What should I do manage bleeding and pain in the ovary?

Question

Hi doctor,

I ended my period nine days ago, and four days ago, I got this intense, stabbing cramp in my right ovary. It lasted approximately two hours. Yesterday, I started bleeding, not spotting but bleeding lighter than usual, without the regular intense (cramps, nausea, vomit, cold sweats, hot and cold flashes, back pain), now I am bleeding abnormally as it never happened before, and I experience lower back pain that stays continuous.

Am I going to bleed once again for my actual period, or like what happened, and how can I stop this?

This is very serious.

Please help.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

From what you are describing, this does not sound dangerous right now, but it does need proper evaluation. Most likely, it is ovulation-related pain with mid-cycle bleeding. This is called Mittelschmerz. You finished your period nine days ago. Four days ago, you had sudden, sharp stabbing pain on the right side. That timing is around ovulation for many girls.

Ovulation pain can last hours, it can be quite intense, and one-sided. Some girls bleed lightly a few days later due to hormonal fluctuation. That bleeding is called ovulation bleeding or breakthrough bleeding. It is usually lighter than your normal period and does not come with your usual severe cramps.

Heavy, painful periods that stop you from school raise concern for endometriosis or dysmenorrhea. The continuous lower back and hip pain makes endometriosis something that should be ruled out by a gynecologist.

Yes, most likely you will still get your normal period at your usual time. This current bleeding is probably hormonal and not your actual cycle.

You cannot instantly stop ovulation bleeding. It usually settles on its own within a few days. Rest a heat pad for the back, and Ibuprofen if safe for you. Avoid heavy exercise for now.

Go urgently to a specialist if bleeding becomes very heavy. Right now, this sounds hormonal rather than dangerous. But because your normal periods are extremely painful and disabling, you should see a gynecologist.

Is the bleeding bright red or dark brown?
Is the back pain worse on the same side as the ovarian pain?

I hope this information will help you.

Thanks.