Ovary – steam female gonad, the place of education and maturation of oocytes hormone regulating sexual life of women. Anatomical structure, response to hormonal stimulation and secretory activity of the ovaries at different periods of life are different. In this chapter, the normal physiology of the ovary is considered as a basis for understanding the pathology of both the ovaries and other organs of the female reproductive system.
Which diseases there is pain in the right ovary:
Causes of pain in right ovary:
- Pain in right ovary may indicate the presence of inflammation in the right epididymis ovary (oophoritis). It is the most characteristic feature of the disease is localized in the lower abdomen on the right, and often gives to the lumbosacral spine. Typically, the pain in right ovary appears paroxysmal, but may be present all the time. Of pain and helps enhance their supercooling, physical and mental fatigue, reduced immunity against other internal diseases. Such pain is often accompanied by disturbances in the nervous system – increased irritability, weakness, problems with sleep, reduced ability to work.
- Adnexitis right ovary, or inflammation of the ovary. The most common cause of inflammation of internal genital organs, which leads to inflammation of the ovaries (adnexitis) are chlamydia, mycoplasma, ureaplasma, candida. Clinic of chlamydial infection has no characteristic manifestations. Without adequate therapy, the inflammatory process in inflammation of the ovaries (adnexitis) takes a protracted course and leads to infertility. The main symptom of inflammation of the right ovary (adnexitis) – pain in right ovary and the lower abdomen on the right. The pain may be given in the lower back and is almost always dominated by recurrent pain.
- In some cases, pain in right ovary occur during the formation of cysts in it. Until such time as the cystic capsule is small and does not undergo negative changes, this abnormality is asymptomatic.
- The cause of persistent pain in right ovary becomes a cyst or tumor of ovary, which reached a large size. It compresses the surrounding organs and nerves. Twist can not only tumors, but the ovaries themselves. This leads to disruption of blood supply and tissue necrosis, inflammation develops and pain.
- Pain in right ovary torsion occurs when a cyst or legs due to the violation of its integrity, which is accompanied by rupture of the liquid contents into the abdominal cavity and cause tissue irritation. In addition to nausea, vomiting and pain, rupture of an ovarian cyst or necrosis of tissue due to twisting legs can cause inflammation of the peritoneum – peritonitis, which requires immediate surgical intervention. This condition may occur in the presence of benign or malignant ovarian tumors.
- Pathological changes of the ovaries appendages contributes to their relative mobility in the pelvic cavity, as well as increased physical activity. That is why this abnormality occurs, usually in childhood. Among the factors contributing to the torsion of the right ovary, it should be noted pharmacological stimulation of ovulation, pregnancy, and any state, accompanied by an increase in the size of the ovaries. Sharp pain in right ovary and stomach may be accompanied by vomiting, palpation revealed a painful swelling. If the tissue has undergone irreversible adnexal lesions, performed surgical removal of the ovary.
- Sometimes in the process of ovulation, there is a rupture of the right ovary, which causes bleeding. For blood in the peritoneal cavity provokes pain and threatens to peritonitis, and therefore shows the surgical procedure, during which the sutures and restore the integrity of the body. For some women, ovulation itself is quite painful, as indicated by the appearance of pain in right ovary on certain days of the menstrual cycle. In addition, acute and chronic inflammatory processes contribute to the formation of adhesions in the right ovary, which in turn often cause pain in the right ovary.
- Apoplexy of the right ovary – a momentary bleeding in the ovary, which is accompanied by rupture and hemorrhage into the abdominal cavity.
Ovarian apoplexy occurs usually in women under the age of 40 years, often in the right ovary, while there are always bleeding and pain in my right ovary. The predominance of one of these features conditionally distinguish anemic and painful disease. With the same expression of these indicators suggest a mixed form of apoplexy.
The disease begins acutely with a sudden, sometimes severe pain in right ovary and abdomen with a predominance on the side of the affected ovary. Pain often give into the rectum, thigh and lower back. Often the attack is accompanied by nausea and vomiting, and fainting.
Body temperature remains normal. If excessive bleeding occurs a sharp decrease in blood pressure and collapse (a serious condition with severe heart failure, a fall of vascular tone, rapid pulse and cold sweats). Ovary with palpation has a spherical shape and a sharp pain.
- Ovulatory pain in right ovary occur in the lower abdomen in periovulyatorny period as a result of irritation of the peritoneum follicular fluid; going from 12 to 36 hours separate attacks for several hours.
- Ovarian hyperstimulation syndrome can occur in women with infertility treatment hormones (clomiphene, gonadotropins). Enlarged ovaries with multiple follicular cysts, large cystic corpus luteum and stromal edema. When mild pain in the right ovary, abdominal distension, weight gain. In severe shortness of breath appear, ascites, pleural effusion, electrolyte imbalance, hypovolemia, oliguria.
- Psychogenic factors: the exclusion of organic causes of pain in the right ovary to woman’s therapist survey (boundary condition: hypochondriasis, depression, hysteria).
- To establish the existence of a large ovarian neoplasm helps palpation the abdomen and pelvic examination. Important information about the state of the uterus provides a pelvic ultrasound and magnetic resonance imaging. Especially valuable is diagnostic laparoscopy, allows to identify adhesions and endometriosis, localized in the right ovary. Through this method can not only detect but also to eliminate many pelvic pathology. Competent diagnosis is the key to effective treatment that will get rid of the pain in the right ovary.