Do you regularly feel worse around the middle of your menstrual cycle?
Are you worried about sharp or nagging pain in the lower abdomen, a feeling of nausea and general weakness?
These manifestations may indicate ovulatory syndrome.
About the disease
Ovulatory syndrome, or ovulation syndrome, is a pain sensation that occurs in some women about 2 weeks before the start of menstruation. Let us remind you that the menstrual cycle is divided into four phases: menstruation, follicular phase, ovulation, postovulation. At the beginning of the cycle (the first day of bleeding), the growth of follicles begins in the girl’s body, which contain eggs inside. During ovulation, the most “mature” follicles rupture and eggs are released. This moment is considered the most favorable for conception. If fertilization of the egg does not occur, then menstruation begins.
For most women, all phases of the menstrual cycle, except perhaps the beginning of bleeding, are asymptomatic. But approximately every fifth person has chronic ovulatory syndrome, and every second person has encountered this condition at least once in her life.
As a rule, pain and discomfort last 1-2 days and go away on their own or with the help of an anesthetic. But in some cases, girls experience very severe pain, which prevents them from leading their usual lifestyle.
Types of disease
Gynecologists classify ovulatory syndrome into two types:
complicated – a condition leading to ovarian apoplexy – a sudden violation of its integrity with bleeding into the abdominal cavity and acute pain. This condition requires immediate surgical attention.
uncomplicated – there is no intra-abdominal bleeding.
Symptoms of ovulatory syndrome
Most often, patients with ovulatory syndrome note the following symptoms:
sharp pain in the right or left lower abdomen (depending on which ovary ovulation occurred in);
nagging pain in the lower abdomen, pain can radiate to the lower back;
weakness, feeling of nausea;
slight increase in temperature;
These symptoms appear in the middle of the cycle, that is, approximately two weeks before menstruation. It is important to understand that ovulatory syndrome lasts 1-2 days maximum. If severe pain, nausea, weakness and fever persist for several days, then this is a reason to urgently consult a doctor.
Causes of ovulatory syndrome
Normally, a woman should not feel the onset of ovulation or experience pain or discomfort at this moment. But with certain congenital characteristics of the body, increased sensitivity, girls may experience discomfort during the period of ovulation.
Also provoking factors are:
history of surgery on the pelvic organs;
adhesions in the pelvis;
algodismenorrhea (painful menstruation).
If you suspect you have ovulatory syndrome, you need to make an appointment with a gynecologist. At the appointment, the doctor will examine your medical history in detail and listen to your complaints. Before seeing a doctor, remember when you started menstruating, did you always experience discomfort in the middle of the cycle? It wouldn’t hurt to ask your close relatives, for example, mother, grandmother, sister, if they have encountered such symptoms? All this data will help the specialist to comprehensively assess the situation and make the correct diagnosis.
During the consultation, the doctor will conduct an examination in the mirrors on the gynecological chair to assess the condition of the cervix and mucous membranes. Palpation can confirm or refute the diagnosis, with the help of which the doctor will determine whether the ovaries are enlarged in size.
Additional diagnostic tests may also be prescribed:
Ultrasound of the pelvic organs;
blood test for hormones.
Treatment of ovulatory syndrome
In the vast majority of cases, the painful symptoms of ovulatory syndrome can be managed using conservative methods – medications. Treatment is aimed at relieving pain. If the patient is not planning a pregnancy, the doctor may suggest hormonal contraceptives, which can also suppress discomfort during ovulation.
In case of complicated ovulatory syndrome, when ovarian apoplexy has occurred and intra-abdominal bleeding is diagnosed, surgical treatment is necessary. The operation is performed in a minimally invasive and gentle laparoscopic manner (through miniature punctures). The procedure consists of suturing the ovary and cleaning (flushing) the abdominal cavity after heavy hemorrhage.
Rehabilitation after surgical treatment
After surgery for ovarian apoplexy, a woman recovers quite quickly. In most cases, the menstrual cycle is not disrupted, and if disrupted, it is restored within 1-3 months. In the first month, the girl is recommended to avoid visiting the bathhouse and sauna, limit physical activity and intimacy. The operation does not negatively affect the possibility of pregnancy in the future. You can plan for a child after the menstrual cycle has returned.
Also, for quick rehabilitation, gynecologists recommend physical therapy, you can undergo full post-operative recovery. For example:
treatment using the Avantron device;
treatment using the EVA device.
Physical therapy has also been shown to be effective in reducing pain during ovulatory syndrome.
Why is ovulatory syndrome dangerous?
Chronic severe pain significantly worsens a woman’s quality of life and can lead to depression and sexual disorders. Especially if the patient also has algodismenorrhea (painful menstruation) along with ovulatory syndrome. Modern medicine is ready to offer effective and, most importantly, absolutely safe drugs to improve the condition.
Also, ovulatory syndrome is “insidious” in that its symptoms can hide dangerous and life-threatening conditions: appendicitis, ectopic pregnancy, cyst rupture, etc. Therefore, if this is your first time encountering such symptoms, be sure to consult a doctor.
There is no specific prevention of ovulatory syndrome. However, it has been scientifically proven that maintaining a healthy lifestyle and following general recommendations significantly reduces the likelihood of this disease. Gynecologists advise:
treat any inflammatory diseases in the pelvis in a timely manner;
eat a balanced diet;
maintain a daily routine;
use contraception, avoid casual unprotected sex;
take vitamins, monitor vitamin D levels.
Advantages of treating ovulatory syndrome in a clinic
Experienced and highly qualified specialists who adhere to the principles of evidence-based medicine.
Own physiotherapy department.
A clinic has impeccable reputation.
The opportunity to pass all the necessary tests, undergo examinations and receive specialist advice in short time.
Questions and Answers
Can ovulatory syndrome go away after childbirth?
There are no scientifically proven statistics on this issue, everything is individual. But many patients do note that after childbirth, the pain of menstruation and the ovulation period has decreased.
Does ovulatory syndrome affect the ability to get pregnant?
The presence of ovulatory syndrome does not indicate infertility. If ovulation occurs, then you have every chance of pregnancy.
I want to get rid of the pain of ovulatory syndrome, but I’m afraid of hormones.
Treatment of ovulatory syndrome does not always involve hormonal therapy. In most cases, you can cope with unpleasant sensations with the help of painkillers. But if the patient is not planning a pregnancy in the near future and wants to get a reliable method of contraception, then COCs (combined oral contraceptives) can be an excellent solution.