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Can a right ovarian hemorrhagic cyst cause left-sided pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My ultrasound showed that I have a hemorrhagic cyst in the right ovary of size 37 by 38 mm but I feel pain in the lower left side. I had just spotting last month and had no periods, but this month it was normal after having a tonic. Why do I feel pain on the left side?

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

I understand your concern.

It would be better if you could send me your detailed gynecological, obstetrical, medical, surgical, and drug history. A hemorrhagic cyst can rupture or could show fluid spillage over the local area that can cause some pain. Pelvic infection, sexually transmitted diseases, premenstrual syndrome, irritable bowel syndrome, or digestive issues can be the cause of this pain.

  1. Do you have any colored or smelly vaginal discharge?
  2. When was your recent scan done?
  3. If the scan was taken before the onset of symptoms, then it would be better to repeat the scan to check for any local pathology.

You can have hormonal disturbance also. Have you taken any blood tests on day two of your menses? If not, do take serum progesterone, prolactin, testosterone, insulin, FSH (follicle stimulating hormone), LH (luteinizing hormone), and thyroid function tests. Also, take one vaginal swab to exclude pelvic infection. In case of hemorrhage spillage and severe acute pain, diagnostic laparoscopy is advised, but if the pain is chronic and comes on and off then the cause needs to be evaluated. Have a healthy diet, take daily walks, and maintain a normal BMI (body mass index) and weight so that the effects of polycystic ovaries can be reduced. High vaginal swabs, and blood tests of sex hormones need to be taken and follow healthy precautions. Reports need to be discussed here or with a local gynecologist doctor.

In case of acute lower abdominal pain, please report to the tertiary care emergency. It is better to have a consultation with a physician as well.

To regulate cycles, you can have combined oral contraceptive pills for three months.

I hope this helped you. Take care.

Answered byDr. Uzma Arqam

Medically reviewed byiCliniq medical review team

Published At June 6, 2023
Reviewed AtJune 28, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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