The menopause (climacteric) is accompanied by a series of hormonal changes in women.
The time at which menopause starts can vary individually; on average, women around the age of 58 have gone through menopause. The ovaries produce fewer hormones during menopause, and the ability to reproduce is reduced. This process takes place in different stages and extends over a longer period of time.
Menopause varies considerably from woman to woman, some of them have no symptoms, others are slightly impaired, and in some cases there are strong symptoms such as severe pain in the ovaries. Abdominal pain is not uncommon in menopause, in many cases there are harmless causes behind it. However, it can sometimes also hide diseases of the fallopian tubes, the uterus or the ovaries behind it.
In addition to the common menopausal symptoms of menopause, which include hot flashes, sweats, and changes in the vaginal membrane, the bladder, urethra, and intestines also become more susceptible to inflammation or other diseases.
Slight cyclical pain during the menstrual cycles are usually harmless even during menopause and disappear after a few days. However, in some cases, persistent abdominal pain is sometimes associated with bleeding or other discomfort. In such a case, a gynecologist should be consulted to clarify the cause of the symptoms.
In some cases, the pain can also occur on one side only, for example only on the left side.
There are several diseases that can cause ovarian pain during menopause.
Violent and acute pelvic pain, for example, could speak for acute fallopian tube and ovarian inflammation (pelvic inflammatory disease). This is an infection with bacteria that rise from the vagina through the uterus into the ovaries.
Often, ovarian cysts cause discomfort. A cyst is a fluid-filled cavity that can usually form under the influence of sex hormones on the ovary. Such ovarian cysts can sometimes become very large and, depending on the species, also form hormones themselves and lead to permanent bleeding. Ovarian cysts are usually benign and benign, but should be monitored frequently, especially in postmenopausal women.
A complication of ovarian cysts is when the ovary or cyst is twisted, one speaks of a torsion or style twist. This blood vessels can be pinched off, which is associated with acute severe pain. Ovarian cysts can also rupture and cause abdominal bleeding, which is not often the case.
Malignant diseases can also be manifested by pain in the ovaries during menopause. In particular, ovarian cancer (ovarian cancer) is more common in women between the ages of 50 and 70, which is why regular check-ups are particularly important.
The treatment of ovarian pain in menopause depends on the nature and cause of the condition.
For example, if an ovarian inflammation, in addition to antibiotic treatment bed rest, sexual abstinence and the removal of foreign bodies such as a spiral (Intrauterine pessary) is necessary.
When cysts cause menopausal pain, therapy depends on the type and size of the cyst. For smaller cysts often no treatment is necessary, pain relief drugs, bed rest and the monitoring of cysts using ultrasound examinations are usually sufficient.
In case of a change in size, therapy with hormones may be useful. For very large ovarian cysts, surgical removal should be sought. In particular, in new growths on the ovaries during menopause, it could be a malignant tumor, which is why in most cases, an operation is required to have the tissue examined in the laboratory under a microscope.
If abdominal pain is acute and severe, a doctor or clinic should be consulted immediately as a threatening situation may be behind the condition.
Especially with additional symptoms such as vomiting, nausea, bleeding or fever, the person should be examined by a doctor. In order to find the right diagnosis, he will first conduct a survey on the course of the disease (anamnesis).
This is followed by a physical examination, in which the pain is localized more accurately, the abdomen is examined and also a gynecological examination is important.
Further, other studies may be followed to find out the cause of the pain in the ovaries.
Depending on the suspected cause, ultrasound examinations (sonography), blood tests, laboratory tests of secretion smears (eg vaginal secretions) and urinalysis are used to provide the correct diagnosis for the symptoms.
Pain in the ovaries that occur during the menopause can be harmless and have a good prognosis, but in rarer cases it can also be malignant disease with a worse prognosis.
Ovarian cysts, which are the most common disease in women with ovarian ovarian disease, usually have a good prognosis, as they are mostly harmless fluid-filled cavities.
An ovarian infection can be treated well with antibiotics and usually stops after a few days. If you regularly go to checkups, malignant diseases of the ovaries can be detected early, which is crucial for a good prognosis in such diseases.
Since menopause is a period of hormonal change that the body needs to get used to, there are a number of so-called climacteric symptoms caused by changes in sex hormone production.
If serious illnesses on the ovaries have been ruled out by a doctor, some behavioral guidelines may help against pain in the ovaries:
It is important to relax, since the pain often causes a cramping of the abdominal muscles, which in turn can cause pain. Bed rest, warmth, hot baths and for very severe pain the use of painkillers are recommended. A healthy lifestyle, balanced diet and regular physical activity also help relieve menopausal symptoms.
If the pains in the abdomen stop or if accompanying symptoms such as bleeding occur, a doctor should be consulted in any case. In addition, during the menopause and in the years thereafter regular check-ups at the gynecologist should be carried out to detect and treat malignant diseases early.