HomeAnswersObstetrics and Gynecologypainful period

What could cause ovarian tenderness and size changes?

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

Patient's Query

Hi doctor,

I had an ultrasound today that showed tenderness when pressure was applied to my right ovary, which also had limited mobility and measured 11 mL in volume. My left ovary measured 19 mL. I experience painful periods about twice a year and started taking Slinda a month ago. Please help.

Thanks.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern.

It sounds like you have been through a lot today, and I understand how uncomfortable and worrying it can be to have pain during an ultrasound and hear about differences in ovarian size. The tenderness and limited movement of your right ovary could simply reflect normal variation or mild ovarian congestion, but sometimes it may suggest a functional cyst, inflammation, or adhesions from past infections or endometriosis.

Your right ovary’s volume of 11 ml and the left being 19 ml are both within a range that can still be normal, depending on the phase of your cycle and hormonal changes. Since you recently started Slinda (Progestrogen), which is a progestin-only pill, your body may still be adjusting to the hormonal shift, and this can sometimes affect ovarian activity and period pain temporarily. It would be best to follow up with your doctor or gynecologist to review the ultrasound findings in context, monitor any pain or new symptoms, and decide whether further testing or a short-term follow-up scan is needed. If your pain becomes severe, you develop a fever, or experience nausea, vomiting, or bloating, seek medical care promptly. You are doing the right thing by staying attentive to your health and sharing these details with your doctor.

I hope this information will help you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At December 29, 2025
Reviewed At December 29, 2025

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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

2,876Checks completed today
4.7/5User rating
~90 secAverage completion time
Guideline aligned
Symptom Awareness Builder
Ovarian Tenderness and Size Changes Awareness Builder

Concerned about ovarian tenderness?

Five quick questions help you understand what your ovarian tenderness and size changes might mean, and when it's best to talk to a doctor.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.