What causes left ovarian pain during menstruation?

Aug 29, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, left ovarian pain during menstruation may be caused by factors such as ovulation-related discomfort, endometriosis, ovarian torsion, uterine fibroids, or ovarian cysts. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. During menstruation and periods of pain, avoid strenuous exercise and heavy physical labor to prevent worsening of symptoms.

Generally, left ovarian pain during menstruation may be caused by factors such as ovulation, endometriosis, ovarian torsion, uterine fibroids, or ovarian cysts. It is recommended to seek timely medical attention, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Ovulation-related

During ovulation, the follicle in the ovary ruptures to release an egg, which may irritate surrounding ovarian tissues and cause brief pain. Left-sided ovarian pain may occur when the left ovary is ovulating. No special treatment is usually required; maintaining adequate sleep and avoiding prolonged熬夜 (staying up late) is advised.

2. Endometriosis

Endometriosis may be caused by factors such as immune dysfunction or retrograde menstruation. In this condition, endometrial tissue grows outside the uterus. During the menstrual cycle, this displaced tissue also proliferates and sheds, triggering inflammatory responses and causing pain—often localized to the left ovarian area—and may be accompanied by symptoms such as painful intercourse or infertility. Treatment may include medications such as ibuprofen sustained-release capsules, danazol capsules, or gestrinone capsules, as prescribed by a doctor.

3. Ovarian Torsion

Ovarian torsion may result from ovarian cysts or intense physical activity. The twisting compresses blood vessels supplying the ovary and its supporting structures, obstructing blood flow and leading to pain and swelling. This condition may also present with nausea and vomiting. Ovarian torsion requires emergency surgical intervention at a正规 hospital, such as detorsion surgery.

4. Uterine Fibroids

Uterine fibroids may be associated with hormonal levels, genetic factors, and others. When fibroids press on or stretch the ovaries and their blood vessels, ovarian function may be affected, resulting in pain. Left ovarian pain may relate to the location of a fibroid on the left side of the uterus. Patients may experience heavy menstrual bleeding or prolonged periods. Under medical supervision, medications such as Guizhi Fuling capsules, Danbie capsules, or mifepristone tablets may be used to relieve symptoms.

5. Ovarian Cysts

Ovarian cysts may arise due to hormonal fluctuations, inflammation, or other factors. These fluid-filled sacs can press on ovarian tissue and cause pain during menstruation. Larger cysts may lead to symptoms such as abdominal masses or bloating. Small, asymptomatic cysts may simply be monitored regularly. For larger cysts or those causing significant symptoms, surgical treatment at a正规 hospital—such as cystectomy—may be considered.

During menstruation and episodes of pain, avoid strenuous exercise and heavy physical labor to prevent worsening discomfort. Additionally, keep the abdomen and back warm to prevent exposure to cold, which may help alleviate symptoms.

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