Pain in ovaries and fallopian tubes

Every woman can experience pain in the ovaries or fallopian tubes. There are various causes for this. A cyst, a tumor, an ectopic pregnancy or endometriosis are some examples of this. Some women feel the pain just before menstruation, during ovulation or when they are pregnant. Another person suffers from wearing an IUD. In addition, there may also be more discharge.

Where are the ovaries and fallopian tubes located?

Every woman normally has two ovaries and fallopian tubes. These are located to the left and right of the uterus. The ovaries and fallopian tubes can sometimes be felt from the outside by pressing firmly on the lower abdomen, about 3 to 6 cm below the navel, between the middle and the side. The fallopian tube connects the ovary to the uterus. When a cyst or other problem occurs on the ovaries, pain is felt when pressing on the ovary. There are women who are born with only one ovary. In addition, girls are also born without ovaries. These girls have Turner syndrome. Sometimes a girl is born without a uterus and ovaries, this is the androgen insensitivity syndrome. Other conditions can also cause a girl to be born without ovaries or to have ovaries but not function.

Cyst on the ovary

In most cases, the cause of ovarian pain is a cyst. This is a fluid-filled cavity. A follicular cyst develops from the follicle that does not burst. A small cyst does not cause any complaints, but larger cysts do. There may be one cyst on the ovary, but more and more may eventually develop. You often have pain around the pelvis. Sex can also be painful. The complaints can occur in one or both ovaries.
When the follicle bursts and the egg is released, the remaining follicle turns into the corpus luteum. The corpus luteum is broken down without fertilization of the egg cell. But sometimes it grows into a cyst. Pain occurs around the pelvis and pain during sex. When the cyst bursts, severe abdominal pain occurs. Bleeding may occur. This bleeding can irritate and cause abdominal pain.
In most cases, a cyst disappears on its own. Groups of cysts can alternate, disappearing and reappearing. Hormone fluctuations are the cause of this. In severe cases, the cyst is removed. Sometimes the ovary needs to be removed or it is stuck, causing partial infertility. Most women can still become pregnant with one ovary. If both ovaries have to be removed, total infertility occurs.


Ovarian pain due to an IUD is common. The Mirena coil is a coil that releases a small amount of hormones into the body every day. This prevents implantation of a fertilized egg, makes the cervix less easy to penetrate for sperm cells and sometimes suppresses ovulation. The hormones released every day can accelerate the growth of cysts. There are women who already have several cysts after two months, sometimes up to 10 centimeters in size. So if pain occurs after placing the Mirena, contact your doctor or gynecologist. This can remove the coil and see if there are any cysts.


Abdominal cramps or abdominal pain often occur during pregnancy. Sometimes this is also felt around the ovaries. It is a pain that extends from the uterus. Sometimes there is an ectopic pregnancy. The fertilized egg is then blocked and remains stuck somewhere in the ovary or fallopian tube. The egg often gets stuck in the fallopian tube because it is stuck or has a tumor. Other causes are the lack of cilia due to a previous inflammation or a deformity of the ovary or fallopian tube. The passage is then narrowed. The fertilized egg continues to divide and grow. This is because the egg can survive without a placenta for the first few days. The clump of cells, called the zygote, grows and therefore presses against the wall of the fallopian tube. Pain is felt now. If the young embryo continues to grow, the fallopian tube may eventually burst. This then causes very severe pain. Internal bleeding may occur, which can be fatal within 60 minutes if left untreated. When there is bleeding, pain in the shoulder occurs due to stimulation of a nerve.

Ovarian pain before menstruation or around ovulation

Some women feel ovulation. This can then be clearly felt on the left or right as a stabbing pain or a cramp-like nagging feeling. The pain does not last more than a few hours. Sometimes the pain is felt longer due to irritation. There are women who feel ovulation every month. There are also women who never feel it or only occasionally. This is a recognizable sign for women who want to become pregnant; the fertile period has arrived. For all other women this is an annoying side effect. The pain that is felt can be suppressed with paracetamol. The pain is often over before the paracetamol starts to do its work. Women who know when they expect ovulation can start building up their paracetamol levels in advance. A level is built up by taking one paracetamol six times a day. Another solution is to take the contraceptive pill. This prevents ovulation and therefore pain.

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