Women's Health

Ovarian Pain: Possible Causes, Diagnosis, and Treatments

Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is an infection in the ovaries, uterus, or fallopian tubes. It is most often caused by sexually transmitted diseases like gonorrhea or chlamydia. It is one of the most common causes of pelvic pain in women.

Other symptoms of PID

• Pain during intercourse
• Fever
• Vaginal discharge that may have a smell
• Irregular menstrual bleeding
• Diarrhea
• Vomiting
• Fatigue
• Difficulty urinating

How PID is diagnosed

• Pelvic exam. The exam will enable your doctor to look for any lumps, abnormal discharge, or tenderness in the pelvis.
• Blood and urine tests. These lab tests can help identify the infection. So can cultures of any discharge seen during a pelvic exam.
• Ultrasound. This test creates an image of the pelvic area so the doctor can see if the reproductive organs are enlarged. The doctor can also see if there is a pocket of infection known as an abscess.
• Laparoscopy. Occasionally this procedure, which uses a thin lighted scope inserted into a tiny hole in the abdomen, is used to confirm the diagnosis.

Treatment of PID

Antibiotics. These drugs are given by mouth or through an injection. They can kill the bacteria that are causing PID. If you are taking antibiotics for PID, your sexual partner or partners should also get treated. There is a high likelihood that your partner has the same sexually transmitted infection.

Ovarian Remnant Syndrome

Surgery to remove the uterus and ovaries is known as hysterectomy and oophorectomy. A bilateral salpingo oophorectomy is a procedure in which both fallopian tubes and ovaries are removed. In rare cases, a small piece of the ovary may accidentally be left behind. The remnant can grow and develop painful cysts.

Other symptoms of ovarian remnant syndrome

• Pain during intercourse
• Difficulty urinating

How ovarian remnant syndrome is diagnosed

Ultrasound, CT, and MRI. These scans create images of the area. They help the doctor locate the remaining piece of ovary tissue.

Treatment of ovarian remnant syndrome

Laparotomy or laparoscopy. These procedures are done to remove the remaining piece or pieces of ovary.