Post-Menstrual Discomfort: Is Ovarian Pain a Cause for Concern?

After the menstrual period, there may be soreness near the ovaries in the lower back region?

Hello Doctor: My last menstrual period was about a week late.
After my period, I have been feeling a dull ache on the left side of my lower back near the ovary.
Should I seek further evaluation for this?

Yi Xin, 30~39 year old female. Ask Date: 2016/01/20

Dr. Lin Wenbin reply Obstetrics and Gynecology

Please consult a physician for an examination, as it is difficult for the average person to know the location of their ovaries.

Reply Date: 2016/01/20

More Info

Post-menstrual discomfort, particularly pain or discomfort in the area near the ovaries, can be concerning for many women. It is important to understand the potential causes of such discomfort and when it may warrant further investigation.

Firstly, it is not uncommon for women to experience some degree of discomfort or pain in the pelvic region following their menstrual period. This can be attributed to several factors, including hormonal fluctuations, residual effects from ovulation, or even the physical changes that occur in the pelvic organs during the menstrual cycle. In some cases, this discomfort can be related to ovulation pain, known as "mittelschmerz," which typically occurs around the time of ovulation but can sometimes be felt afterward.

Given your description of experiencing discomfort on the left side near the ovary, it is essential to consider other potential causes. For instance, conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease (PID) can lead to pain in this area. Ovarian cysts, which are fluid-filled sacs that can form on the ovaries, may cause discomfort, especially if they rupture or become large. Endometriosis, a condition where tissue similar to the lining of the uterus grows outside the uterus, can also lead to significant pain, particularly during or after menstruation.

Additionally, if you have a history of ovarian issues, such as having had an ovarian cyst removed, it is crucial to monitor any new or unusual symptoms. While many women experience mild discomfort that resolves on its own, persistent or severe pain should not be ignored. If the discomfort is accompanied by other symptoms such as heavy bleeding, unusual discharge, fever, or significant changes in bowel or urinary habits, it is advisable to seek medical attention promptly.

In your case, since the discomfort is localized and has occurred after a delayed menstrual period, it may be beneficial to consult with a healthcare provider for a thorough evaluation. This could include a pelvic examination, ultrasound imaging, or blood tests to assess hormone levels and rule out any underlying conditions.
In summary, while post-menstrual discomfort can be a common experience, it is essential to remain vigilant about any changes in your body. If the discomfort persists or worsens, or if you experience additional concerning symptoms, seeking further evaluation from a gynecologist or healthcare provider is recommended. Early diagnosis and treatment can help manage any potential issues effectively and ensure your overall reproductive health.

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