introduction

Many women experience at least one pain in the ovaries during their lifetime. The pain on the ovary can occur both on the right and left side.
In most cases, affected women immediately develop a gynecological problem. In fact, pain that occurs in the left ovarian region may also be due to other organ systems.
If you suffer from right ovarian pain you will find more information on right ovarian pain.

Especially diseases of the colon or rectum can cause a corresponding symptoms. In addition, it should be noted in case of pain in the left ovary that it can be quite complaints without any disease value. During the normal menstrual cycle, there may be pain in the ovaries, especially in women of childbearing potential.

If the pain occurs between about the 12th and 14th day of the cycle, the symptoms can be associated in many cases with ovulation.
Nevertheless, diseases of the ovaries are among the most common causes of the occurrence of pain in the ovary. For this reason, women who suffer from persistent symptoms should urgently consult a specialist in a timely manner.
In case of severe pain on weekends or public holidays even a medical emergency service or an emergency room should be visited. There, it can be determined with the help of various diagnostic methods, whether the pain can be attributed to a gynecological disease or whether the problem is to be found in the area of ​​the gastrointestinal tract.

Figure pain on the ovaries

Fig. Pain in the ovaries

causes

The causes of pain on the left side of the ovary can be manifold.
As a rule, the affected women first assume that the pain on the ovary on the left must be based on a gynecological disease. In fact, gynecological diseases are among the most common causes of pain in the ovaries.
In addition, however, it should always be clarified whether there is another reason for the symptoms. In particular, irregularities in the area of ​​the gastrointestinal tract, especially diseases of the colon or rectum, can also lead to pain left on the ovary. In addition, the complaints can often be attributed to ordinary, completely harmless cycle-related causes.

  • Women who suffer from ovarian pain between the 12th and 14th day of the menstrual cycle may only be indicative of ovulation. In this context, it should be noted that there are pronounced hormonal fluctuations during the menstrual cycle. The increase in various female sex hormones ensures that an ovum can mature in one ovary per cycle. From about the 10th day of the menstrual cycle, the so-called luteinizing hormone ( LH ) increases and induces ovulation on the 14th day of the cycle. In some women, this process causes the so-called "middle pain" on the left or right side of the ovary.

    diagnosis

    The diagnosis of left ovarian pain usually involves several steps.
    Above all, the detailed doctor-patient interview ( anamnesis ) plays a crucial role. By accurately describing the existing symptoms, the attending physician can often narrow down the cause of the pain. Also changes of the outflow including smell, quantity and color will consult the doctor.
    Following the doctor-patient interview, a general physical examination is usually performed. In this study, not only the female genitals, but also the abdomen should be tested. Women who have inflammation on the ovary to the left or an ovarian cyst show the abdominal cavity to be significantly strained. In addition, the pain on the ovary can be increased left by direct pressure on the left groin.
    Irrespective of whether the treating physician assumes a gynecological or abdominal cause of the pain on the ovary, an ultrasound examination should be performed after the physical examination. During this examination inflammatory processes in the abdomen as well as a variety of gynecological diseases can be detected. In some cases, it is also useful to supplement the diagnosis with further examination methods.
    Inflammatory processes can often be ruled out by a blood test. In the presence of inflammation that leads to ovarian pain, the specific inflammatory values ​​typically increase. In particular, an acute increase in white blood cells ( leucocytes ) and C-reactive protein ( CRP ) may indicate inflammatory processes.

    Changes in the outflow

    There may be a variety of causes for the development of left ovarian pain. For this reason, typical concomitant symptoms can help to narrow down the possible causes and thus facilitate the diagnosis. In many of the diseases that can cause left ovarian pain, changes in the natural outflow can be observed. Especially with infections of the female sex organs, the discharge is often changed.
    Patients suffering from inflammation of the ovaries often notice a change in the discharge before the onset of pain. As ovarian inflammation causes bacterial pathogens to reach the fallopian tubes via the vagina and uterus, the body tries to "flush out " the germs by stimulating secretory production. In this disease, the discharge may look fluid or foamy.

    therapy

    The treatment for left ovarian pain depends largely on the underlying cause. For this reason, women who suffer from persistent or suddenly severe onset of pain in the ovary on the left should urgently consult a specialist in a timely manner. If the complaints occur on the weekend or on a public holiday, a medical emergency service or even an emergency room may have to be visited.
    In the course of a detailed diagnosis, the cause for the development of the pain on the ovary can be determined there on the left and a suitable treatment initiated.
    Inflammatory processes in the ovary are usually caused by bacterial pathogens that rise from the vagina to the ovary. For this reason, antibiotic therapy must be initiated in the affected patients. Depending on the extent of inflammatory processes, treatment can be either outpatient or inpatient.
    If the pain on the ovary is caused on the left by an ovarian cyst or a stilted ovarian cyst, an operative therapy must be initiated. In this context, however, it should be noted that a cyst in the area of ​​the internal organs is not always in need of treatment. For this reason, an ovarian cyst is usually removed only when it causes right or left ovarian pain. In the case of the stilted ovarian cyst, however, surgical treatment is obligatory. The reason for this is the fact that it can come through a possible clamping of important anatomical structures to affect the affected ovary.
    Even with an ovarian carcinoma, the treatment consists primarily in the surgical removal of tissue proliferation. The aim of the surgery is to remove the tumor as completely as possible and in this way to significantly increase the probability of survival. In addition, in many cases after the surgical treatment chemotherapy is connected. The most commonly used chemotherapeutic agents in ovarian tumors are carboplatin and / or paclitaxel. Due to the relatively high side effects and the significantly lower treatment success, radiotherapy in patients with ovarian cancer is usually not necessary.

    Pain in the left ovary in different life situations

    During the period

    Left ovarian pain that occurs before or during the period usually involves uncomplicated menstrual cramps. For most of the affected women, it can be seen that the symptoms start about one to two days before the onset of menstruation and reach their maximum on the first day of the period.

    During ovulation

    Pain on the left or right ovary may be related to ovulation ( so-called middle pain). In these cases, it can be observed that the pain on the ovary occurs approximately between the 12th and 14th cycle day. However, since many women have a menstrual cycle of more than 28 days, left or right ovarian pain associated with ovulation can also occur much later.
    The direct cause of the symptoms is the bursting of the mature follicle. Since it usually comes in only one ovary during a menstrual cycle for ripening of an egg, the pain on the ovary typically always occur on one side.

    During pregnancy

    Many women often feel a pull or squeeze around the groin during pregnancy. In some women who are pregnant, it can also cause pain on the left or right ovarian. Since these pains are particularly common within the first few weeks of pregnancy, they are the first clue that you are pregnant.
    The reason for the onset of pain on the left or right ovary in these cases is the increase in pregnancy hormones. These induce the stretching of so-called mother ligaments in women who have been pregnant for only a few weeks.


    In addition, pain in the abdomen, especially in the ovaries are among the typical complaints of late pregnancy. The complaints are caused by the rapid growth of the unborn child in women who are already pregnant in the second or third trimester. As the uterus tends to shift a little more to the right side in women who are pregnant, ovarian pain can be more often seen on the right side than on the left side. In addition, there may be a so-called ectopic pregnancy in women who are pregnant and have sudden onset of severe pain on the ovary left. An ectopic pregnancy is a potentially life-threatening situation that requires immediate medical attention.

    Additional pain on the right side

    Almost any cause of left ovarian pain may cause discomfort on both sides.
    However, for some of the most common reasons for the occurrence of such complaints, it is atypical that the ovary is affected on the left and right simultaneously. For this reason, it can be assumed that, for example, ovulation does not usually lead to pain on the left and right ovaries.
    The typical middle pain that occurs between the 12th and 14th day of the menstrual cycle is caused by the bursting of the follicle. Since one ovum usually only matures in one ovum per cycle, the pain on the ovary usually does not occur simultaneously on the left and right sides.
    Also, inflammatory processes that simultaneously affect the ovaries on the left and right are more of a rarity. Pain on the ovaries that occur simultaneously on the left and right, for example, may indicate the presence of endometriosis. Endometriosis is a widespread gynecological disease. In affected women, it is possible to find scattered cells of the endometrium in the area of ​​the abdomen. Since these splintered uterine lining cells also go through the normal menstrual cycle outside the uterus, right and left pain can occur on the ovaries, especially during the period. Affected patients describe the typical endometriosis-associated pain as particularly violent. For this reason, a comprehensive diagnosis should be initiated even in the suspicion of the presence of this disease. Although left and right ovarian pain is quite common in patients with endometriosis, it should be noted that the disease may be muted for years to come.


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