Unpleasant sensations in the lower abdomen women experience much more often than men. This is due to the structural features of the reproductive system, as well as the cyclic function of the ovaries. Pain in the lower abdomen can occur in women not only due to pathological conditions, but also in the absence of he alth problems. In order to determine why the ovary is pulling, you need to be examined by a gynecologist. This problem can develop for many reasons. Drawing pains appear both during ovulation and menstruation, and during pregnancy. In some cases, their occurrence is not related to the hormonal cycle.
Why ovaries hurt: causes in women
Problems with women's sexual he alth are a prerequisite for the development of infertility, chronic inflammatory and oncological diseases. Unfortunately, such pathologies are increasingly diagnosed in young and middle age. To avoid dangerous complications, you should visit a gynecologist whenthe appearance of the first signs of illness. However, such complaints as pulling the lower abdomen, ovaries or lumbar region do not always indicate the development of a pathological condition. Sometimes these symptoms are normal manifestations of monthly hormonal changes. You should undergo a complete examination to find out why the ovaries hurt. The reasons for women are as follows:
- Ovulation period.
- Premenstrual syndrome.
- Inflammatory processes caused by hypothermia.
- Painful periods.
- Chronic inflammatory pathologies caused by specific pathogens (venereal infections).
- Changes that accompany pregnancy.
- Hormonal pathologies - ovarian dysfunction, hypothyroidism.
- Oncological diseases.
- Benign neoplasms - cysts.
- Acute surgical pathologies - ectopic pregnancy, ovarian apoplexy.
All of these conditions can lead to pulling pains, so only a doctor can determine the cause of their occurrence.
Ovarian discomfort during ovulation
As you know, all women of childbearing age have their own individual menstrual cycle. It consists of 3 phases. At each period of the menstrual cycle, a woman may complain that her ovaries are being pulled. Ovulation is accompanied by pain quite often. It is characterized by the release of the egg into the abdominal cavity. This processaccompanied by changes in the gonads. The dominant follicle ruptures when the egg is released. Some women in this period have unexpressed pulling pains in the right or left inguinal region. Unpleasant sensations occur on the side in which the rupture of the follicle occurred. If the right ovary hurts, this means that the germ cell has matured in it. Slight discomfort in the lower abdomen during ovulation is considered normal. If the pulling pain is mild and lasts 1-2 days, then it is physiological.
Ovulation occurs in the middle of the menstrual cycle. In addition to discomfort in the ovarian region, it is accompanied by other signs. Among them - increased sexual desire, the release of transparent thick mucus from the vagina. Ovulation lasts only 1 day, during this period the probability of conceiving a child reaches its maximum.
Why does the ovary pull before menstruation?
Painful sensations of a pulling nature may occur after ovulation. During this period, a large amount of the hormone - progesterone is released. In the absence of pregnancy, the woman's body prepares for the rejection of the endometrium - menstruation. Women during this period often complain that the left ovary is pulled (or right, depending on the location of the dominant follicle). Sometimes discomfort indicates the onset of pregnancy. In this case, pulling pains arise due to the introduction of the fetal egg. If pregnancy does not occur, then discomfort occurs due to rupture of the follicle.
The ovary is a glandular organ of the female reproductive system in which changes occurconstantly. Pain can not only accompany ovulation, but also continue for several days after it. After all, the tissue of the gland undergoes physiological damage during the rupture of the follicle. Healing occurs in a short period of time and is not accompanied by severe pain.
If discomfort continues for a long time, you should consult a gynecologist. In addition, indications for consulting a doctor are pulling pains of high intensity, which are of a permanent nature. They may indicate the occurrence of cystic formations, an inflammatory process, the onset of an ectopic pregnancy. All these pathologies require immediate treatment.
Drawing pain in the ovaries during pregnancy is normal
A condition in which one should take special care of one's he alth is pregnancy. Pull the ovaries during this period in many women. Most often, a similar symptom occurs at the beginning or end of pregnancy. In fact, the discomfort that a woman perceives as pain in the ovaries is associated with stretching of the ligaments of the uterus. The fact is that while carrying a child, significant changes occur throughout the body, including in the genitals. Often, patients go to the doctor with such a complaint as pulling the ovary before menstruation. In many women, a similar symptom indicates the development of pregnancy. Changes associated with carrying a child occur already in the first trimester. As the fetus grows, the ovaries begin to stretch upward. During pregnancy, they do not release estrogen, so whenIn the absence of disease, the gonads should not be felt.
In most cases, discomfort in the lower abdomen is caused by a sprain. They are located in the same place as the ovaries. For this reason, pain is easily confused with the discomfort that occurs with adnexitis and other pathologies of the gonads. Despite this, there is a possibility that the woman is actually pulling the ovary. During pregnancy, the development of pathologies such as a cyst or inflammation of the appendages is quite possible. Therefore, it is worth telling your doctor about each new symptom.
Pathological conditions during pregnancy
Pain in the appendages of pregnant women is quite dangerous. If the ovary pulls in the early stages, you should pay attention to the intensity of discomfort. Mild pain syndrome may indicate implantation of the embryo into the uterine tissue. However, this discomfort passes quickly. If the pain lasts for several days or gets worse, you should see a doctor immediately.
One of the life-threatening conditions is an ectopic pregnancy. This means that the fetus is attached to the tissues of the appendages. Most often, a tubal pregnancy is diagnosed, but its development in the ovarian tissue is not excluded. The development of the embryo leads to stretching and rupture of the appendages. Signs of pregnancy are noted, such as increased levels of hCG in the urine, nausea, delayed menstruation and an enlarged uterus.
If the left ovary is pulled for a long time, this may indicateadnexitis. The inflammatory process during pregnancy is of particular danger, as it leads to complications. In addition, many medicines are contraindicated while carrying a child. Pain in the left side of the abdomen can be observed with constipation due to stretching of the sigmoid colon.
Gynecological ovarian pathology
Gynecological pathologies include acute and chronic salpingo-oophoritis, cystic formations in the ovaries, as well as sexually transmitted diseases. Most often, women develop inflammatory processes. They are caused by hypothermia, urinary tract infections, poor personal hygiene, etc. If the right ovary hurts, adnexitis should be differentiated from inflammation of the appendix of the caecum (appendicitis). Unpleasant sensations in the lower abdomen with salpingoophoritis are accompanied by other symptoms. These include: fever, menstrual irregularities, vaginal discharge.
Discomfort in endocrine pathologies
In some cases, the ovary is pulled due to hormonal disorders. Since the sex glands are endocrine organs, their functioning depends on the work of the pituitary gland. Hormonal disruptions can lead to a decrease in estrogen production in the ovaries. This, in turn, is fraught with infertility and the development of other pathological conditions.
Excessive secretion of female sex hormones is also harmful to the body. Hyperestrogenism is one of the main predisposing factorsin the development of oncological processes of the cervix, endometrium and ovaries. In addition, hormonal imbalance can lead to breast cancer.
Drawing pain after medical procedures
Drawing pain in the ovaries is observed for several days after drug manipulations. These include procedures such as in vitro fertilization, removal of cystic formations, ligation of the fallopian tubes, etc. The recovery period after any surgical intervention on the appendages is accompanied by pain. Normally, this continues for 2-3 days. In this case, there should be no pronounced increase in temperature and other inflammatory symptoms. One of the stages of the IVF procedure is the transfer of embryos into the uterine cavity. This process is accompanied by a hormonal response from the ovaries. Therefore, small pulling pains are considered normal in this case.
Symptoms of ovarian pathologies
One of the main criteria by which physiological pain can be distinguished from pathological pain is the presence of concomitant symptoms. Discomfort, observed in the norm, is not accompanied by other signs of pathology. If there are other symptoms in addition to pulling pains, you should consult a gynecologist as soon as possible. The manifestations of diseases of the female reproductive system include:
- Fever and general weakness.
- Irregular menstruation.
- Increased pain during intercourse, physical activity.
- Vaginal dischargeunusual color and with an unpleasant odor.
- Pain when urinating.
When these symptoms appear, you should be examined by a gynecologist. In some cases, it is necessary to consult other specialists - an infectious disease specialist, a nephrologist, an endocrinologist, an oncologist.
Complications of gynecological pathologies
If the ovary is pulled for a long time, complications may develop. Among them - infertility, the development of cancer, acute surgical diseases. Indications for emergency care are: severe pain in the ovary, tension in the abdominal muscles and fever. This condition is called "acute abdomen in gynecology." It occurs with ovarian apoplexy due to rupture of a cyst or ectopic pregnancy, torsion of the tumor stem with impaired blood supply to the sex glands.
Diagnosis of ovarian diseases
The main diagnostic method is an ultrasound examination of the pelvic organs. With it, you can visualize changes in the size and structure of the ovaries, disorders of the follicles. Before performing an ultrasound, the doctor examines the complaints and anamnesis, conducts a gynecological examination. In some cases, other diagnostic methods are required - hysterosalpingography, organ biopsy.
Help with pulling pains in the ovary
Treatment for pulling pains in the ovarian region depends on the cause of their occurrence. To temporarily get rid of discomfort, antispasmodics are prescribed. These includepreparations "No-shpa" and "Drotaverin". Ovarian cysts are an indication for hormone therapy. Oral contraceptives "Jess", "Janine", etc. are used. For large cysts or hyperplastic processes, surgical treatment is necessary. Adnexitis serves as an indication for the appointment of antibiotics and antimicrobial agents. Preference is given to the drug "Metronidazole".
Prevention of gynecological pathologies
To prevent the development of ovarian diseases, you should consult a doctor immediately after the onset of pulling pain. To prevent inflammatory and infectious processes, you should follow the rules of hygiene, use barrier contraceptives during casual sex, and not be exposed to hypothermia.
