Right ovary pain
introduction
Ovarian pain is common. Many women are familiar with the symptoms during their monthly menstrual period or during ovulation.
However, ovarian pain can also have other causes or be incorrectly interpreted as ovarian pain, although the symptoms actually have a different origin. A doctor should therefore always be consulted in the event of persistent or very severe pain.
Read more on the topic: Pain in the ovaries
causes
The right ovary can hurt for a number of reasons. Sometimes it's not that Ovary Origin of the pain, but an adjacent organ, such as the appendix.
Ovulation:
When ovulating, a matured egg cell leaves the ovary around the middle of the female cycle. The follicle pops open and the egg cell is released into the fallopian tube, through which it travels to the uterus. If it encounters living sperm there, it is fertilized and nests in the uterine lining: pregnancy begins. If it is not fertilized, it goes off together with the uterine lining as part of the menstrual period. Some women feel ovulation in the form of so-called middle pain . This leads to a more or less pronounced pulling in the area of the ovary, which has released the mature egg during this month.
Ovarian cyst:
Ovarian cysts (also: ovarian cysts) are blood or fluid-filled blisters that form on the ovaries. The cause is usually hormonal changes, for example through the use of hormonal contraceptives, during puberty, pregnancy or menopause. Cysts are usually benign, but can also occur in the context of ovarian cancer. Small cysts usually do not cause any symptoms and usually resolve on their own. However, if the cyst is very large, pressure on surrounding organs can cause pain. In addition, there may be pain during sexual intercourse, a constant urge to urinate or irregular stool.
A so-called Stem rotation arise. This suddenly causes the cyst to rotate around its own axis, so that the afferent Blood vessels and compress the tissue with which the cyst has grown.
The blood supply is cut off and the tissue dies. This in turn leads to an inflammatory reaction, which in the worst case can be down to the Peritoneum stretch and one Peritonitis (Peritonitis) can trigger.
The twisting of the stem becomes symptomatic severe pain on the affected side.
Therapeutically, the rotation must be surgically canceled and the cyst removed, otherwise the affected ovary may lose fertility.
Please also read our main article on this: Cyst on the ovary
Ovarian inflammation:
Ovarian inflammation (Adnexitis) can lead to right-sided lower abdominal pain if the right ovary is affected.
Ovarian inflammation usually results from the migration of pathogens via the vagina and uterus to the fallopian tubes and ovaries.
The affected women usually feel severe pain in the area of the affected ovary and often also have a fever and a pronounced feeling of illness. Nausea and vomiting can also occur, but do not necessarily have to occur.
It can also lead to foul-smelling vaginal discharge and intermenstrual bleeding. Most often, ovarian inflammation occurs shortly after a menstrual period has taken place.
Read more on this topic at: Inflammation of the ovaries and symptoms of fallopian tube inflammation
Pregnancy:
During pregnancy, some women experience pulling in their ovaries.
However, severe pain in the area of one ovary can also indicate an ectopic pregnancy.
The mature egg cell is already fertilized by a sperm in the fallopian tube and now does not nestle in the uterus, but instead incorrectly in the fallopian tube.
This is not designed for the growing embryo, so that from a certain size on it comes to severe pain.
An ectopic pregnancy must be surgically corrected, otherwise the fallopian tube can tear, which in turn can cause peritonitis.
Read more about this topic at: Ovarian pain in pregnancy
Period:
Many women suffer from period pain. These can also be felt around the ovaries, but are actually caused by the contractions of the uterus.
For this there are certain messenger substances that Prostaglandins, responsible. However, they also irritate free nerve endings, which causes the unpleasant pain.
Read more on this topic at: Ovarian pain after period / menstruation
Endometriosis:
Endometriosis is a benign growth of the uterine lining. This is irregularly distended and distributed to different parts of the abdomen where it actually does not belong.
For example, functional uterine lining can also be deposited in the ovaries.
Since it is a mucous membrane that reacts to hormonal influences in the normal cycle just like the regular uterine lining, it can lead to severe pain depending on the cycle, depending on where the mucous membrane has settled. Depending on the findings, the endometriosis can be surgically repaired.
Read more on this topic at: Symptoms of Endometriosis
Ovarian cancer:
Ovarian cancer (Ovarian cancer) does not usually cause any symptoms in the early stages. However, when the degenerate cells grow along nerves, pain can arise.
This also applies to later stages of the disease, when the ovarian cancer has grown so large that neighboring structures are infiltrated. Surrounding organs can then be compressed, so that, for example, pain in the bladder and / or rectum area, pain during sexual intercourse or pressure pain in the lower abdomen can occur.
Irregular bleeding (especially after the onset of menopause), weight loss, a feeling of fullness and changes in the stool can also occur.
Read more on this topic at: Ovarian Cancer Symptoms
Other causes:
Alleged pain in the ovarian area can also be wrongly interpreted as such, although it actually originates from other organs or structures. Right-sided pelvic pain, in particular, often comes from the appendix instead of the ovary and is then a sign of appendicitis (appendicitis).
Constipation or flatulence in the intestine can also cause pain on the right side of the lower abdomen, which can be interpreted as pain in the ovaries.
In the case of severe complaints in particular, it is therefore important to have a doctor clarify the various possible causes in order to find the correct cause and initiate appropriate therapy.
Symptoms
Pain in the right ovary area can vary in intensity depending on the cause. In the context of ovulation, it is usually just one light pulling, while the period significantly stronger pain can also occur.
At a Endometriosis or advanced malignant disease of the ovary and twisting of the stem are common crampy, very severe pain that should be clarified promptly by a doctor.
If additional symptoms like fever, Weight loss, night sweats, malaise, nausea, Vomit or other signs appear, the suspicion that a more serious cause might be hidden behind the symptoms. In this case, a doctor should be consulted.
diagnosis
To clarify right-sided ovarian pain, a gynecologist should be consulted. This will initially be a Palpation examination to identify possible changes in the tissue, hardening and possible defensive tension.
For further diagnostics, for example, a Ultrasound examination through the Scabbard be made. A corresponding transducer is inserted vaginally for this purpose. This allows the doctor to visualize the uterus and ovaries. Tissue changes, for example cysts, tissue overgrowths such as endometriosis or malignant changes can often already be made visible.
If a malignant change is suspected, the patient is usually promptly referred to a hospital, where a tissue sample can be taken. In the case of other changes in the ovaries, it must be decided in each individual case which further diagnostics and therapy are appropriate.
Illustration ovarian pain
Ovarian pain
- Ovary -
Ovary - Ureter -
Ureter - Large intestine, descending part -
Descending colon - Fallopian tubes -
Tuba uterina - Urinary bladder -
Vesica urinaria - Sheath -
vagina - Appendix -
Caecum
Appendix -
Appendix vermiformis - Liver -
Hepar
Causes of pain
in the ovaries:
A - cycle-related ovarian pain
(Maturation of an egg cell,
Ovulation, menstruation)
B - inflammation
(Adnexitis) - due
Pathogens
C - pregnancy
(Pressure of the baby,
Ectopic pregnancy)
D - tissue growth
(Endometriosis, cysts)
E - ovarian cancer
(Ovarian cancer) - malicious
(malignant) swelling of the ovaries
F - ovarian pain when coughing
(Pressure on the fabric)
G - back pain -
Diseases in the area
the ovaries
(e.g. lumbar spine)
You can find an overview of all Dr-Gumpert images at: medical illustrations
therapy
The therapy for right-sided ovarian pain depends on the underlying cause. A Ovarian inflammation can often with Antibiotics be resolved.
Benign tissue growths or large cysts, depending on their severity operational removed. Same goes for Ovarian cancer, Ectopic pregnancies and twists of the stem, which must be corrected surgically, otherwise serious complications can arise.
forecast
The prognosis for right-sided ovarian pain also depends on the cause of the symptoms. Once the cause is identified and appropriate therapy initiated, the prognosis is generally good.
Cysts often regress even without therapy, ovarian pain during ovulation or menstruation can usually be relieved by taking Painkillers make bearable.
Since there are also good chances of recovery from tissue changes in the ovaries surgically, ovarian pain can in most cases be managed well in the long term.
prophylaxis
There is no specific prophylaxis to avoid ovarian pain. Cysts and tissue overgrowths not infrequently arise in the context of a genetic predisposition, respectively through hormonal influencesthat cannot be specifically influenced by the woman.
To prevent inflammation of the ovaries, however, one should good hygiene be observed during menstruation. Sanitary towels or tampons should be changed regularly and the genital area washed with clean water. Do not use strong soaps or shampoos.
.jpg)
