Can Ovaries Get Infected? Pelvic Pain and Urinary Issues

Can the ovaries become infected and inflamed?

Hello Doctor, I have a few questions I would like to ask you.
In mid-December last year, I noticed that I was experiencing dull and tender pain in my lower left abdomen, along with lower back pain and pain in the left groin area.
I went to see a gynecologist, who performed an ultrasound and said that my ovaries were healthy and that I was about to ovulate.
Since I have a history of premenstrual syndrome, I assumed it was ovulation pain.
However, after my period ended, the pain in my lower left abdomen worsened, and my back pain increased.
After enduring it for two days, I visited a urologist, who conducted a urinalysis, abdominal X-ray, and ultrasound, and diagnosed me with severe bladder inflammation.
They prescribed pain relievers and antibiotics.

I would like to ask, does bladder inflammation affect the ovaries or other internal organs in the lower left abdomen? If I finish the antibiotics and still experience dull and tender pain in my lower left abdomen, should I return to the urologist for further evaluation? Is bladder inflammation a condition that can be effectively treated? I am also currently being treated for gastroesophageal reflux, gastritis, and duodenitis, but I have not been able to resolve those issues, so I am concerned about having another chronic condition.
Thank you for your response!

Saku, 30~39 year old female. Ask Date: 2017/01/08

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, bladder inflammation is not related to the ovaries.
If it is confirmed to be a bladder infection, please return to the urology department for consultation.
Cystitis should be treatable.
Wishing you good health.

Reply Date: 2017/01/08

More Info

In response to your question about whether ovaries can get infected and the relationship between pelvic pain and urinary issues, it’s important to understand the anatomy and physiology of the female reproductive and urinary systems, as well as the potential for infections and their implications.

Firstly, while the ovaries themselves do not typically get infected in isolation, they can be involved in broader infections such as pelvic inflammatory disease (PID), which can occur when bacteria from the vagina or cervix ascend into the reproductive organs. PID can affect the uterus, fallopian tubes, and ovaries, leading to symptoms such as pelvic pain, fever, and abnormal discharge. However, it’s crucial to note that the ovaries are generally protected by the peritoneal cavity, making isolated ovarian infections rare.

Your symptoms of left lower abdominal pain, pressure, and discomfort in the left flank and groin area could be indicative of several conditions. Given that your ultrasound showed healthy ovaries, the pain may not be directly related to ovarian issues. Instead, the diagnosis of bladder inflammation (cystitis) suggests that your urinary tract is involved. Cystitis can cause significant discomfort, including pelvic pain, and may sometimes mimic or overlap with gynecological pain.
Infections in the urinary tract, such as cystitis, can lead to referred pain in the pelvic region due to the close anatomical relationship between the urinary and reproductive systems. The inflammation can irritate surrounding tissues, leading to discomfort that may be perceived as originating from the ovaries or other pelvic organs.
Regarding your concern about whether cystitis can affect the ovaries or other pelvic organs, while it does not directly infect them, the inflammation and pain can certainly overlap and cause discomfort in those areas. If you complete your course of antibiotics and still experience persistent pain, it would be advisable to follow up with your healthcare provider. They may consider further evaluation to rule out any other underlying conditions, such as endometriosis or other gynecological issues, which could also contribute to your symptoms.

Cystitis is generally treatable with antibiotics, and most patients respond well to treatment. However, recurrent urinary tract infections can occur, and it’s essential to address any underlying factors that may contribute to these infections, such as hygiene practices, hydration, and possibly dietary factors.
As for your concerns about having multiple health issues, including gastroesophageal reflux disease (GERD) and gastritis, it’s understandable to feel overwhelmed. It’s essential to manage each condition with the guidance of your healthcare providers. They can help coordinate your care and ensure that treatments for one condition do not adversely affect another.

In summary, while ovaries themselves do not typically get infected, pelvic pain can arise from various sources, including urinary tract infections. If your symptoms persist despite treatment, further evaluation is warranted. Maintaining open communication with your healthcare provider is key to managing your health effectively.

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