Causes of pain in the ovaries and characteristic features of various diseases of the pelvic organs. How to warn yourself. Why do the ovaries hurt?

Pain syndrome in the lower back or near the anterior abdominal wall in women is a very nonspecific symptom. It can appear with a large number of diseases of both the pelvic organs and the abdominal organs. Therefore, when the left or right ovaries hurt, it is necessary to exclude pathology from other systems. An alternative to pain may be heaviness or discomfort. Why do the ovaries hurt, how to find the cause and cure it?

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Main reasons

A tingling sensation in the right or left ovary, aching pain, unpleasant heaviness, a feeling of some fullness in the lumbar region - these are the sensations that women may have with pathology. What causes these symptoms?

A significant proportion of the causes of aching or nagging pain in the projection of the ovaries are hormonal changes. They can, in turn, influence the menstrual cycle and its duration. This will affect the condition of the ovary.

Pulling in the lumbar region or in the hypogastric region (the area of the hypogastrium, above the pubis) may be due to the presence of neoplasms. These include:

Cystic cavities, including those that are suppurating or filled with blood;
Benign tumors;
Malignant formations;
Metastases from cancer or sarcoma of other internal organs.

Pain in the right ovary or in the left occurs with the pathologies listed above due to the fact that the plus tissue of the neoplasm puts pressure on the internal structures of the organ, as well as on the capsule. The nerve endings become irritated and a defensive reaction occurs in the form of pain. If there are many cysts or tumors, the total volume of the ovary increases. The capsule has elasticity, but it has a limit, so the organ stings and aches.

Inflammatory diseases of the internal genital organs in women can cause tingling in the left or right ovary. It is important to understand that such symptoms can mask the manifestations of surgical pathology of the gallbladder, appendix, pancreas, kidneys and other internal organs. So, if you are worried about pain in the right ovary, then you need to exclude appendicitis and cholecystitis, and pain in the left ovary should alert you to intestinal obstruction.

Pain with adnexitis

We are talking about inflammation of the ovarian tissue. Another name for the disease is oophoritis. If the fallopian tube is also involved in the inflammatory process, then salpingoophoritis occurs.

A sign of any inflammation is pain. Why does the left or right ovary hurt with adnexitis? Firstly, bacteria can actively multiply. This could be staphylococcus, streptococcus or another representative of pyogenic microflora.

Nagging pain for oophoritis is characteristic only at the very beginning of the disease. Later it becomes pronounced: it pricks the ovary or even “pulsates”. The nature of the sensations can also be different. Sometimes the ovary on the right or left hurts constantly. But sometimes the pain syndrome is paroxysmal.

The process is often one-sided. When the right ovary hurts, the right fallopian tube may be affected. The same is true in a situation where the ovary on the left hurts. Despite this, during the study you need to pay attention to both organs, since in a small percentage of cases bilateral adnexitis (oophoritis) still occurs.

Painful sensations may radiate. They radiate to the sacral region, as well as to the thighs (outer surface) and genitals. This should be taken into account when carrying out differential diagnosis.

When collecting anamnesis, it turns out that the woman was hypothermic. If the oophoritis is chronic, then the patient points to similar episodes in the past. Any stressful effects, as well as the spread of infection in immunodeficiency states, can lead to exacerbation.

In addition to the pull on the right or left ovary, with adnexitis, manifestations of general intoxication syndrome come to the fore:

Headache;
Fatigue, often completely unmotivated;
Reduced tolerance to physical activity;
Thirst;
Decreased appetite.

Asthenic syndrome occurs, as well as irritability. In addition to pain in the lumbar region, sacrum, and anterior abdominal wall in the area of the symphysis pubis, there may be disturbances from neighboring organs. Women may complain of pain when urinating or during bowel movements. For this reason, in cases where ovarian pathology is suspected, it is necessary to examine the vagina and rectum to exclude pathology of these organs.

Pain in the right or left ovary with oophoritis goes away after anti-inflammatory therapy is prescribed. If there is no picture of an acute abdomen, then the pathology is managed conservatively. Otherwise, they resort to surgical intervention.

Cysts and their complications

If the ovary hurts on the right or left, the cause may be cystic formations. The diagnosis can be made by ultrasound examination of the pelvic organs.

A cyst is a cavity formation that is filled with serous or mucinous fluid. If there are few of them and they are small in size, then it should be understood that there will be no clinical manifestations. Another situation arises when the volume of the cystic cavity increases or their number increases significantly.

Usually the lesion is one-sided: the right ovary or the left ovary hurts. The pain syndrome is permanent (constant). A paroxysmal course is not typical for this disease. Usually it aches and the ovary pulls. The increase is short-lived and may be associated with sudden movement or increased pressure in the abdominal cavity.

Torsion of the pedicle of a cystic formation

This is a complication of the course of the described disease. It doesn't happen that rarely. The development of torsion of the cyst pedicle is indicated by a change in the nature of pain. If previously the pain in women was constant, now it becomes very pronounced, and paroxysmal episodes are possible.

Patients' body temperature rises to subfebrile levels. Nausea appears reflexively, ending with vomiting, which does not bring relief.

The pathology can only be treated surgically. But first, it is important to exclude pathology of neighboring organs and confirm torsion of the cyst stalk using instrumental research methods.

Apoplexy

Sometimes cysts do become complicated, and this requires urgent action. Such conditions include ovarian apoplexy. This is a rupture of the cystic cavity, which is accompanied by hemorrhage in the ovarian tissue, as well as in the abdominal cavity.

A woman feels like she has a tingling sensation in the area of her right ovary or a sharp pain in her left ovary. It is so pronounced that it forces the patient to take a forced bent position, sometimes knee-elbow. Some patients describe this attack as a dagger-like pain. Over time, the pain syndrome intensifies.

But this is not the most dangerous thing in the situation described. With hemorrhage, blood loss occurs. It can reach a serious scale, up to the development of hemorrhagic shock or disseminated intravascular coagulation syndrome.

The patient gradually turns pale. Her skin becomes damp and cold to the touch. When examining the pulse, a pronounced increase in heart rate is noted - tachycardia. Blood pressure drops as the volume of circulating blood decreases.

Sometimes there is only pain, and sometimes there is no pain, there are only manifestations of blood loss. On this basis, two forms are distinguished: painful and hemorrhagic.

Diagnosis of the disease is extremely important, since we are talking about the clinical picture of an acute abdomen, which, as is known, imitates a large number of pathological conditions. In addition to complaints, the patient should find out the circumstances of the occurrence of symptoms. Very often, apoplexy is preceded by the following factors:

Shaking while driving.
Horse riding lessons.
Lifting weights (static load).
Violent sexual intercourse.
Falling from your own body height.

Another important anamnestic factor in favor of apoplexy is the occurrence of symptoms in the second phase of the menstrual cycle. This is a very clear sign of the described pathology.

Next, an ultrasound examination of the pelvic organs is used. When the level of free fluid is detected, a puncture is performed to clarify the nature of the effusion. The next step for surgeons is to perform a laparoscopic examination. It allows you to more accurately visualize the ovary and clarify the form of apoplexy. After all, the painful form does not require resection, but only the prescription of anti-inflammatory therapy, while the hemorrhagic form is considered an indication for expanding the operation.

Pain in the ovaries and ovulatory syndrome

Pain syndrome is possible before, during and after menstruation. But the most important characteristic is the recurrence and cyclical nature of symptoms.

The ovary hurts more often before menstruation. The occurrence of the symptom is due to the fact that ovulation has occurred. Usually this is exactly the middle of the cycle - the 14th or 15th day. The pain in this case will not be constant. That is, first the left ovary pulls, then the right, and vice versa. There may also be bloody spotting.

This condition is called ovulatory syndrome. It is pathogenetically associated with the fact that a small tear occurs in the ovarian wall. This is accompanied by the flow of a small amount of blood into the peritoneal cavity, which is very sensitive to various irritants. Therefore, it hurts in the ovarian area not during, but before menstruation.

Endometriosis

The uterine cavity is covered with endometrium, a layer that is shed during menstruation. However, it can also be found in the ovarian cavity. Then so-called endometrioid cysts are formed. Pain syndrome in this situation has several mechanisms of occurrence. The first is due to the fact that under the influence of hormones the endometrial layer is rejected. At the same time, you need to understand that it is exfoliated only in the uterus. Similar changes occur in ovarian tissue. The second reason is obviously related to the growth and increase in the volume of these cysts. They put pressure on the intact ovarian tissue, as well as the nerve endings of its wall. This is another factor influencing the appearance of pain.

Unpleasant sensations occur during menstruation. Or they are constantly present, and during menstruation they increase in intensity.

Over time, the formation of adhesive cords in the abdominal cavity is possible. This is the main factor in the development of adhesive disease. It is also a cause of pain during long-term pathology.

What should you do if your ovaries hurt due to endometriosis? First of all, adequate pain relief and correction of anemia are necessary (after all, blood loss is possible). Next, the gynecologist selects hormonal therapy. He usually stops at Visanne. If ineffective, the question of surgical treatment is raised.

Neoplasms

Tumors of ovarian tissue can come in a wide variety of shapes and structures. Fibromas and fibroadenomas are still more common. These are benign neoplasms. The pathogenesis of pain with this pathology is approximately the same as with cysts. The tumor grows and puts pressure on neighboring tissues of the organ.

The pain is constant and aching. It resembles the sensations that occur with pyelonephritis. In the projection of the ovary it seems to be “pulling”. With very large tumors, the bladder, rectum and uterus are compressed. This will affect the clinical symptoms of the disease. The woman complains of pain and discomfort when urinating, a feeling of incomplete bowel movement during bowel movements, or false urges, tenesmus.

In terms of the general condition, nothing changes with benign tumors. The same cannot be said for malignant neoplasms. Firstly, the patient’s appearance changes. She becomes pale over time. Under-eye circles (periorbital shadows). Appetite decreases and sometimes almost disappears. Women feel a loss of strength, unmotivated weakness, and fatigue. Even the usual rest does not help them relax and feel a surge of energy and vitality. At night, a fever is possible, but it is subfebrile. Patients usually lose weight.

Pain in the lumbar or abdominal area occurs when the malignant tumor is large or grows into adjacent tissues. For diagnosis, both instrumental methods and laboratory diagnostic methods are used.

Ultrasound and various tomography options are usually used, including the use of contrast. Identification of tumor markers is informative for diagnosis. Treatment includes surgical access, if appropriate, as well as courses of chemotherapy or radiation treatment. The patient is supervised by a gynecologist together with an oncologist.

Polycystic ovary syndrome

This is a disease of the endocrine system. It is otherwise called polycystic ovary syndrome (PCOS). In this case, many cystic cavities form in the ovarian tissue. They put pressure on the tissue of the organ, causing pain.

The pain is not much different from the nature of pain with ordinary large cysts. But menstrual cycle disorders already appear in the clinical picture. This could be infrequent periods or their complete absence.

Sometimes symptoms of premenstrual syndrome are typical for patients. These are headaches, pain throughout the body, irritability, emotional lability. Swelling of the feet and legs and a feeling of fullness in the mammary glands are observed. The pathology is treated by a gynecologist together with an endocrinologist.

Thank you

Pain in the ovaries- one of the most common complaints heard from women at an appointment with a gynecologist. This symptom may be a sign of many diseases of the genital area.

Despite the fact that this is a harmless condition, which is not accompanied by anything other than pain, it is necessary to visit a doctor to rule out more serious pathologies.

Pain before menstruation can be regarded as pain in the ovaries after ovulation. In this case, pain occurs in the second half of the cycle, after 14–15 days.

... during ovulation (in the middle of the monthly cycle)

Pain in the ovaries during ovulation also fits into the picture of ovulatory syndrome. The occurrence of pain is due to the fact that when the egg leaves the ovary, there is a microscopic tear and a slight hemorrhage into the abdominal cavity. The blood irritates the peritoneum, which is rich in nerve endings, resulting in pain. Typically, pain in the ovaries during ovulation is accompanied by the following symptoms:

Pain occurs in the middle of the monthly cycle. It's easy to calculate. For example, if the entire cycle lasts 30 days, then the pain syndrome is observed approximately on the 14th day.
Most women experience spotting vaginal discharge.
Most often the pain is dull and aching, but it can also be acute.
The duration of the pain syndrome ranges from several minutes to several hours.
Pain is felt on the side where the egg matures and leaves the ovary. They alternately harass the woman, first on the right, then on the left.

If the pain in the ovary is very severe, lasts more than 12 hours and is accompanied by an increase in body temperature, then you should urgently consult a doctor.

Severe acute pain in the ovary during ovulation may indicate its rupture. This condition threatens the development of bleeding into the abdominal cavity and peritonitis - a severe inflammatory process of the peritoneum. Surgery is urgently needed to restore the integrity of the ovary.

... during menstruation

During menstruation, the ovaries themselves do not hurt. What women describe at an appointment with a gynecologist as pain in the ovaries during menstruation is most often actually pain in the uterus. The fact is that at this time the mucous membrane of the uterus is rejected, unless, of course, pregnancy occurs. The uterus needs to get rid of this unwanted content, so it begins to contract. If the contractions are strong enough, pain occurs. They can be so strong that they interfere with a woman’s performance and quality of life.

Pain in the ovaries themselves during menstruation can be caused by the presence of cysts in them, stress and psycho-emotional stress.

...after menstruation

After menstruation, pain in the ovaries is not typical for the picture of ovulatory syndrome. There is a high probability that there is some gynecological disease.

Pain in the ovaries during and after sex

There are many reasons why pain occurs in the ovaries during and after sex. The main ones are:

infections and inflammatory processes in the internal genital organs, including the ovaries;
ovarian cysts;
benign and malignant neoplasms of the ovaries;
inflammation of the cervix - cervicitis;
insufficient production of vaginal lubrication, vaginal dryness;
too deep penetration of the penis into the vagina;
the presence of adhesions in the pelvis;
vaginismus – severe tension in the muscles of the vagina and perineum during sexual intercourse, causing pain.

Pain in the ovaries after surgery

Any operation is a trauma to the body. Therefore, postoperative pain is a natural and fairly common symptom. They are also found in the gynecology clinic.

Ovarian punctures

After ovarian puncture, pain is normal. Typically a woman has the following symptom complex:

pain in the ovaries of a pulling, aching nature;
slight vaginal discharge;

These signs are due to the fact that, firstly, an injection into the ovary is, although small, still an injury. Secondly, a pinpoint bleeding wound is formed, which causes irritation of the peritoneum in the area of intervention. As a rule, the pain syndrome lasts for 5–7 days, after which it disappears completely. If it is very strong, does not go away for a long time, and there is an increase in body temperature, you should consult a doctor.

Treatment of pain in the ovary after puncture involves the use of painkillers and antispasmodics.

Removal of ovarian cyst and other organ surgeries

Pain in the ovaries after cyst removal and other surgical interventions may be associated with the following reasons:

formation of an adhesive process in the pelvic cavity;
postoperative bleeding;
development of the inflammatory process – pelvioperitonitis;
pain and a slight increase in temperature in the first days after surgery (a normal phenomenon that passes, it is dealt with with painkillers and anti-inflammatory drugs).

The more extensive the surgical intervention on the ovaries, the more pronounced the pain syndrome will be subsequently. Pain after removal of the ovaries is the most pronounced, and the likelihood of developing an adhesive process in the pelvis is higher.

Pain in the ovary during pregnancy

There is a widespread belief among women that pain in the ovaries is one of the signs of pregnancy. However, statistics show that pain in the ovarian area during pregnancy is rarely associated with the ovaries themselves. Firstly, the pregnant uterus greatly increases in size, so the ovaries, along with the fallopian tubes, rise much higher than their usual location.

Typically, ovarian pain during pregnancy is caused by overstretched ligaments that support the uterus, ovaries, and fallopian tubes. They begin to experience increased stress, tension appears in them. This symptom can be successfully combated through a balanced diet, work and rest schedule, gymnastics and yoga for pregnant women, and breathing exercises.

Secondly, any gynecologist knows that with the onset of pregnancy, ovarian function is almost completely switched off. Therefore, pain cannot occur in them.

All of the above applies to such conditions when pain in the ovarian area appeared during pregnancy for the first time.

It’s a completely different matter if the pain existed before pregnancy, but during it it arose again or intensified. A pregnant woman may develop any inflammatory diseases, cysts, or ovarian tumors.

It is best to prevent pain in the ovaries during pregnancy in advance, that is, undergo an examination and course of treatment if any disease is detected. If pain in the ovaries appeared during pregnancy, then you need to visit a gynecologist as soon as possible.
Otherwise, complications such as abortion, fetal hypoxia, placental abruption, etc. are possible.

Adnexitis (salpingoophoritis)

Inflammation of the ovary is called oophoritis. If the fallopian tube also becomes inflamed, this condition is called salpingoophoritis. In any case, it manifests itself as severe acute pain in the ovaries and other characteristic symptoms:

Pain in the ovaries during inflammation is quite severe, occurs in the form of attacks or bothers the patient constantly.
Pain in the ovaries and lower back is often encountered; it can also radiate to the sacrum.
Some women experience pain in the ovaries when urinating.
As the disease becomes chronic, the pain becomes dull and aching.
Body temperature rises to 37 - 38 o C. The woman feels chills, general malaise, and increased fatigue.
Various menstrual cycle disorders are very typical. Menstruation begins to come irregularly as a result of the fact that the inflammatory process contributes to a decrease in the production of female sex hormones.
Pain due to inflammation of the ovaries is almost always accompanied by a disturbance in the emotional background of a woman: she becomes more hot-tempered, irritable, and easily becomes depressed.
Sexual desire decreases as a result of decreased production of female sex hormones.

Pain syndrome is provoked by colds and other infections, hypothermia, stress, and decreased immunity.

The cause of acute pain in the ovaries caused by the inflammatory process is determined during an examination by a gynecologist and an ultrasound scan. In acute cases, conservative treatment usually lasts 5–7 days. With chronic inflammation, it lasts longer.

Ovarian cyst pain

An ovarian cyst is a cavity that is filled with fluid and increases the volume of the gland. It’s worth mentioning right away that cysts often occur completely without symptoms and do not cause pain in the ovaries. If pain occurs, it is accompanied by the following symptoms:

usually pain is noted in the lower abdomen on only one side - that is, it is either pain in the right ovary or the left;
pain in the ovaries has a pulling, aching character;
they can be provoked by sexual intercourse;
there may not be pain, but just a feeling of heaviness and discomfort;
menstrual irregularities occur in the form of dysfunctional uterine bleeding, an increase in the period between menstruation;
if the cyst is large enough, then the woman’s stomach increases.

Torsion of the cyst pedicle

Many types of cysts are located on the surface of the ovary and are attached to it using a stalk. Even if the cyst itself is not accompanied by pain or other symptoms, when its legs are twisted and the blood circulation is impaired, very striking manifestations arise in it:

severe sharp pain in the ovary on the right or left, which radiates to the stomach, rectum;
increased body temperature;
violation of the general condition of a woman.

Sometimes severe short-term painful sensations indicate rupture of the follicular cyst. This condition is not dangerous. However, if any discomfort occurs, it is better to visit a gynecologist.

Polycystic

Polycystic ovary syndrome is sometimes confused with regular cysts. In fact, these are two different diseases, each of which is accompanied by its own symptoms.

Polycystic ovary syndrome is an endocrine pathology that affects many endocrine glands. As a result of endocrine disorders, many small cysts form in the ovarian tissue and characteristic symptoms appear:
1. Chronic nagging, aching pain in the ovaries, lower abdomen and lumbar region. The exact origin of the pain syndrome has not yet been precisely established. It is believed that the enlarged ovaries put pressure on neighboring organs.
2. Menstruation disorders. Pain in the ovaries with polycystic disease is combined with rare irregular menstruation. Sometimes periods can be excessively heavy and prolonged, or absent altogether.
3. Some women experience symptoms consistent with premenstrual syndrome. There are sudden mood swings, swelling in the legs, engorgement of the mammary glands, and pain in the lower abdomen.
4. Endocrine disorders lead to the development of infertility. Regular unprotected sexual intercourse fails to conceive.
5. General signs of dysfunction of the endocrine glands: hair loss, obesity, the appearance of acne on the facial skin.
6. During the examination, the doctor may detect enlarged ovaries.

With ovarian cancer, there is always a violation of the monthly cycle.

If the tumor is large enough, the functions of the bladder and rectum are impaired.

Diagnosis of aching pain in the ovaries due to malignant tumors is carried out using ultrasound, puncture of the ovaries, and identification of specific tumor markers in the blood. Treatment involves surgery, chemotherapy, radiation therapy and other techniques.

Hyperstimulation syndrome

Among the methods of treating female infertility, various hormonal medications are widely used today. If their dosages are not chosen quite correctly, then excessive stimulation leads to pathological changes in the ovaries and the occurrence of pain in them.

Hyperstimulation syndrome can be mild or severe.

In mild cases, there is nagging pain in the ovaries, a feeling of heaviness and discomfort in the lower abdomen. A woman complains of constant bloating and begins to gain weight faster.

In severe forms of the pathology, pain in the ovaries is more pronounced. Blood pressure decreases, the woman notes that she has begun to urinate less often and less. A significant increase in the abdomen is due to the accumulation of a large amount of fluid in it. There are pronounced metabolic disorders.

Diagnosis of pain in the ovaries of this origin is not difficult in most cases. There is a connection between the symptoms that have arisen and the use of hormonal medications. During an ultrasound, the doctor discovers many small cysts in the ovaries. Treatment consists of discontinuing medications.

Torsion of the legs of cysts and ovarian tumors: paroxysmal severe pain

Some cysts and tumors are not located in the ovarian tissue, but on its surface, attaching to it with a stalk. If the tumor rotates around its axis, the ovarian stalk becomes twisted and blood flow in it is disrupted. The following symptoms occur:

Acute severe pain in the ovary, lower abdomen. They occur in the form of attacks and cause significant suffering to the woman.
Pain in the ovary radiates to the lower back, to the leg (if the right ovary is affected - to the right, if the left ovary is affected - to the left).
The woman's general condition worsens. Nausea and vomiting are noted.
Constipation occurs. A large amount of gas accumulates in the intestines, which leads to bloating.
The pain can be so severe that it leads to shock: the woman turns pale, loses consciousness, and her blood pressure drops sharply.

Torsion of the pedicle of a cyst or ovarian tumor does not always manifest itself so clearly. This may develop gradually. In this case, the increase in pain and other symptoms is also extended over time.

Diagnosis of acute pain in the ovary as a result of torsion is not difficult. Moreover, a woman, as a rule, is aware of the presence of a neoplasm. This condition requires immediate surgical intervention.

Ovarian cyst rupture

In most cases, a ruptured ovarian cyst is a condition that threatens the woman's life and requires immediate surgical intervention. At the moment of rupture, a sharp, severe pain appears. But the main danger lies in the symptoms associated with developing bleeding. The woman turns pale, loses consciousness, and her blood pressure level drops sharply.

In order to prevent further bleeding and save the patient, it is necessary to take her to the operating room as soon as possible.

Ovarian apoplexy

Ovarian apoplexy is a condition in which hemorrhage occurs in the ovary and its rupture. In this case, massive bleeding develops into the abdominal cavity. If a woman under the age of 40 suddenly experiences severe sharp stabbing pain in the ovary and a drop in blood pressure, then with a high degree of probability it can be assumed that she has ovarian apoplexy.

Depending on which symptoms dominate, two forms of pathology are distinguished:
1. Painful form, as its name suggests, is accompanied by severe pain in the ovary. In this case, pallor, a drop in blood pressure, and weakness are noted, but these symptoms are not as severe as pain. This condition can be complicated by painful shock, in which the woman loses consciousness and her blood pressure drops significantly (primarily due to the fact that the patient experiences a painful shock, and not because of bleeding).
2. Hemorrhagic form It manifests itself not so much as pain in the ovaries, but rather as symptoms of massive blood loss. The drop in blood pressure is quite significant. There is pallor, weakness, dry skin. A woman may fall into a state of shock, and it is caused not by pain, but by a sharp decrease in blood volume as a result of blood loss.

Most often with apoplexy, pain occurs in the right ovary, since it is susceptible to hemorrhages and ruptures to a greater extent than the left.

Interrupted tubal pregnancy

Tubal pregnancy occurs when a fertilized egg implants into the mucous membrane not inside the uterus, but inside the fallopian tube. In itself, this condition does not manifest itself in any way, and is similar to a normal pregnancy. Sometimes there may be irregularities in menstruation and mild nagging pain in the ovaries.

The main clinical manifestations occur when the termination of a tubal pregnancy begins. Periodic aching, cramping pain in the ovaries and bleeding in the form of bleeding appear. At first, these symptoms may not cause any concern to the woman. But over time they intensify and lead to serious consequences. Therefore, if you suspect a tubal pregnancy, you should immediately consult a doctor.

Aborted tubal pregnancy

An interrupted tubal pregnancy is the logical conclusion of an interrupted tubal pregnancy. There are two types of it: tubal abortion and rupture of the fallopian tube. The symptoms for these two conditions are identical.

There is sudden severe pain in the ovary and fallopian tube, signs of bleeding:

pallor;
loss of consciousness;
drop in blood pressure;
increased heart rate;
development of a state of shock.

The blood that pours out of the fallopian tube penetrates the abdominal cavity and accumulates in the cavity between the uterus and rectum. Therefore, the woman feels severe pain in the anus.

Pain in the ovary caused by interruption of a tubal pregnancy is detected during examination and ultrasound examination. Urgent surgical intervention is necessary, as this condition threatens the woman’s life.

Pain in the ovaries caused by pathologies of other organs and systems

Pain in the ovarian region does not always occur directly in the organ itself. Pain syndrome can develop as a result of pathology of other anatomical structures that are nearby:

pain in the right ovary may actually be a sign of acute appendicitis;
aching nagging pain in the ovarian area may be a symptom of adhesions in the pelvic cavity;
acute severe pain in the ovaries may indicate the development of a purulent-inflammatory process in the pelvis - pelvioperitonitis;
pain syndrome can be caused by pathologies of the rectum and bladder.

What tests can doctors prescribe for pain in the ovary?

Pain in the ovaries can be provoked by various factors and diseases, therefore, if this symptom is present, the doctor may prescribe various tests and examinations in order to determine the causative factor that caused the pain syndrome in a woman. However, in each specific case, the doctor does not prescribe all possible tests and examinations, but selects only those that are necessary to identify the cause of pain in the ovaries at the moment. The choice of tests necessary in each case is carried out depending on the accompanying symptoms, the nature of the pain and the events that preceded the appearance of pain in the ovaries, since it is these factors that allow the doctor to suggest a diagnosis, to confirm which instrumental and laboratory tests are performed.

In case of pain in the ovary, the doctor must perform a bimanual gynecological examination and a speculum examination. A bimanual examination with your hands allows you to palpate the genital organs, identify neoplasms in them, an inflammatory process, their displacement from their normal location, etc. And examination in the mirrors allows you to assess the condition of the tissues of the vagina and cervix, identify erosion, suspect cervicitis, etc. The data obtained by the doctor during a gynecological examination and speculum examination allows one to orientate oneself and preliminarily suggest a diagnosis, and in difficult cases, at least determine the direction of the diagnostic search. After the examination, the doctor prescribes other tests to make an accurate diagnosis, the list of which depends on the accompanying symptoms, the nature of the pain and the events preceding the onset of pain.

Firstly, it should be said that pain in the ovaries, combined with an increase in body temperature, a sharp deterioration in well-being, a drop in pressure, pale skin, bleeding, as well as lasting longer than 3 to 4 hours and increasing over time, are a sign of life-threatening conditions, therefore, when they appear, you need to urgently call an ambulance and be hospitalized in a hospital.

If a woman experiences pain in the ovaries during menstruation, during ovulation or before menstruation, then this may be both normal and a sign of pathology. In such a situation, in order to find out whether pain in the ovaries is normal for a particular woman, or whether they indicate pathology, the doctor may prescribe the following tests and examinations:

General blood analysis ;
General urine analysis ;
Ultrasound of the pelvic organs ();
Vaginal smear for flora (sign up);
Blood test for luteinizing hormone (LH);
Blood test for follicle-stimulating hormone (FSH);
Blood test for testosterone;
Analysis of blood, vaginal discharge and scraping from the urethra for sexually transmitted infections (sign up) (for chlamydia (sign up), mycoplasma (sign up), gardnerella, ureaplasma (sign up), Trichomonas, gonococci, Candida fungi).

In practice, for pain during ovulation, during menstruation and before menstruation, the doctor usually prescribes an ultrasound of the pelvic organs, a smear from the vagina for flora, a general blood and urine test, which in most cases allows us to understand whether the pain is associated with a disease or is a normal feature specific woman. But tests for infections and hormones are usually prescribed only if the doctor suspects that pain in the ovaries during menstruation, before menstruation and during ovulation is caused by inflammatory or endocrine disorders.

If a woman experiences pain in the ovaries at different periods of the cycle, which are combined with various menstrual irregularities (for example, irregular menstruation, shortening or lengthening of the cycle, too heavy or scanty menstruation, etc.), then the doctor prescribes the following examinations and tests:

General blood analysis;
General urine analysis;
Coagulogram;
Vaginal smear for flora;
Ultrasound of the pelvic organs;
Hysteroscopy ();
Blood test for cortisol (hydrocortisone) levels;
Blood test for the level of thyroid-stimulating hormone (TSH, thyrotropin);
Blood test for follicle-stimulating hormone (FSH) levels;
Blood test for luteinizing hormone (LH) levels;
Blood test for prolactin levels;
Blood test for estradiol levels;
Blood test for dehydroepiandrosterone sulfate (DEA-S04);
Blood test for testosterone levels;
Blood test for sex hormone binding globulin (SHBG) levels;
Blood test for the level of 17-OH progesterone (17-OP).

In addition, if there is a suspicion of thyroid disease, the doctor may additionally prescribe blood tests for thyroxine (T4), triiodothyronine (T3), antibodies to thyroid peroxidase (AT-TPO), antibodies to thyroglobulin (AT-TG).

If a woman experiences pain in the ovaries after sexual intercourse or during sex, then the doctor prescribes the following examinations and tests:

Vaginal flora smear;
General blood analysis;
General urine analysis;
Colposcopy ();
Cervical smear for cytology;
Tests for the presence of viruses - herpes virus types 1 and 2, human papillomavirus, cytomegalovirus, Epstein-Barr virus;
Blood test for syphilis (sign up);
Ultrasound of the pelvic organs;
Hysteroscopy;
Computer or Magnetic resonance imaging (sign up).

For pain in the ovaries during or after sex, the doctor first prescribes an ultrasound, a smear for flora and colposcopy, as well as a blood test for syphilis, since these methods, in most cases, make it possible to identify the cause of the pain syndrome and prescribe treatment. If these studies did not help to identify the cause of pain in the ovaries, and there are clearly inflammatory changes in the smear and ultrasound data, the doctor may prescribe tests for all sexually transmitted infections (chlamydia, mycoplasma, gardnerella, ureaplasma, trichomonas, gonococci, Candida fungi), bacteriological culture of vaginal discharge to understand which microorganism provoked the inflammation.

Pain during inflammation of the ovaries can be sudden, but at the same time severe and paroxysmal. Also, pain due to inflammation of the ovaries can be dull and aching, appearing after hypothermia, stress, heavy exertion, etc. Regardless of the nature of the pain, it can be combined with pain in the lower back, sacrum and sometimes with pain when urinating, irregular menstrual cycle, short temper, irritability, fatigue and fever. In such cases, doctors prescribe the following tests to find out the cause of the inflammation:

General blood analysis;
General urine analysis;
Vaginal flora smear;
Analysis of blood, vaginal discharge and scraping from the urethra for genital infections (for chlamydia, mycoplasma, gardnerella, ureaplasma, trichomonas, gonococci, Candida fungi);
Tests for the presence of viruses - herpes virus types 1 and 2, human papillomavirus, cytomegalovirus, Epstein-Barr virus;
Blood test for syphilis;
Bacteriological culture of vaginal discharge;
Ultrasound of the pelvic organs.

If a woman experiences nagging pain in only one ovary, and these pains are not combined with the inflammatory process, can be provoked by sexual intercourse and are combined with short intermenstrual bleeding or prolongation of the menstrual cycle, then this leads the doctor to suspect that she has ovarian cyst. In this case, an ultrasound and a smear on the flora are prescribed to exclude the inflammatory process. Other studies, as a rule, are not prescribed, since a routine ultrasound and gynecological examination are quite sufficient to diagnose a cyst.

If a woman constantly has a nagging pain in the ovaries, which does not subside over time, combined with pain in the lower abdomen and lower back, rare irregular menstruation, swelling in the legs, engorgement of the mammary glands, acne on the face, hair loss, then the doctor will definitely prescribe an ultrasound of the organs pelvis, and may additionally prescribe a blood test to determine the level of hormones, not only genital hormones, but also those produced by other endocrine organs.

If there are dull aching pains in the ovaries and lower abdomen, which radiate to the perineum and rectum, intensify during menstruation, and are combined with menstrual irregularities, the doctor will prescribe an ultrasound of the pelvic organs, a general blood test, a smear for flora and blood tests for testosterone, luteinizing and follicle-stimulating hormones. In the future, even a diagnostic test may be prescribed laparoscopy (make an appointment), since we are talking about suspected endometriosis.

For dull aching pain in the ovary, not dependent in any way on the menstrual cycle, constantly present, not associated with the inflammatory process, radiating to the leg and lower back, combined with constipation, prolongation of the menstrual cycle or amenorrhea (lack of menstruation), spotting or bleeding, the doctor prescribes Ultrasound of the pelvic organs and computed tomography are mandatory, since these are the methods that make it possible to identify suspected benign or malignant tumors.

If a woman begins to experience pain in the ovaries after hormonal stimulation, then in this case the doctor, as a rule, does not prescribe tests and examinations, since the cause of the pain syndrome is obvious. However, to monitor a woman’s condition, ultrasound, general blood and urine tests, biochemical urine tests, etc. may be prescribed.

If pain in the ovaries often bothers a woman, possibly combined with menstrual irregularities, but not combined with inflammatory processes, then the doctor prescribes Ultrasound (sign up), hysteroscopy and magnetic resonance imaging, since in this case the problem of pain is most likely caused by abnormalities in the structure of the genital organs or their displacement from their normal location.

Pain in the ovaries after surgery is normal, but if it does not go away for a long time or even intensifies, the doctor will definitely prescribe an ultrasound of the pelvic organs, a general blood and urine test, and will also perform a gynecological examination and speculum examination.

Treatment

You can cope with pain in the ovaries on your own if you have ovarian syndrome. The recommendations in this case are general:

rest, avoidance of physical activity;
you can take painkillers;
avoiding stress and conflict situations;
good nutrition;
rejection of bad habits.

If there is a suspicion that the pain syndrome is associated with any disease, especially with an acute condition, then self-treatment of pain in the ovaries is highly not recommended. You need to immediately consult a doctor or call an ambulance. In most cases, just taking painkillers and anti-inflammatory drugs is not enough. Treatment directed at the cause of the pathology is necessary.

Which doctor should I contact for pain in the ovary?

If pain in the ovaries of any nature occurs, a woman should consult a doctor - gynecologist (), which deals with the diagnosis and treatment of various diseases of the female genital organs. If pain in the ovaries occurs in a teenage or younger girl, then you need to contact a pediatric gynecologist.

Since pain in the ovaries can be a manifestation of both life-threatening and non-dangerous diseases, in some cases you need to contact a gynecologist as planned, in a clinic, and in others - in an emergency, by calling an ambulance or by yourself coming to the on-duty maternity hospital home or gynecological department. Accordingly, you should consult a gynecologist as planned for non-life-threatening diseases, and as an emergency for dangerous ones.

It is quite simple to distinguish life-threatening gynecological diseases from non-dangerous ones - dangerous diseases always manifest themselves as severe persistent pain in the ovary, lower abdomen and, possibly, in the lower back, are combined with a sharp deterioration in general well-being, pallor and severe weakness, and can also be combined with bleeding and increased body temperature. If a woman shows signs of a dangerous gynecological disease, she should urgently call an ambulance. In other cases, you need to go to the gynecologist as planned at the clinic.

In some cases, pain in the ovaries is not provoked by gynecological diseases, but in all cases you still need to contact a gynecologist first, since it is the doctor of this specialty who will determine that the symptom is provoked by a disease of another organ and will refer the woman to the appropriate specialist. If the pain in the ovary is not due to a gynecological disease, then the gynecologist can refer the woman to surgeon ()(with suspicion of appendicitis), nephrologist (make an appointment) or urologist (make an appointment)(with suspected bladder disease) or to proctologist (make an appointment)(with suspected rectal disease).

Pain in the ovaries - causes, symptoms and what to do?

Purely female diseases, characterized by pain in the ovaries, often occur in women of all ages. Physiological, mild pain does not cause much concern. Others may be the result of serious pathologies of the reproductive or organs located in the pelvis. Therefore, every woman needs to know where the ovaries are located, when and why they can hurt, and what to do if certain symptoms occur.

The main questions that worry women and to which you need to know the answers so as not to miss a serious illness or complication.

When to call a doctor

You should call an ambulance in case of sharp, sudden, throbbing pain, accompanied by nausea, vomiting, fever, and general weakness. With these symptoms, the patient requires mandatory hospitalization.

If there is throbbing pain on the side of the left or right ovary, this may indicate torsion of the cyst stalk.

An increase in temperature, spotting, pulsation in the lower abdomen after hysteroscopy or ablation (curettage) of the uterine mucosa requires immediate medical intervention.

There is throbbing pain, nausea, vomiting, abdominal tension, bleeding - the main symptoms of a ruptured tube during an ectopic pregnancy, spontaneous miscarriage (abortion), ruptured appendix - you urgently need to call an ambulance.

Important: Such conditions, which doctors call “acute abdomen,” are dangerous to health and life. Therefore, you should not hesitate to see a doctor.

Pulsation radiating into the leg is a consequence of diseases such as complications of a hernia, femoral or inguinal, purulent inflammation of the appendages, acute appendicitis. The best decision is to call an ambulance for immediate hospitalization.

Which doctor should I contact for pain in the ovary?

If you experience mild pain that does not require urgent medical intervention, you need to make an appointment with your local gynecologist and undergo an examination. If there is an assumption that the symptoms are caused by other concomitant pathologies, the doctor will prescribe consultations with the appropriate specialists.

What tests can doctors prescribe for pain in the ovary?

The list of studies depends on the presumptive diagnosis, the possibilities of outpatient or inpatient treatment.

Main research:

general or detailed blood and urine tests;
Ultrasound of the pelvic organs;
intravaginal gynecological examination.

If infectious inflammation of the reproductive organs is suspected, vaginal smears or bacterial culture of microflora, sexually transmitted infections (mycoplasma, chlamydia, ureaplasma, gardnerella, gonococcus, candida) are prescribed.

If syphilis or HIV is suspected, an appropriate venous blood test is prescribed.

To identify endocrine disorders of the reproductive glands, blood tests are prescribed for the following hormones:

LH – luteinizing;
FSH – follicle stimulating;
testosterone, estrogen, prolactin, progesterone;
TSH – thyroid stimulating;
SHBG – sex hormone binding globulin;
DEA-S04 – dehydroepiandrosterone sulfate.

If a thyroid disease is suspected, additional tests for hormone levels are prescribed:

T4-thyroxine;
T3 – triiodothyronine;
AT-TPO and AT-TG – antibodies to thyroid peroxidase and thyroglobulin.

Why does my left ovary hurt?

Accordingly, similar causes of pain in the right ovary may appear in the left. But the left ovary hurts and stings less often than the right. The reason is that on the right side there are more arteries supplying the female organ. The gallbladder and appendix are located on the same side. Pain on the left side can be caused by the sigmoid colon, which is stretched due to untimely bowel movements.

Why do ovaries hurt in women?

Ovarian pain can be a natural physiological reaction of the body that occurs before and after menstruation, or it can be caused by pathological processes. Another reason is the abolition of long-term use of oral contraceptives. After stopping the medications, the functioning of the glands is restored, which is accompanied by aching symptoms, tingling, and nagging pain. Discomfort also occurs after surgery, which goes away after complete healing of the operated organ.

What to do if your ovaries hurt

Whatever pain you experience, you should definitely consult a gynecologist.

After the examination, the doctor will determine the causes, establish a diagnosis, give recommendations for therapeutic exercises, and prescribe medication or surgical treatment.

Please note: Many gynecological pathologies do not always have a clearly defined clinical picture. And it very often happens that when visiting a doctor, the gynecologist notes with regret that the disease is advanced. This is especially tragic for ovarian cancer pathologies.

Where do the ovaries hurt?

Paired organs are located in the lower abdomen, in the iliac region. Accordingly, pain occurs there.

Read also: Popular drugs for the treatment of ovarian cysts

Adnexit

Pain, constant, aching, with inflammation of the ovaries most often occurs on the right side, does not depend on the female cycle. Differentiation from appendicitis is necessary, especially if fever, nausea, and vomiting occur.

Ectopic pregnancy

A sharp pain radiating to the hypochondrium and shoulder occurs when the fallopian tube ruptures. Accompanied by bleeding, weakness, dizziness, loss of consciousness. History: delayed menstruation, weakly positive pregnancy test. Help must be urgent.
Apoplexy

If ovulation is too rapid, damage to the ovary occurs, followed by bleeding. The main symptoms are severe pain, weakness, cold sweat, and poor health. Surgical treatment may be necessary.

Cancer

The first stages are asymptomatic or with subtle manifestations. Sometimes a woman consults a doctor when the cancer has already reached the third or fourth stage. Therefore, if pain occurs, it is better to receive qualified advice and the necessary treatment than to later suffer from complications or end your life with premature death.

Primary diagnosis and pain relief

Pain that occurs once, or its mild manifestations, often does not require medical intervention, as it is caused by natural physiological processes in the ovaries.

Recurrent pain syndromes require a thorough examination of the patient:

external and intravaginal gynecological examination;
Ultrasound of the reproductive organs, bladder, intestines;
clinical and biochemical tests of blood and urine;
diagnostic laparoscopy or puncture of the abdominal cavity followed by histological examination.

Important: In no case should you use a heating pad if you have pain, so as not to aggravate the disease. Pain can be relieved with analgesics, which are usually prescribed by a doctor, based on the individual characteristics of the body.

Pain whose causes require treatment

If you experience severe, prolonged, sharp pain, you should not self-medicate; you should definitely consult a doctor. The following diseases require competent medical treatment:

inflammatory diseases of female organs;
benign or malignant tumors;
cysts, endometriosis;
miscarriages, ectopic pregnancy;
concomitant diseases that cause pain in the gonads.

With an ovarian cyst

The pain, depending on the type of cyst and its progression, is of a different nature and appears at different times. May occur during sexual intercourse or physical activity. When the leg is twisted or an ovarian cyst ruptures, paroxysmal, severe pain occurs.

The patient is concerned about:

heaviness, feeling of fullness;
aching pain in the lower abdomen, perineum, radiating to the lower back, sacrum, rectum;
menstrual irregularities;
bloody, spotting discharge;
difficulty urinating, with frequent urge;
nausea, fever, fainting.

Painful symptoms are caused by gynecological diseases such as adnexitis, salpingoophoritis (simultaneous inflammation of the ovaries and fallopian tubes), apoplexy (rupture of ovarian tissue), polycystic disease, and ovarian endometriosis.

Untreated, neglected cysts lead to serious complications - their ruptures, pedicle torsion, development of tumors, infertility, adhesions. Women undergoing IVF may develop ovarian hyperstimulation syndrome, associated with an excessive amount of medications that increase ovulation.

To avoid these complications, doctors, based on the type of cyst or cystic formation, prescribe medication or surgical treatment. One of the treatment methods that is not often used is puncture, which removes aspirate (contents) from the cystic ovarian cavity.

Related to the menstrual cycle

Ovulatory syndrome - pain in the ovaries before menstruation, after ovulation, is often associated with an insufficiently mature corpus luteum. In this case, partial detachment of the uterine epithelium occurs, which causes discomfort.

The period during which the egg leaves the follicle is characterized by micro-tears of the membrane and micro-hemorrhages. This period occurs during ovulation in the middle of the monthly cycle and is also characterized by a slight pain syndrome. Pain usually occurs on the side on which the egg matures. The occurrence of severe, sudden pain may be a signal of ovarian rupture. And in this case, immediate medical assistance cannot be avoided.

The lower abdominal cavity is the area that contains important vital organs, such as the liver. Also in women, the reproductive system is located here. Diseases related to important organs can create a situation where there is a sensation of throbbing in the lower abdomen. The discomfort can be so strong that the young lady is unable to lead her usual lifestyle. Doctors advise to take care of your health and not let illnesses develop. By regularly undergoing examinations, you can avoid the development of ailments that negatively affect the body.

Who is susceptible to abdominal pain?

Throbbing pain in the lower abdomen affects in most cases the fairer sex. According to statistics, they are much more likely to encounter this problem than men or children. This is easy to explain: due to the physiological characteristics of the structure, the female body is more susceptible to malaise, in which the lower abdomen pulsates. But this does not mean that the disease in men and children may be less serious than in girls.

Often, cramps in the abdominal area simply paralyze people. They don't want to see doctors. Instead of effective treatment, they begin to take painkillers. But people forget that analgesics can only cope with the symptoms, but not the cause of the discomfort. Such medications do not eliminate the source of pain. Doctors distinguish two distinct subtypes of pain in women. Firstly, it is a sharp and sharp pain in the lower abdomen. Secondly, not strong, but pulling and aching.

Causes

In patients, a malaise in which the lower abdomen pulsates is often associated with gynecological problems. Usually, such problems are directly related to menstruation or pregnancy. The physician is obliged to determine whether the ailment poses a danger to the patient’s life. After all, discomfort can be a consequence of more serious problems than the approaching period:

Acute pain with severe cutting accompanies diseases such as internal bleeding and peritonitis. In such situations, the patient needs prompt surgical intervention.
Pain characterized by rhythm and pulsation is classified as ailment of the genital organs. They often appear when there are problems with blood pressure.
Permanent, aching pain occurs when there are problems with the blood supply to the uterine capsule.
Dull pain can be caused by inflammation of internal organs: ovaries or cervix.

In addition, ailments in which the lower abdomen pulsates in women appear for several main reasons:

Ectopic pregnancy. In women, there is a pulsation in the lower abdomen on the right at the very beginning of the first trimester. This pain occurs in cases where the patient’s tubes are narrowed. The egg cannot reach the uterus. Therefore, implantation begins directly in the tube. Over time, the shell of the egg destroys it - pain appears in the lower abdomen. Treatment is possible only through surgery.
Hemorrhage occurs when the follicle ruptures with the egg. Treatment is only surgical.
Twisting of the pedicle of an ovarian cyst. When this happens, the outflow of venous blood stops. But the influx remains the same. The cyst expands and fuses with nearby organs. Ailments in the abdominal area appear after intercourse or physical exertion.
Infection of the uterine appendages. The infection process develops after the birth of a child or drug intervention in pregnancy. Not much at first. But then the infection spreads throughout the entire pelvis. Even the slightest touch to the pulsating area brings pain.

Pain is a symptom of another disease

Women more often than others complain of pain that pulsates in the lower abdomen on the left or on the other side. Unpleasant sensations tend to spread to other parts of the body, for example to the back. Sometimes, even after medical intervention, a woman continues to feel phantom ailments.

To accurately determine the diagnosis, the gynecologist must remember the patient’s sensitivity level, while determining the severity of the pain. Ailments in the stomach area become a symptom:

Bleeding from the genital tract.
Pelvic inflammatory diseases.
Ailments associated with the gastrointestinal tract.
Internal bleeding.
Pathologies of the urinary tract.

The effect of abortion on pain in the lower abdomen

Another reason why the lower abdomen pulsates is the consequences of an abortion. After the procedure, discomfort in this area may go away, or it may get worse due to the remnants of the fertilized egg, infections and complications. Medical abortion is a process that must be supervised by a doctor. A week after taking the pills, the woman needs to return to the gynecologist to undergo an ultrasound again and identify abnormalities at an early stage.

About 5% of girls who undergo a similar procedure become victims of incomplete medical abortion. Most often this happens due to the fault of women themselves. They do not pay attention to the doctor’s recommendations and do not visit the gynecologist for the third time. In this case, the development of infection is characterized by pain in the abdomen, bleeding, elevated body temperature, and purulent vaginal discharge.

Pulsations in the abdomen during pregnancy

Women experience throbbing in the lower abdomen during pregnancy for several reasons:

Ectopic pregnancy. In this case, the pain may spread to only one side. Sometimes it can be bilateral.
Miscarriage. In pregnant women, abdominal pain and bleeding are a sign of spontaneous abortion.
Premature birth. Throbbing pain in the abdominal area in the last stages of pregnancy can be caused by contractions and dilatation of the cervix.
Placental abruption. Sometimes pregnant women experience separation of the placenta before delivery. Most often this occurs due to injury in the abdominal area.
Uterine rupture. At 30-35 weeks of pregnancy, the stretching of the organ is maximum. During this period, if pathologies or scars are present, premature birth may occur.

Lower abdominal pain and other diseases

Often, pain in the lower abdomen can be a symptom of another disease:

Discomfort occurs in the middle of the menstrual cycle. This type of pain may be normal for women.
Unpleasant sensations are possible with disease and torsion of the ovaries, apoplexy, benign and malignant formations. Pain in the lower abdomen occurs due to ischemia.
Inflammation. Pain in the lower abdomen, accompanied by discharge from the genitals, is a symptom of sexually transmitted infections.
Appendicitis. When pain in the abdominal area cannot be localized and is characterized by gradual intensification, then there is a high probability of developing appendicitis.

The occurrence of pain and sexual intercourse

Women may experience throbbing in the lower abdomen after intercourse. This is influenced by the following factors: rupture of a cyst, ovary, miscarriage, ectopic pregnancy, acute anemia, injury, genital tract infection, cervicitis, vaginitis, erosion and polyps, cervical cancer.

Chronic abdominal pain

Doctors note: sometimes this type of ailment is not a consequence of illness. Thus, algodismenorrhea, or pain during menstrual periods, is characterized by cyclicity. It is chronic and habitual for some women. Pain also occurs when ovulation occurs. The throbbing discomfort sometimes extends to the lower back and hips. The first pockets of discomfort also appear on the first day of menstruation. Their duration is no more than two days.

But, unfortunately, as practice shows, pain in the lower abdomen in women most often occurs under the influence of diseases from the field of gynecology. Doctors recommend that patients do not delay visiting a doctor, especially if the illness arose during pregnancy. Gynecologists note that treating pain at home can cause the development of pathologies and lead to death.

Natalya Balanyuk

Hello uv. Natalia Vladimirovna! I am 31 years old, two children. The second birth took place in July 2011 and was successful. In December 2008, there was an emergency operation - resection of the right ovary (a cyst burst). I clearly remember what the sensations were the day before - pulling and bursting, but tolerable. Now (the second day) my left ovary is twitching slightly... I can’t understand what’s happening... There is no obvious pain. The first periods after childbirth were six months later, this month (from February 13 to 19)... Before them, PMS (either hot or cold, dizziness, weakness, nausea, depression), which was not observed in women before the second birth. me. I'm breastfeeding. What could be causing this twitching of the ovary? Thank you for your time!

Hello, Natalia! Pain in the lower abdomen can be associated with a variety of reasons: with an exacerbation of the inflammatory process, and with the presence of adhesions, and with colitis, and many other reasons. In absentia, without examining you, without having objective research data, it is impossible to unambiguously answer your question. However, since you had your period on 02/13/12, the appearance of discomfort in the lower abdomen may well be associated with the maturation of the follicle and ovulation, or the formation of the corpus luteum. After all, this is just the periovulatory period. All the best!

Natalya Balanyuk

My period still hasn't arrived. The smear results are normal. On physical examination, everything is normal, the left ovary is slightly enlarged. I don't know what to think. During breastfeeding, is the absence of menstruation for a certain period after their resumption normal?

Hello! After the resumption of the menstrual cycle (MC) during breastfeeding, it should normally be regular. The MC can change its characteristics (number of days between menstruation, duration of menstruation, etc.). However, it must be regular. We need to look for the reason for your delay. First of all, it is wise to exclude pregnancy. Take a urine pregnancy test or a blood test to determine your human chorionic gonadotropin level. The level of this hormone begins to increase rapidly within 7-10 days after possible conception. You may need to do several analyzes over time. Get an ultrasound examination. The situation should become clearer. Take action! All the best!

Consultation with a gynecologist on the topic “Pulsating sensation in the left ovary” is given for informational purposes only. Based on the results of the consultation received, please consult a doctor, including to identify possible contraindications.