The right ovary hurts: possible causes, features at different ages, treatment
Pain in the lower abdomen can occur in women for several reasons, including its appearance is sometimes associated with diseases of the ovaries. In the right ovary, due to the anatomical features of its location in the abdominal cavity pathologies occur more often. By the nature of the painful sensations, it can be assumed, with what type of ailment it was necessary to encounter. There are various methods of diagnosis, allowing you to clarify the presence of the disease and find out the degree of danger it poses to a woman's health.
- Possible causes of pain in the ovary
- Features of pain in the right ovary in women of different ages
- Diagnosis and treatment
Possible causes of pain in the ovary
In the ovaries maturation of eggs occurs, which can be fertilized after leaving the follicular membrane. If these paired organs are healthy and function normally, this process is repeated regularly every month. At the same time in the ovaries are produced sex hormones, affecting the reproductive and general health of women. Any pathology that occurs in these organs (inflammatory process or appearance of neoplasms) leads to disruption of their functioning, which is manifested by a change in the hormonal background, a violation of the cycle, and often infertility.
The right ovary usually hurts more often. This is due to the fact that it is more active than in the left, there are processes associated with the maturation of follicles and ovulation. The reason for this phenomenon is the difference in their blood supply and nutrition by useful elements. Due to its activity, the right ovary is more vulnerable to possible damage, infection. In addition, on the right side, directly next to it, is an appendix. With its inflammation, bacteria easily enter the ovary.
Perhaps the emergence of pulling, aching, shooting, permanent or paroxysmal pain. Not always unpleasant feelings are associated with diseases. Sometimes their appearance is explained by the peculiarities of the course of natural physiological processes in the body.
Overwork, stress. A slight aching pain in the ovary arises if a woman experiences, gets tired physically, is overcooled. As a rule, such pains quickly disappear after the source of stress is eliminated.
The onset of pregnancy. Painful sensations at the very beginning can be related to the fact that the embryo has entered the uterus (with scant implantation bleeding). During the growth of the fetus, the uterus stretches. This results in a slight displacement of other organs, tension of the ligaments. Drawing pain in the groin at this time is also the norm.
Before menstruation. Their appearance in the groin area is associated with swelling and stretching of the tissues of the uterus and ovaries, which occur as a result of changes in the hormonal background. If the pain does not pass and after the menstrual period, this indicates an unsuccessful condition of the organs.
Ovulation. If the right ovary hurts approximately in the middle of the cycle, there is a slight tingling, disappearing after a few hours, this is usually a sign of ovulation. A woman may have pinkish discharge as a result of falling into the vaginal mucus of droplets of blood from small vessels of the follicular membrane.
Causes of pathological character
The fact that the pain in the ovary is a signal of disease, you can guess if there are accompanying symptoms:
- Unusual discharge with an unpleasant odor, a strange consistency. Normally, after the end of menstruation, there is a "dry" period, when leucorrhoea is extremely insignificant in volume. Then their intensity changes in accordance with the cycle processes. Pathological discharge has a constant intensity.
- Violation of the regularity of the cycle, the nature of menstruation, the appearance of bleeding between them.
- Inability to conceive in a regular sexual life.
- Increased body temperature.
The cause of the diseases can be penetration into the ovary infection, the emergence of an inflammatory process due to tissue damage during abortion or surgical treatment, hormonal failure and the appearance of tumors, the formation of adhesions in the abdominal cavity.
Video: Causes of inflammation of the appendages, symptoms and consequences
Adnexitis and oophoritis. Often the right ovary begins to ache with inflammation in itself (adnexitis) or its appendage (oophoritis). In this case, most often there is a paroxysmal pain, which gives into the sacrum and the lower back. Provoke the onset of diseases of hypothermia of the legs, lower body, decreased immunity, fatigue and stress. Often, inflammation of the ovary occurs after abortion, curettage of the uterus, removal of cysts, as well as in the presence of diseases of the intestine or bladder. In the ovaries on the ascending path from the external organs can penetrate fungi, E. coli and other pathogens of infections, including those transmitted sexually.
Cysts and tumors of the right ovary. Cysts or ovarian tumors, if they are small (less than 2 cm in diameter), can not always be found, since there are no specific symptoms most often. But with their increase, the following complications may appear:
- Nerve endings and blood supply in the ovaries and adjacent organs. Pressure on the intestine and bladder, the displacement of the organs leads to a constant pulling pain in the abdomen, giving back and right thigh.
- Twisting the stem of the lesion, leading to tissue necrosis. Perhaps twisting and the ovary itself.
- Damage to the body of the cyst or tumor. Sometimes this breaks the body of the ovary (apoplexy) . With apoplexy, the pain is very strong, gives in the rectum, lower back, thigh. Such conditions are extremely dangerous. The contents enter the abdominal cavity, which leads to peritonitis, infection of blood, poisoning of the body. Internal bleeding, dangerous to life, may begin.
Note: Severe pain of this nature occurs in sciatica (sciatica). An accurate diagnosis can be obtained after an ultrasound.
When there is a torsion or rupture of the neoplasm and the organ in the abdomen, there is a sharp, very severe pain, and also there is vomiting, weakness, dizziness, fainting. In this case, medical care must be provided urgently, surgical intervention is required.
The cause of the formation of a cyst in the ovary can be endometriosis, the ingestion of endometrial particles from the uterine cavity onto the surface of the ovary. With such a disease, aching pain constantly worries, regardless of the days of the cycle.
Ovarian hyperstimulation. This condition occurs in the treatment of infertility by stimulating ovulation with the help of hormonal drugs. There are multiple small cysts, which leads to edema of the ovary. In the beginning there are aching pains, there is swelling of the intestine. The woman is gaining weight. Later, the liquid begins to accumulate in the abdomen, the pain increases, the patient has shortness of breath.
Supplement: When the ovary hurts from the right side, the doctor can not always diagnose immediately, based only on the nature of the patient's sensations. Similar symptoms (severe pain, nausea, vomiting, fever) are also observed with appendicitis or cholecystitis. When making a diagnosis, you should also make sure that there are no diseases of the vagina, cervix, intestines, and organs of urination. For this, in case of doubt, transvaginal and abdominal ultrasound is performed.
Features of pain in the right ovary in women of different ages
In adolescents, pain in the right or left groin is most often due to the fact that there is an increase in the size of the ovaries, an increase in their hormonal activity. Up to the end of puberty, there can be various deviations in the cycle and unusual pain sensations in the lower abdomen. There are also pains of neurotic origin. Their occurrence can contribute to the increased nervous excitability of the adolescent and the increased sensitivity of the pain centers.
The cause of pain in the right ovary can be an inborn violation of its development, the presence of genetic diseases. Often, the cause of inflammation in adolescent girls is hypothermia of the legs and pelvic region, as well as inexperience in matters of sex and intimate hygiene.
During pregnancy. Pain in the right lower abdomen in pregnant women can appear with the following pathologies:
- Ectopic pregnancy (the fetal egg is fixed in the right tube). If the pain is a constant aching, it is necessary to undergo an emergency examination, because when the tube breaks, a state that is dangerous for the life of a woman occurs.
- Cyst or swelling of the right ovary. Removal is made in the event that there is a serious threat of complications.
- Inflammatory and infectious diseases of the ovaries.
After intercourse. Pain sensations in the right ovary can appear with too active sexual contact or wrongly chosen in this position of the woman. But most often it is a symptom of a serious illness, especially when there is spotting after sexual intercourse. The appearance of such a symptom can not be ignored.
With menopause. Drawing pain in the right ovary occurs when the pelvic organs are lowered due to aging of the body tissues. The cause of soreness can also be the formation of adhesions in the peritoneal area after childbirth, abortions, surgeries, inflammatory diseases. As a rule, the accompanying symptoms are frequent urination, disruption of the intestine.
Video: Pain in the abdomen during pregnancy. How to guess the pathology
Diagnosis and treatment
If this condition occurs, a woman should go to a gynecologist and get a checkup. It takes into account the nature of the patient's complaints, the presence of factors provoking the occurrence of diseases (abortions, labor, operations), a gynecological examination is performed. With palpation, you can see an increase in the ovary .
Take a swab from the vagina and cervix for examination under a microscope and perform bapsoseva. Ultrasound, CT, MRI, x-ray of pelvic organs, diagnostic laparoscopy for detection of neoplasms, adhesions, studying the state of blood vessels and nerves are used.
When suspected of having ovarian cancer, a biopsy is performed. If necessary, the patient is sent for examination from specialists of another profile (urologist, gastroenterologist, endocrinologist, surgeon, oncologist).
After establishing the reason why a woman has a right ovary, appropriate treatment with antibacterial and anti-inflammatory drugs is carried out. Immunomodulators and vitamins are prescribed to increase the organism's resistance to infections. If necessary, hormonotherapy or surgical removal of neoplasms is performed. In the presence of chronic inflammatory diseases, physiotherapeutic treatment is prescribed.