Why can a pregnant woman have ovarian pain in the early stages. What should be done to improve the condition? Manifestations of adnexitis during pregnancy

During pregnancy, women often experience strange and unusual sensations. Sometimes they are associated with stretching of muscles, ligaments and skin. And sometimes they indicate various acute or chronic processes occurring in the body. How to understand your feelings and not miss the moment of contacting a specialist? If during pregnancy the ovaries hurt and one or more of the following signs are found, then it is urgent to consult with your doctor.

Drawing pains in the abdomen. They can be repeated periodically or be noted only in a single attack.
Tingling and sometimes jerking pain on the right or left. Often this manifestation occurs in various pathologies when the ovaries are affected.
The pain is quite sharp, localized on one side, combined with a tense abdomen and a rise in temperature. This condition may indicate torsion of an ovarian cyst aggravated by the clinical picture of peritonitis. One of the most dangerous manifestations of a pathological condition. If during pregnancy there are pains in the iliac region, the abdomen is tense and palpation is difficult, the temperature rises, then you should immediately consult a doctor or call an ambulance.

All of these symptoms can cause anxiety and anxiety. Experts recommend clearly remembering only one thing: there should be no self-treatment!

Causes of pain

If the ovaries hurt, then there may be several reasons for this condition:

Inflammatory process in the ovaries. During pregnancy, all chronic diseases are exacerbated, so if a patient has been diagnosed with such an inflammatory process, then there is a high probability of its exacerbation. The cause of inflammation can be chlamydia, ureaplasma, candida and mycoplasma.
Inflammatory process localized in the ovarian appendages. The causes of this condition can be hypothermia, overwork, decreased immunity, observed in pregnant women. There is pain in the lower abdomen, ovaries hurt, and pain can be recorded in the lumbosacral region.
Ovarian cyst. Such a formation can give constant pulling pain. It is due to the regular pressure of the overgrown tissue on the pelvic organs and nerve endings localized in this area.
psychogenic factors. Such a diagnosis can be made by a specialist if, as a result of a clinical examination, no pathologies were revealed. It was then that the doctor recognizes the psychological factor as the cause of pain. Depression or hysteria can cause pain.
The ovaries hurt during pregnancy and if no pathological conditions are noted. In fact, we are talking about stretching the ligaments on which the ovaries are attached. But a woman perceives this pulling pain precisely as pain in the ovary or appendage.

In any case, if during pregnancy there are pulling or sharp pains in the iliac region, you should contact your doctor and describe all the symptoms. This is the only way to diagnose the cause and prescribe appropriate measures to alleviate the condition of the pregnant woman.

Is there anything you can do on your own?

Experts answer this question unequivocally: no! No self-administration of herbs or medicines, the imposition of heating pads or other folk methods. The only thing that can be recommended is to lie down on the sofa, relax and try to calm down. If as a result, all symptoms have stopped, then it is worth discussing this with your doctor. It is possible that the discomfort was caused by nervous strain or excessive fatigue.

In gynecology, appendages include the ovaries and fallopian tubes. The role of these organs in childbearing is simply enormous. In the small pelvis there are two ovaries, in which, under certain processes, the egg matures and sex hormones are produced.

The fallopian tubes, approximately 10 cm long and having a lumen of 2-4 mm, are responsible for carrying the egg from the ovary to the uterus. The inner surface of the fallopian tubes is covered with multiple cilia that help in the promotion of the egg and fertilization itself occurs directly in the fallopian tubes.

The appendages are normally sterile and do not contain any microorganisms. For the successful conception of a baby, it is important that the appendages are healthy in order to become pregnant and that there are no complications during the very process of bearing. But not all women are happy with appendages. When the body's defenses are weakened, the appendages undergo various infections, leading to inflammation of the appendages.

Medical statistics show that inflammation of the appendages is a fairly common disease among women.

What is meant by replenishment of appendages?

The internal genital organs, as already mentioned, are often exposed to infections of a different nature. They can be sexually transmitted, or viruses and bacteria that are constantly present in a woman's body, but do not manifest themselves due to a healthy immune system, can be activated. It is worth the immune system to fail and microorganisms will immediately manifest themselves. We often hear from a woman that she "caught a cold of the appendages."

Here it is worth explaining that a decrease in temperature in itself cannot cause inflammation, but it can significantly reduce the body's resistance. All inflammatory processes are divided according to their course into acute and chronic forms. In the case of the primary case, the acute form is meant here. A timely untreated infection turns into a chronic form, which is already difficult to cure, and during pregnancy, chronic inflammation of the appendages is even more difficult to diagnose.

The cause of pain in the appendages is often an inflammatory process caused by a disease - adnexitis or salpingo-oophoritis. At the same time, both the ovaries and the fallopian tubes become inflamed, due to the ingestion of streptococci, staphylococci, gonococci and a number of other pathogenic elements. The most common of them are mycoplasmas, chlamydia, ureaplasma, Trichomonas. Pain often occurs due to the presence of polyps, cysts, polycystic ovaries and other neoplasms in the appendages. Also among the causes of pain is oophoritis - inflammation of the ovaries, as well as salpingitis - inflammation of the fallopian tubes.

It should be noted that inflammation of the appendages affects the majority of young women who have not yet given birth, whose age ranges from 20 to 35 years. According to statistics, they make up a very large percentage, namely, 80%. In the circle of pregnant women, most of those who fell ill before pregnancy, but did not know about it. But, as practice shows, inflammation of the appendages can also occur during pregnancy.

Symptoms and Diagnosis

The question arises, did the woman really not know about the disease before pregnancy? Ignorance occurs due to asymptomatic, in some cases, the course of the disease. At the same time, when carrying a child, a decrease in immunity occurs, which allows various inflammatory processes to make themselves felt. With inflammation of the appendages, pain depends on the form of the disease that causes them. Often women point to the lower abdomen, pain often radiates to the sacrum, pubis and groin. Discharges with an unpleasant smell of yellow or greenish color are observed.

Numerous symptoms testify to the inflammatory process in the appendages, even before the onset of pregnancy. These include: pain in the appendages, fever, muscle pain, unpleasant and painful sensations in the ovaries and fallopian tubes, during sexual intercourse,. Companions of inflammation are problems with the monthly cycle of a woman, the normal functioning of the gastrointestinal tract, and urination.

To establish a diagnosis, a smear should be taken for the vaginal flora, in addition, it is necessary for antibodies, sometimes the doctor will insist on an analysis regarding latent infections. Women who have already given birth know that during pregnancy they will have to take tests more than once, even if they feel great. The results of the tests are important for the detection and localization of the infection. Diagnosis also includes ultrasound, in some cases - colposcopy, tomography, and.

Inflammation of the appendages and infertility

It is quite natural that chronic inflammation of the appendages can lead to serious consequences. One of these consequences is infertility. Infection, as much as we would not like it, leaves an imprint on the functioning of the ovaries and fallopian tubes. It disrupts the functioning of the ovary, as a result of which ovulation may not happen. But, this happens in rare cases.

The cause of infertility, most often, are adhesive processes. Muscle tissue damaged by the infection is replaced by connective tissue. As a result, folds are formed that completely or partially block the narrow lumen of the fallopian tubes, which makes it impossible for the egg to move. Therefore, there can be no talk of any conception. observed in the ovaries, which makes it impossible to ovulate and, of course, the conception of a child.

Pregnancy planning

All doctors advise taking pregnancy planning very seriously. In addition to proper nutrition and the eradication of addictions, it is necessary to pass tests to both parents to help identify infections, including infections of the internal genital organs. This will help at the planning stage of pregnancy to undergo the necessary treatment.

Influence of inflammatory processes on the course of pregnancy

Inflammation of the appendages greatly reduces the possibility of pregnancy, but the disease is not limited to this. Inflammation, even with the onset of pregnancy, can still complicate the situation. So, for example, the fertilization of an egg, due to hormonal disruptions caused by the disease, may not happen in the middle of the cycle, but later, which in turn makes maintaining the pregnancy very problematic.

The bursting follicle, which released a mature egg, gives rise to the corpus luteum, which intensively begins to produce progesterone. This hormone, in order to fix the fetal egg in the uterus, reduces its muscle activity, thereby favoring the preservation of pregnancy. In the absence of the fertilization process, degradation of the corpus luteum occurs and hormone production decreases.

Let's think about what will happen if fertilization occurs, and the process of degradation of the corpus luteum has already begun. is extremely small to perform its function, and a fertilized egg cannot even stay in the uterus, let alone gain a foothold in it. A similar phenomenon is often the cause of early miscarriage in the early stages. At the same time, the woman does not even know about her pregnancy.

Among other things, in case of infection in the early stages, pathologies of the development of internal organs are sometimes observed. As for the later dates, there is a characteristic growth retardation. It is very difficult for newborn children to adapt to new conditions, and, moreover, they need treatment. If during pregnancy a sexually transmitted disease was identified as the cause of inflammation of the appendages, then, as a rule, a woman will be advised to have an abortion. The birth of a healthy baby in such cases is unlikely.

It is impossible not to say about the work of the mother's immune system. The presence of an infection forces it to work hard, producing antibodies and, moreover, activating protective functions. The mother's blood eventually becomes toxic to the fetus and affects the normal development of both the placenta and the umbilical cord.

It also affects the course of childbirth. So, for example, an infection quite often causes untimely discharge of amniotic fluid, which will entail a weakness in labor activity. A long continuation of the anhydrous period increases the possibility of intrauterine infection of the child.

Treatment of inflammation of the appendages in pregnant women

Hospitalization, if inflammation is detected in a pregnant woman, is indispensable. The duration of treatment, as a rule, is from 10 to 14 days.

This disease needs constant monitoring by a doctor. Many factors influence the course of treatment, and the gynecologist relies on the results of tests and studies when prescribing a particular treatment. The first thing to do is to find out the type of infection.
You should also take a smear to detect sensitivity to antibiotics of microflora. In this case, you can not do without it, as well as without antiviral drugs. Doctors are inclined mainly to antibiotics, only to those whose use during pregnancy is permissible.
Try not to allow such a precedent and treat inflammation of the appendages before pregnancy. In addition, treatment should only be qualified, in which self-diagnosis and self-treatment are excluded.

Prevention

Barrier contraception refers to the method of preventing inflammation of the appendages. You can refuse a condom in the case of a permanent healthy partner. But in this case, the check will not be superfluous. Refrain from having sex during your period. Indeed, at this time, the woman's body is extremely vulnerable to the penetration of various microorganisms.

Inflammation of the appendages, of course, is an unpleasant phenomenon and no one will dispute this. But, with timely detection and further treatment, it is possible to avoid negative consequences. Therefore, do not ignore a visit to the gynecologist and take care of your health.

The frequency of inflammatory diseases of the genital organs ranks first among all gynecological diseases and accounts for about 65% of all visits to the antenatal clinic. Early onset of sexual activity, frequent change of sexual partners, as well as the erased course of most inflammatory diseases leads to the formation of their chronic forms. It should be noted that among all patients with such problems, more than 80% are nulliparous women under the age of 25, so pregnancy often occurs against the background of various inflammatory diseases.

Inflammatory diseases of the genital organs

Inflammatory diseases of the genital organs include: colpitis - inflammation of the vagina; cervicitis - inflammation of the cervix; salpingoophoritis, or adnexitis, - inflammation of the appendages (ovaries and fallopian tubes); endomyometritis is a chronic inflammation of the inner layer of the uterus.

Leading among these diseases are chronic salpingo-oophoritis and endomyometritis. The main cause of their occurrence are sexually transmitted infections: trichomoniasis, mycoplasmosis, etc. As the name of this group of infections suggests, a pathogenic microbe enters a woman's body mainly through sexual contact with an infected person. I would especially like to note that hypothermia cannot be the cause of inflammation of the appendages - it can become a provoking factor for exacerbating an already existing inflammatory process or for activating conditionally pathogenic microorganisms (every person normally has them: E. coli, streptococci, etc.), which will cause an inflammatory process in the uterus and its appendages.

Prolonged inflammation of the fallopian tubes and ovaries leads to the development of dense connective tissue, which replaces the dead cells. As a result, the already very thin lumen of the tube (only 1-2 mm in diameter) can easily "overgrow" with connective tissue, and the tube will become impassable for the egg. Under such conditions, the meeting of the sperm and the egg does not occur, and therefore fertilization is impossible. In addition, in the process of inflammation, the cells lining the inner surface of the fallopian tubes are also affected. They contribute to the movement of the egg through the tube, in addition, many microorganisms, such as chlamydia and mycoplasma, can invade these cells and disrupt their functioning with their vital activity. Therefore, the affected cells of the fallopian tubes cannot "deliver" the egg from the ovary to the uterus. As a result of such changes, infertility is formed, it may occur.

Manifestations of diseases

Whether a woman had inflammation of the appendages before pregnancy can be judged by the results of tests performed before pregnancy, as well as by the presence of the following complaints: moderate, intermittent, dull, pulling, aching pain in the lower abdomen, aggravated by cooling, as well as a violation that becomes unstable - with delays, intermenstrual discharge. Pain is usually felt in the lower abdomen, in the groin, in the sacrum, in the vagina. Often, its intensity does not correspond to the nature of changes in the genitals, i.e. inflammatory changes in organs may be minimal or as a result of treatment they can be eliminated, and pain, as a residual phenomenon, persists for a long time. This condition can last for a long time, without a clearly defined beginning and end of the disease. Signs of chronic inflammation of the uterine appendages and the uterus itself include pathological discharge from the genital tract - more or less abundant, sometimes with an unpleasant odor.

Why are inflammatory diseases dangerous?

During pregnancy

The inflammatory process in the ovaries can lead to disruption of their work, while ovulation - the release of the egg from the ovary - does not occur at all (in this case, pregnancy is impossible) or comes with a delay. So, if normally ovulation occurs in the middle of the cycle, then with chronic salpingo-oophoritis, as a result of a violation of the production of ovarian hormones, it occurs later than expected, almost before menstruation. In place of the egg after ovulation, a special gland is formed - the corpus luteum. This gland produces the hormones progesterone, which ensure the onset of pregnancy, are the main supporting factor in. In chronic salpingo-oophoritis, ovulation occurs out of time, and the corpus luteum does not work properly, producing an insufficient amount of progesterone. This factor often causes the threat of termination of pregnancy in.

As already mentioned, the main cause of ectopic pregnancy is also an inflammatory process. As a result, there is an proliferation of connective tissue and a narrowing of the lumen of the fallopian tubes. In addition, the work of the cilia of the ciliated epithelium, cells that cover the lumen of the fallopian tubes from the inside and contribute to the advancement of the egg into the uterine cavity, is disrupted.

I must say that with an ectopic pregnancy, a pregnancy test is often positive, a woman may experience the same subjective sensations as with a uterine pregnancy (nausea, dizziness, etc.). Therefore, knowing about the presence of chronic salpingo-oophoritis and suspecting pregnancy, it is necessary to consult a doctor as soon as possible to exclude an ectopic pregnancy.

The inflammatory process can manifest its negative effect at various stages of pregnancy.

So, damage to the inner layers of the uterus leads to a change in the defense system inside the uterus. The inner layer of the uterus, trying to protect itself from aggression factors (microbes, viruses that caused inflammation), perceives the embryo in the same way as a foreign agent, the embryo is rejected, a miscarriage occurs. If, nevertheless, the fetal egg manages to attach, then in most cases this happens in the lower sections of the uterus, that is, a low attachment is formed or. These conditions, in turn, serve as risk factors for bleeding during pregnancy. A chronic inflammatory process can lead to a change in the antigenic structure of infected endometrial cells: the body begins to produce antibodies to its own cells, that is, the cells of its own body are destroyed. This process is the most common cause of disseminated intravascular coagulation syndrome. One of the symptoms of this complication is the formation of thrombosis. During pregnancy, the occurrence of microthrombosis in the placenta leads to placental abruption, intrauterine growth retardation of the fetus, the development of preeclampsia - a complication of pregnancy, often manifested by the appearance of protein in the urine, edema, and increased blood pressure.

Under the conditions of a chronic inflammatory process of the genital organs during pregnancy, a malfunction occurs in the immune system, which serves to recognize and remove foreign substances from the body. Blood cells involved in the immune response have a toxic effect on the development of the embryo and the formation of the placenta.

All of the above disorders in the body that occur during the inflammatory process of the genitals can lead to the following pathologies:

anembryos, i.e. the absence of an embryo in the fetal egg;
non-developing, or frozen, pregnancy (in this case, the death of the embryo occurs);
spontaneous miscarriages at various stages of pregnancy;
premature birth;
intrauterine fetal death;
infection of the fetus.

Intrauterine infection is possible if the inflammatory process is activated during pregnancy. In the early stages of pregnancy, intrauterine infection can lead to the formation of various fetal malformations, at later stages - to the syndrome of fetal growth retardation. Such a baby after childbirth adapts worse, sometimes requires additional treatment. Therefore, newborns whose mothers suffered from chronic inflammatory diseases of the genitals, especially sexually transmitted diseases, are additionally tested for these infections.

During childbirth

Inflammatory diseases of various parts of the reproductive system can also have a negative impact on the course of childbirth. One of the most common complications in childbirth is premature or early rupture of amniotic fluid.

Most microorganisms have a set of special enzymes that can affect the fetal membranes and lead to untimely discharge of amniotic fluid. If normally the waters are poured out when the contractions are already in full swing, the cervix is completely or almost completely open, then in the presence of inflammatory lesions, the waters can pour out before the onset of contractions. In this case, the development of weakness of labor activity is possible; in addition, a long anhydrous interval is a predisposing factor for infection of the uterus, fetal membranes. Polyhydramnios, which often accompanies inflammatory processes, also leads to the development of primary or secondary weakness of labor. In this situation, the uterus is overstretched, unable to contract well during childbirth. Prolonged labor against the background of prematurely poured amniotic fluid, as well as the need to use rhostimulators with the development of weakness of labor, ultimately adversely affect the condition of the newborn.

After childbirth

The inflammatory process of the genital organs does not pass without a trace in the postpartum period. The likelihood of developing postpartum endomyometritis increases, which is manifested by insufficient contraction of the uterus, fever, pain in the lower abdomen, increased bloody discharge, and the appearance of characteristic fetid discharge. This condition requires hospital treatment.

Thus, a chronic inflammatory process, which occurs most often in a latent form, leads to pronounced changes in the immune system, the hemostasis system (blood coagulation system) and to severe complications during pregnancy, childbirth and the postpartum period.

During the bearing of the baby, all women who suffered from inflammatory diseases of the genitals before pregnancy are examined to exclude infections, including sexually transmitted infections. When identifying certain pathogens, appropriate treatment is performed.

All women suffering from chronic inflammatory diseases of the genitals are treated to prevent oxygen deficiency (hypoxia) of the fetus, prescribe drugs that improve blood circulation in the placenta.

Every woman should approach with special responsibility. Examination before pregnancy and the elimination of foci of inflammation will help to avoid complications during pregnancy, childbirth and the postpartum period.

Marina Vasilyeva
obstetrician-gynecologist, maternity hospital No. 4, PhD, Moscow

Discussion

actually, I thought that inflammation goes away during pregnancy, but now I found out that this is not so, thanks, so I found out the answer to my question

08/11/2008 10:16:43 AM, Zhanna

To be honest, I wish I hadn't read this article. And without this, you worry about any trifle during pregnancy ... In general, they scared me again.

27.12.2005 14:08:37, Larisa

15.12.2005 17:05:04

15.12.2005 17:05:03

Comment on the article "Inflammation of the appendages. How will the pregnancy go?"

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under the word "appendages" in gynecology understand the ovaries and fallopian tubes. Both of these organs play an active role in the process of childbearing.

The ovaries are responsible for the maturation of the egg and its release into the fallopian tubes, and they also produce sex hormones necessary for conception and maintaining pregnancy.

The fallopian tubes act as intermediaries between the ovaries and the uterus.

This is where the mature egg goes after ovulation. Then it begins to gradually move towards the uterine cavity. It is worth noting that the structure of the fallopian tubes helps her in no way. Their inner surface is covered with many small cilia, which, with their movement, direct the egg in the right direction. As a rule, fertilization also occurs in the fallopian tubes.

It is easy to understand that the health of the appendages is one of the important factors necessary for the successful conception of a child. However, in order to avoid complications in the process of gestation, the appendages must also be healthy. But it doesn’t always work out the way you want: inflammation of the appendages is, unfortunately, a very common disease among pregnant women.

What is meant by replenishment of appendages

Inflammatory processes of the internal genital organs, including the ovaries and tubes, are always associated with certain infectious conquests. These can be infections that are sexually transmitted, or those viruses and bacteria that constantly live in a woman's body, but are suppressed by her immune system. Such microorganisms are harmless until there is a decrease in immunity.

This may be due to a variety of reasons. You can often hear from a woman that she has "cold appendages." Here it is necessary to clarify that low temperatures, of course, by themselves cannot cause inflammation, but they are quite capable of reducing the resistance of the disease. By the way, pregnancy is a process that also leads to a natural decrease in immunity.

Any inflammatory processes, including inflammation of the appendages, can occur in acute or chronic form. In the primary infection, as a rule, we are talking about an acute form. If the infection is not treated in time, it becomes chronic.

It is much more difficult to get rid of such inflammation, and it is somewhat more difficult to diagnose chronic inflammation of the appendages that occurred during pregnancy.

It should be noted that most often this problem is faced by young women who have not given birth. They make up to 80% of all those who first applied for medical help with inflammation of the appendages. And among women "in position", as a rule, there are more of those who became infected before pregnancy, and simply did not know about it. However, unfortunately, this does not mean that inflammation cannot begin already during pregnancy.

Symptoms and Diagnosis

Difficulties in diagnosing an infection are due to the fact that in some cases inflammation is asymptomatic for a long time, and a woman does not even suspect its existence before pregnancy.

However, as mentioned above, during the bearing of a baby, a natural decrease in immunity is observed, against the background of which any inflammatory processes inevitably make themselves felt.

In addition, the symptoms of inflammation of the appendages largely depend on what kind of infection in question. Most often, women complain that they have pain in the appendages, that is, the lower part of the abdomen on the side where the lesion occurs.

Pain can also radiate to the pubis, sacrum, and groin. Often there is a discharge with a yellow or greenish color and an unpleasant odor.

Before pregnancy, the presence of inflammation can be judged by the same symptoms, as well as an irregular menstrual cycle, frequent delays and spotting spotting in the middle of the cycle.

For an accurate diagnosis, it is necessary to take a smear for the vaginal flora, as well as blood for antibodies, and in some cases, an analysis for latent infections.

Women who have given birth know that all these tests must be taken several times during pregnancy, even if none of the symptoms described above bothers the woman. This is necessary for the timely detection and localization of the infection.

Inflammation and infertility

One of the most serious consequences of chronic inflammation of the appendages can be infertility. Infection inevitably leaves its mark on the work of the ovaries and fallopian tubes. Firstly, it can disrupt the functioning of the ovary, because of which ovulation simply will not occur. But this happens extremely rarely.

Adhesions are the most common cause of infertility. Connective tissue is formed in place of the muscle tissues damaged by the infection. The folds of such tissue can partially or completely overlap the already narrow lumen of the fallopian tubes, which makes them impassable. Naturally, in such conditions, conception is out of the question.

Adhesions can also form in the ovary. It also makes it impossible to ovulate, and therefore, the conception of a child.

Pregnancy planning

The high prevalence of infections of the internal genital organs is one of the reasons why the birth of a child must be taken very seriously, it is imperative to plan conception in advance. At the preparation stage, both parents must pass all the prescribed tests that will help identify infections, if any, prescribe adequate treatment.

This will ensure that there are no diseases at the time of the onset of pregnancy. It remains only to do everything so as not to get infected later.

Influence of inflammatory processes on the course of pregnancy

The presence of inflammation of the appendages greatly reduces the likelihood of pregnancy, but this is not the end of its detrimental effect on pregnancy. Literally throughout the gestation, an infection of the internal genital organs can greatly complicate the situation.

First of all, it is worth saying that due to hormonal disruptions caused by inflammation of the appendages, fertilization of the egg may not occur in the middle of the cycle, but somewhat later. Late fertilization makes maintaining a pregnancy quite difficult.

On the revenge of the bursting follicle, which releases a mature egg from the ovary, a temporary organ is formed - the corpus luteum, which produces progesterone - a hormone necessary to fix the fetal egg in the uterus and maintain pregnancy. If fertilization does not occur in the middle of the cycle, the corpus luteum begins to degrade, hormone production decreases.

Now imagine that fertilization still occurs, but later, when the process of degradation of the corpus luteum has already begun. There is little progesterone in the body, and it is difficult for a fertilized egg to even gain a foothold in the uterus, not to mention staying in it. This can cause an early miscarriage at a time when a woman does not even know about her pregnancy.

Another fairly common pathology that accompanies chronic inflammation of the appendages is an ectopic pregnancy. The adhesive processes have already been described above. So, with partial patency of the fallopian tube, the egg, which has a very impressive size, cannot penetrate the uterus, while the spermatozoa are quite capable of getting to the egg and fertilizing it. In this case, the fetal egg is forced to attach directly to the fallopian tube. Here the fetus begins to develop, which quickly leads to a rupture of the pipe.

Since at first an ectopic pregnancy does not differ in symptoms from a normal one, it is very important for women who know about their diagnosis to see a doctor as soon as possible. Timely diagnosis and removal of an ectopic pregnancy allows you to save the fallopian tubes and the ability to bear children.

Do not forget that the long-term development of infection is fraught with the fact that it will spread to neighboring organs. At risk are the gallbladder, bladder, and peritoneum.

This applies to the mother, but inflammation of the appendages may well have an effect on the fetus.

First of all, you can not write off the risk of intrauterine infection of the child.

The consequences depend on at what stage of pod development the infection occurs. In the most extreme case, the development of anembryony, that is, the absence of an embryo in a fetal egg, is possible.

However, missed pregnancy and miscarriages at an early stage are much more common. In addition, if infection occurs in the early stages, then pathologies in the development of internal organs may occur. In the later stages, the infection is fraught with growth retardation.

After childbirth, it is more difficult for such children to adapt to new conditions. In addition, they need urgent treatment, since the development of infection will not lead to anything good.

If it becomes known at the beginning of pregnancy that there is inflammation of the appendages associated with sexually transmitted diseases, doctors may even advise the woman to have an abortion, since the birth of a healthy child in this case is unlikely.

Another serious factor is the work of the mother's immune system.. The presence of an infection makes it work actively, creating antibodies, activating protective functions. As a result, the mother's blood becomes toxic to the fetus, and also interferes with the normal development of the placenta and umbilical cord. Inflammation also affects the process of childbirth.

In particular, the presence of infection often provokes premature rupture of amniotic fluid. The consequence of this may be the weakness of labor activity. The longer the anhydrous period lasts, the more the risk of intrauterine infection of the child increases.

Treatment of inflammation of the appendages If inflammation is found in a pregnant woman, then hospitalization is indispensable. The fact is that a future mother with this disease needs constant medical supervision. The course of treatment for inflammation of the appendages depends on a number of factors, and only an experienced gynecologist can prescribe it after a long list of tests and studies. In particular, it is necessary to find out what kind of infection in question.

In addition, it is imperative to take a smear to determine the sensitivity of microflora to antibiotics. In this case, one cannot do without them, as well as without antiviral drugs. Of course, the choice falls on antibiotics allowed during pregnancy. However, this is just the lesser of the evils. That is why it is so important to prevent infection or treat it before pregnancy.

Prevention

The methods of preventing inflammation of the appendages, first of all, include barrier contraception. You can refuse condoms only if you have a permanent proven partner. But even so, it is advisable to regularly check.

And in general, the choice of a sexual partner should be taken as seriously as possible. It is highly desirable to refuse sex during menstruation. At this time, the female body is most vulnerable to various microorganisms. Of course, in any case, inflammation of the appendages is an unpleasant phenomenon.

However, if it is possible to detect and treat it in a timely manner, then it is quite possible to avoid the consequences. That is why it is necessary to regularly undergo an examination by a gynecologist and be attentive to your own health.

If the ovaries hurt during pregnancy in the early stages, then, as a rule, there is no reason to worry. Usually discomfort bothers for harmless reasons. However, this symptom should not be ignored. It is better to tell the gynecologist about it.

In the first weeks of pregnancy, pain in the appendages of a physiological nature is observed. They are not dangerous and occur for the following reasons:

The introduction of the embryo into the uterine cavity. At the initial stages of gestation, the fetal egg passes into the reproductive organ, which provokes periodic pain, which can be easily confused with discomfort in the ovarian region.
Intensive enlargement of the uterus, resulting in increased pressure on the ligamentous apparatus. Because of this, it pulls the ovaries in early and late pregnancy. The appendages "ache" during sports, sudden physical activity and rarely in a calm state. A long stay on one side is the culprit of sprain and discomfort, due to which the ovary is pulled during pregnancy.
Improper functioning of the digestive tract. A woman who has become pregnant worries about her health and takes problems with the gastrointestinal tract for pain in the appendages. It has been established that progesterone provokes malfunctions in intestinal motility and the functioning of the digestive tract, resulting in discomfort.
Conceiving a child at a certain age. Some patients are surprised why the ovary hurts during early pregnancy and turn to the doctor about this, who explains that this phenomenon is often observed in women from 18 to 25 years old who have conceived a baby for the first time.
Hormonal changes at 1 month of pregnancy. Gestation is accompanied by a significant change in the hormonal background, so the complaint that the appendages are pulling may be due to the restructuring taking place in the body.
impressive size - a common cause of pain in the ovary. Education occurs in the early stages of pregnancy, gradually regresses.
The consequences of artificial The ovary tingling after the intervention in the hormonal system from the outside, which is required for PCOS, can "shoot" in the indicated organ.

Women often go to the gynecologist, because the appendage tingles at the bottom, aching at 6 weeks. This is usually due to a rapidly growing uterus or hormonal changes.

Pathological causes of pain in the ovaries in the first trimester

Discomfort in the ovaries in the first weeks of pregnancy also occurs for pathological reasons, which will be discussed below.

Ectopic pregnancy

Cutting, stabbing and other acute pains in the epididymis are the result of ectopic fertilization. If the left ovary hurts during pregnancy, then this may indicate the localization of the fetal egg. With abnormal localization of the embryo, other symptoms occur (for example, full-fledged bleeding). This clinical picture is caused by the attachment of the embryo to another organ. Intensive growth of the fetus leads to rupture of the tube and bleeding. By identifying the pathology in the early stages, serious harm to the health of the patient can often be avoided.

Inflammation in the ovaries

This pathology causes pain in the lower abdomen or lower back. It occurs in women of reproductive age. is acute or chronic. The latter form proceeds with periods of remissions and exacerbations, which often occur in the early stages of pregnancy. During the gestational period, the use of most antibiotics is impossible, therefore, to prevent the disease, you need to undergo regular examinations by a gynecologist.

The inflammatory process can be triggered by hypothermia, as well as protozoa, fungi, viruses, etc. Sexual transmission of the pathogen is not excluded. The symptoms of the pathology are similar to the clinical picture of other diseases, therefore, if the appendages twitch in the early stages, then it is best to consult a doctor, especially since the chronic process that existed before may worsen against the background of a decrease in immunity.

Psychogenic causes of pain in the appendage

If all possible pathologies are excluded, and the pain in the appendage does not go away, then, perhaps, it is of a psychogenic nature. This means that an unpleasant symptom arose against the background of a depressive state, hysteria, hypochondriacal neurosis. Due to hormonal changes, pregnant women are prone to these diseases.

Other reasons

An ultrasound picture. Simultaneous presence of a cyst, a fetal egg and an embryo. Click to enlarge

Soreness in the abdomen in the first weeks of pregnancy is observed due to inflammation of the organs of the genitourinary tract. At the discretion of the doctor, treatment is carried out on an outpatient or inpatient basis.

Pain in the right or left ovary during early pregnancy may be due to the following reasons:

ovarian syndrome;
torsion of the cyst leg;
ovarian rupture or cyst;
appendicitis;
dysbacteriosis;
neoplasm (tumor,).

In the first week of pregnancy, as well as at any time, the cyst of the appendage often provokes intense and prolonged pain. However, this occurs only when the neoplasm reaches a large size. Sharp pain can also be caused by the ingress of its contents into the peritoneum. In this case, there are: fever, vomiting, nausea and other symptoms.

When the pedicle of the cyst is twisted at the beginning of pregnancy, severe pain and other dangerous symptoms occur. Such a condition, as well as a gap in education, requires the patient to receive urgent medical care, since the consequences can be life-threatening.

An ovarian tumor provokes abdominal pain in the early stages of gestation. This is due to the fact that the formation compresses neighboring organs.

What to do if the ovaries hurt

Only a gynecologist can find the cause of pain. You should not let everything take its course if the right ovary is pulled in the early stages of pregnancy (or the left one).

To determine the nature of the symptom, you need to go through:

examination by a gynecologist;
study of KLA, OAM, hormonal profile;
consultation with an endocrinologist;
CT and MRI.

You need to consult a doctor immediately if:

the pains intensified, were pulling or dull, and became sharp;
soreness worries for a long time;
there was spotting or heavy bleeding;
there was a fever;
the discharge became profuse greenish, yellowish or acquired an unusual smell;
the stomach seems to become "stone";
there was heaviness in the lower abdomen.

How to relieve ovarian pain

If the discomfort is caused by harmless causes, then you can use methods to relieve pain:

lie down comfortably, relax, breathe deeply and think about pleasant things (this method well eliminates the discomfort caused by nervous strain);
perform simple exercises in consultation with your doctor;
revise your menu, because the intestines, not the ovaries, can disturb;
protect yourself from stressful influences or minimize them.

During gestation, outdoor walks, reasonable physical activity and the use of vitamins are useful. If suspicious symptoms appear, it is recommended to see a gynecologist.

If the left ovary (or right) is pulled in the early stages, tingling occurs, the causes are usually harmless. But acute pain indicates a serious pathology.