Different women have different tolerance to. It is only normal for some women to experience heavy menstrual periods and ovarian pain during their menstruating cycle while it is absolutely normal for others not to feel anything except for light cramps in their lower abdomen. Back pain is also a possibility. Still, nothing that turns into excessive pain isn’t normal and should be checked and treated if needed.
Causes for ovarian pain are:
Endometriosis
Mittelschmerz
Mittelschmerz is that usual type of pain during ovulation. It isn’t anything serious. It’s the midpoint between menstrual periods, and you’ll feel it about 2 weeks before a period may begin. In rare cases the pain is unbearable. Mostly, it is a mild annoyance.

Ovarian cysts
Cysts aren’t an uncommon thing in women, especially during the childbearing years. They are mostly known to form during ovulation, when the egg is not released or when the follicle (the sac holding the egg) doesn’t properly dissolve after the egg is released. Most usually they are not symptomatic and tend to dissolve on their own. But, in case this doesn’t happen, they tend to create a sharp pain or a dull ache. Other symptoms are: Nausea or vomiting, feeling full after eating a small amount, pain during intercourse, irregular menstrual periods, bloating. Ovarian cysts are diagnosed via Laparoscopy and ultrasound, while treatment is done with either watchful waiting (as most ovarian cysts go away on their own) or birth control pills and Laparoscopy.
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Ovarian tumours
Tumors can form in the ovaries, just as they form in other parts of the body. They can be either noncancerous (benign) or cancerous (malignant). Symptoms that will best tell you whether you’ve got ovarian tumors are: Urgent need to urinate, bloating or pressure in the abdomen, indigestion, loss of appetite, unplanned weight loss or gain, constipation or diarrhea and urgent need to urinate. Ovarian tumors are diagnosed through CTs (Computed tomography), MRI (magnetic resonance imaging), PET scan (position emission tomography). There is also CA-125 which is a blood test but it is not as effective as the previously mentioned methods. The treatment is conducted through laparotomy, chemotherapy and ultimately radiation.

Endometriosis
As you already know, every month your uterus prepares to nourish a growing fetus. When an egg is not fertilized, the lining of the uterus that has been previously built up in preparation sheds and it gets released from your through menstruation. In certain women, an abnormality may occur that prevents the lining to dissolve through menstruation but it develops elsewhere in the body. It then swells and bleeds every month which is really painful. It is diagnosed through laparoscopy and ultrasound and MRI. Once Endometriosis is diagnosed, it is treated with birth control pills, pain medications, GnRH agonists (Gonadotropin-releasing hormone agonists ), laparascopy and laparotomoy.

Ovarian remnant syndrome
In case your medical condition is serious, expect doctors recommend uterus and ovaries removal. This is called oophorectomy or hysterectomy. In some cases it happens that a small piece of the ovary may accidentally be left behind. This can be the cause of painful cysts.
Ovarian pain may be either chronic or acute. Chronic pain in your ovaries usually starts gradually and builds up during time, only to last for several months. Acute pain comes and goes in a short period of time. Before you start panicking and thinking about the worst, be sure it’s not just a simple cold. With constant weather changes, walking without slippers or socks on (especially if you keep your feet on the floor for too long) or wearing light clothes in cold-ish weather, it would be no surprise it’s a cold catching up! To prevent this, have rugs on the floor to keep the room and your legs warm(er), drink a lot of vitamins and fluids and be smart about what you wear… the cold and pain will go away in a second. Still, in case ovarian pain is continuous and it interferes with your daily life, it’s time you check it out.

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