Why does the right ovary hurt during menstruation?

Right ovarian pain during menstruation may be caused by physiological pain, ovarian cysts, pelvic inflammatory disease, endometriosis, luteal rupture and other factors. It can be relieved by hot compress, drug analgesia, anti-infective treatment, surgical treatment and other methods.

1. Physiological pain

Pelvic congestion during menstruation may stimulate the nerves in the right ovarian area, manifesting as paroxysmal dull pain, usually accompanied by a sinking and distended feeling in the lower abdomen. No special treatment is required. It is recommended to use a hot water bottle at about 40°C to compress the abdomen and avoid strenuous exercise. If pain affects your life, you can use analgesics such as ibuprofen sustained-release capsules or acetaminophen tablets under the guidance of a doctor.

2. Ovarian cysts

Right ovarian cysts may cause intracystic bleeding or torsion due to hormone fluctuations during the menstrual period, resulting in sudden sharp pain that radiates to the root of the thigh. Ultrasound examination can confirm the diagnosis. Smaller cysts can be treated with Guizhi Fuling Capsules or Xuefu Zhuyu Oral Liquid. Laparoscopic ovarian cyst resection should be considered for cystic or solid masses with a diameter of more than 50 mm.

3. Pelvic inflammatory disease

Inflammation of the right appendage area caused by ascending bacterial infection, pain accompanied by fever and yellow discharge. Gynecological examination showed cervical pain, and blood routine showed elevated white blood cells. In the acute phase, intravenous injection of ceftriaxone sodium combined with metronidazole sodium chloride injection is required. For chronic inflammation, Kangfu anti-inflammatory suppository can be administered rectal.

4. Endometriosis

Chocolate cyst formed by ectopic endometrium implantation in the right ovary. Bleeding from the lesion during menstruation leads to progressively worsening colic, and the CA125 index may increase. In mild cases, norethindrone tablets are used to inhibit intimal growth, while in moderate to severe cases, laparoscopic electrocautery of ectopic lesions is required, followed by injection of leuprolide acetate microspheres to prevent recurrence.

5. Rupture of corpus luteum

One week before menstruation, the corpus luteum sac of the right ovary ruptured due to external force or spontaneously, causing sudden severe pain and a feeling of swelling in the anus. Ultrasound showed pelvic effusion. When the amount of bleeding is small, rest in bed and take Yunnan Baiyao capsules to stop bleeding. If hemorrhagic shock occurs, emergency laparoscopic hemostasis is required.

If ovarian pain lasts for more than 3 days during menstruation or is accompanied by fever and vomiting, you need to seek medical attention promptly. Keep the perineum clean daily and avoid sexual intercourse and bathing during menstruation. During the pain period, you can drink ginger-date brown sugar water to warm the menstruation to dispel cold. Wear loose clothes to reduce abdominal compression. Record the pain cycle and intensity to help doctors determine the cause. Those with a family history of ovarian cancer are recommended to undergo gynecological ultrasound every six months.