the fact that pain in the ovaries during menstruation cannot manifest itself. But if you are sure that you feel pain in the area of ​​​​the ovary, then this is a signal of the presence of a cyst.

In addition, discomfort may occur during or after sex. This may be due to inflammation of the reproductive organs or polycystic disease. You can still identify a number of reasons, among which, cervicitis, vaginismus, dryness in the vagina. Pain after surgery is not uncommon. The body must be rehabilitated after surgery. If the surgical intervention was of a gynecological nature, then pain is a common occurrence, since the ovaries have undergone some trauma. Most of the pain will not last more than a week. But since each organism is unique, you may need more time to recover. If the pain has become unbearable, do not postpone a visit to the doctor.

What to do if a woman's right ovary hurts

Sore ovaries than to treat? Before answering this question, you need to know the reason. In most cases, the gynecologist will be able to make a diagnosis during the examination. This may be a routine examination, ultrasound or testing. But diagnostics by other specialists, for example, by a urologist and a neurologist, is not excluded.

Since there are many reasons that provoke pain in the right ovary, there are several ways to recognize their manifestation.

Computed tomography is an x-ray type of study. With its help, you can study a detailed picture of tissues throughout the body. If a doctor diagnoses ovarian cancer, then using computed tomography, you can determine the boundaries of its spread - for example, to the liver or another organ. In addition, this type of study helps to determine the size of the damage to the kidneys and bladder.

Note: If you decide to take a barium x-ray, it can be used to determine whether ovarian cancer has spread to the rectum or colon. The day before the study, the patient should take a laxative. Diagnosis is as follows: a mixture of sulfate and barium is poured into the rectum and colon. These ingredients help to achieve a distinct diagnosis.

A chest x-ray is done if you are sure you have ovarian cancer. This method allows to detect the presence of metastases in the lungs.

Positron emission tomography can also detect the presence of a cancerous tumor. With laparoscopy, you can examine not only the ovaries, but also the rest of the pelvic organs. A biopsy is performed as a diagnostic. It is prescribed if the MC is disturbed, there is fibroma in the body, additional lobes, tecomatosis, polycystic or papillary proliferation.

How to understand that the ovary hurts? Sometimes a woman, feeling pain in the lower abdomen, cannot determine its exact localization. Indeed, it is difficult to determine when the pain either moves along the stomach, then gives it to the back, then it is felt in the intestines. And the intensity of the pain can also mean nothing. How to determine - what exactly is not in order and is it the ovaries?

First you need to understand what kind of organ - the ovaries. It is a paired organ of the female reproductive system. The ovaries are endocrine glands, located on both sides of the uterus and perform an endocrine function - they produce sex hormones, and are also the site of maturation of female germ cells.

Pain in the lower abdomen and in the back (lower back) can be symptoms of various diseases, including ovarian diseases. Pain in the ovaries can occur due to the following pathologies - adnexitis, oophoritis, ectopic pregnancy, the appearance of a tumor, or cysts. The question of whether you have one of these ovarian diseases and it is from this that pain occurs can only be decided by a gynecologist, you cannot self-medicate. Nevertheless, it is necessary to know the symptoms of diseases. Let us analyze in more detail the symptoms of these diseases.

Pain with adnexitis

Or inflammation of the ovaries, manifested by cutting and stabbing pains that periodically occur in the lower abdomen. The pain sometimes radiates to the leg or back. The intensity of pain is different, sometimes it is so great that a woman is not able to straighten her back. Adnexitis is treated well, but on condition that the treatment is adequate and started on time. Recovery comes fairly quickly. However, if measures are not taken in time, the disease will become chronic and will periodically disturb the woman with pulling pains.

Pain with oophoritis

This is an inflammatory process in the appendages of the ovaries. Oophoritis is characterized by the localization of pain, that is, the pain is not just in the lower abdomen, in the region of the ovaries themselves, and quite sharp. Pain with oophoritis, unlike pain in adnexitis, is cramping, comes in attacks. But there are also aching pains. Oophoritis takes place against the background of a decrease in protective forces, general lethargy, drowsiness and weakness.

Pain when a cyst occurs

Cyst, or - a common gynecological problem. If it has grown to a large size, it begins to put pressure on neighboring organs, which is what gives pain. The cyst may rupture, causing severe pain, in which case urgent surgical intervention is required, otherwise peritonitis may occur. If the cyst is small, it can manifest itself as pain with a return to the back, while resembling pain in osteochondrosis.

Pain in an ectopic pregnancy

An ectopic pregnancy is manifested by cramping pain from the development of an ectopic pregnancy. In this case, an emergency operation is required.

Pain during ovulation

This is physiological pain when the egg leaves the follicle. The pain is dull and concentrated in the ovaries. If there is chronic inflammation, adhesions, the pain is more intense.

Recently, more and more often, the fair sex has to deal with various concerns from the urogenital area. Most often, doctors have to hear the following question from women: “The ovaries hurt a lot, what should I do?”

In fact, there can be many reasons for such anxiety. Consider the most popular problems that cause such discomfort, and answer the main questions. What to do if the ovary hurts? How to treat this disease?

Causes of pain

The female genital organs can bother women for many reasons.

Sometimes such an uncomfortable condition is a variant of the norm and does not require a visit to a doctor. Once a month, around the middle of the menstrual cycle, women release an egg from the follicle. At the moment of rupture of its walls and immediately after it, the lady may experience pulling or slightly pressing pains in the lower part of the abdominal cavity. In this case, sensations are localized more often on one side.

Also, discomfort can be caused by various pathologies, for example:

  • infectious diseases;
  • hormonal disorders;
  • development of tumor processes.

what to do?

So, if you are worried about constant pain in the lower abdomen, which spreads mainly to one side or captures the entire lower segment, you need to consult a doctor for advice.

An experienced specialist will listen to all your complaints and record them in the card, after that they will conduct a physical examination and prescribe additional diagnostic methods if necessary.

Diagnostics

During the examination on the gynecological chair, the doctor notes the size and location of the uterus and ovaries. With a fuzzy clinical picture after examination, the patient is examined using an ultrasound machine.

On the screen, the specialist sees the internal organs and establishes the cause of the appearance of discomfort.

Treatment

Any detected pathology that causes discomfort to the fair sex should be eliminated. Consider correction methods.

Inflammatory process

If a woman has inflammation that causes ovaries to hurt, what should I do in this case?

First you need to undergo an examination and identify what became the pathogen. For this, the patient is offered to take a series of tests to detect sexually transmitted infections. The result of the study can be obtained in a few days. After that, you need to re-visit the doctor for appointments.

Usually in such cases, gynecologists prescribe certain types of antibiotics (drugs "Doxycycline", "Ciprofloxacin", "Erythromycin" and others, depending on the disease). Their reception is necessary for the destruction of the causative agent of the inflammatory process. It is worth noting that in this case it is necessary to carry out complex treatment, in which the sexual partner must necessarily take part. Otherwise, after recovery, you run the risk of getting pathogens of the inflammatory process again at the first unprotected contact.

After antibiotic therapy, a woman is prescribed the intake of beneficial bacteria to restore the microflora of the vagina. A course of physiotherapy is also recommended. It will help to avoid development which is a frequent consequence of inflammation.

Hormonal disorders

If the hormonal background of a woman is unstable, and for this, what to do in this case? First you need to take a blood test to determine the level of certain hormones. The study is scheduled for a specific day of the cycle. Some hormones must be taken immediately after the end of menstruation, while others must be examined in the second phase of the cycle.

When you receive the result of the study, you need to visit the doctor and get the appointment you need. Usually, the doctor prescribes the intake of some (for example, Duphaston), and also prescribes oral contraceptives for 3-6 months (medications Yarina, Zhanin, Novinet and others).

Development of the tumor process

In the case when a specialist sees a neoplasm on the ovary on an ultrasound machine, then we are talking about a tumor. So, if an ovarian cyst hurts, what to do in this case?

First you need to reliably establish what type of neoplasm a woman is dealing with.

If the left ovary hurts, what should a woman do in this case? According to statistics, on the left side, women predominantly have functional cysts. They do not require treatment and resolve on their own after a few months, however, in some cases, a woman needs a course of hormonal drugs.

If the right ovary hurts, what should I do then? In most cases, cysts on the right side are not functional and almost always require treatment. The chosen method of correction will depend on what type of tumor the lady had to face.

Usually, if an ovarian cyst hurts, what to do is decided by the doctor. A woman, of course, is given the right to choose, but it is strongly not recommended to argue with the appointment, as this may end unfavorably.

In most cases, non-functional cysts require surgical intervention. During the operation, the doctor removes the cyst. After the manipulations, the specialist prescribes hormonal agents to the patient for faster recovery of the body, as well as antibiotic therapy for prevention.

If the ovaries hurt after the operation, what should I do then? In the first month after removal of the cysts, there may be slight pain in the lower abdomen. This is a variant of the norm, as the "living" tissue was affected. If the discomfort persists after four weeks after the operation, then this is a reason to consult a doctor, as you may develop an inflammatory process.

Folk methods of treatment

Some of the fair sex, who are concerned about discomfort in the lower abdomen, prefer to self-medicate. It should be said right away that such manipulations can lead to serious complications, therefore, before such a correction, it is necessary to consult a specialist.

If the left ovary hurts, what should I do? In some cases, discomfort helps relieve heat. To do this, put a heating pad or hot salt wrapped in a towel on the left side of the lower abdomen. Remember that heat can exacerbate the development of the inflammatory process.

If both ovaries hurt, you can take decoctions of various herbs. For example, viburnum, chamomile or sage. They help reduce inflammation and fight pathogenic microbes. Remember that some herbs accelerate the development of the tumor process.

If the right ovary hurts, what to do and what folk remedies to use? Many healers recommend taking mud or They have a beneficial effect on the entire urogenital area and usually have no contraindications.

Causes of pain in the right ovary:
- Pain in the right ovary may indicate the presence of an inflammatory process in the right epididymis (oophoritis). It is the most characteristic symptom of this disease, localized in the lower abdomen on the right and often gives to the lumbosacral spine. As a rule, pain in the right ovary occurs paroxysmal, but may be present and permanent. Hypothermia, physical and mental overwork, decreased immunity against the background of other internal diseases contribute to the occurrence of pain and their intensification. Such pains are often accompanied by disturbances in the functioning of the nervous system - increased irritability, weakness, problems with sleep, decreased ability to work.

Adnexitis of the right ovary, or inflammation of the ovary. The most common causative agents of inflammatory processes of the internal genital organs, which lead to inflammation of the ovaries (adnexitis) are chlamydia, mycoplasma, ureaplasma, candida. The clinic of chlamydial infection has no characteristic manifestations. Without adequate therapy, the inflammatory process in inflammation of the ovaries (adnexitis) takes a protracted course and leads to infertility. The main sign of inflammation of the right ovary (adnexitis) is pain in the right ovary and lower abdomen on the right. The pain can radiate to the lower back, and periodic pains almost always predominate.

In some cases, pain in the right ovary occurs when a cyst forms in it. Until the cystic capsule is small and does not undergo negative changes, this pathology is asymptomatic.

The cause of constant pain in the right ovary becomes a cyst or tumor of the ovary, which has reached a large size. It compresses neighboring internal organs and nerve endings. Not only neoplasms can twist, but also the ovaries themselves. This leads to impaired blood supply and tissue necrosis, inflammation and pain develop.

Pain in the right ovary occurs when the pedicle of the cyst is twisted or as a result of a violation of its integrity, which is accompanied by the outflow of liquid contents into the abdominal cavity and causes tissue irritation. In addition to nausea, vomiting and pain, rupture of an ovarian cyst or necrosis of its tissue due to torsion of the leg can provoke inflammation of the peritoneum - peritonitis, which requires immediate surgical intervention. A similar situation can be observed in the presence of a benign or malignant tumor of the ovary.

The pathological change in the position of the ovarian appendages is facilitated by their relative mobility in the pelvic cavity, as well as increased physical activity. That is why this pathology is observed, as a rule, in childhood. Among the factors contributing to the torsion of the right ovary, it should be noted drug stimulation of ovulation, pregnancy, as well as any condition accompanied by an increase in the size of the ovaries. Sharp pain in the right ovary and abdomen may be accompanied by vomiting, palpation reveals a painful swelling. If the tissue of the appendages has undergone irreversible pathological changes, surgical removal of the ovary is performed.

Sometimes during ovulation, the right ovary ruptures, causing bleeding. The ingress of blood into the abdominal cavity provokes pain and threatens with the development of peritonitis, therefore, surgical intervention is indicated, during which sutures are applied and the integrity of the organ is restored. In some women, ovulation itself is quite painful, as indicated by the appearance of pain in the right ovary on certain days of the menstrual cycle. In addition, acute and chronic inflammatory processes contribute to the formation of adhesions in the right ovary, which in turn often cause pain in the right ovary.

Apoplexy of the right ovary is a sudden hemorrhage in the ovary, which is accompanied by its rupture and bleeding into the abdominal cavity.
Ovarian apoplexy occurs, as a rule, in women under the age of 40, more often in the right ovary, while bleeding and pain always occur in the right ovary. According to the predominance of one of these signs, anemic and painful forms of the disease are conditionally distinguished. With the same severity of these signs, they speak of a mixed form of apoplexy.
The disease begins acutely with sudden, sometimes very severe pain in the right ovary and lower abdomen, with a predominance on the side of the affected ovary. Pain is often given to the rectum, thigh and lower back. Often the attack is accompanied by nausea and vomiting, as well as fainting.
Body temperature remains normal. With heavy bleeding, a sharp decrease in blood pressure and collapse occurs (a serious condition with severe cardiac weakness, a drop in vascular tone, frequent pulse, and cold sweat). The ovary, when palpated, has a spherical shape and sharp pain.

Ovulatory pain in the right ovary occurs in the lower abdomen during the periovulatory period as a result of peritoneal irritation with follicular fluid; last from 12 to 36 hours with separate attacks for several hours.

Ovarian hyperstimulation syndrome can develop in women with infertility when treated with hormones (clomiphene, gonadotropins). The ovaries are enlarged, with multiple follicular cysts, a large cystic corpus luteum, and stromal edema. With a mild form, there are pains in the right ovary, bloating; weight gain. In severe form, shortness of breath, ascites, pleural effusion, electrolyte imbalance, hypovolemia, oliguria appear.

Psychogenic factors: with the exclusion of organic causes of pain in the right ovary, it is necessary to examine the woman by a psychotherapist (borderline states: hypochondria, depression, hysteria).

Palpation of the abdomen and gynecological examination helps to establish the presence of a large neoplasm of the ovary. Important information about the condition of the uterine appendages is provided by ultrasound of the pelvic organs and magnetic resonance imaging. Especially valuable is the diagnostic laparoscopy, which allows to identify the adhesive process and foci of endometriosis, localized in the right ovary. Through this technique, you can not only detect, but also eliminate many pathologies of the pelvic organs. Proper diagnosis is the key to effective treatment, which will permanently get rid of pain in the right ovary.

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