What are the early signs of ovarian inflammation?

Patient's question:

Please help the doctor answer what are the early symptoms of ovarian inflammation. I hope the expert can provide a detailed explanation. Thank you.

Doctor's answer:

(1) Abdominal Pain: The lower abdomen experiences pain of varying degrees, often presenting as a subtle discomfort. There may be aching, swelling, or a sense of heaviness or dragging in the lower back and sacral region, which tends to worsen with physical exertion. Due to pelvic adhesions, there may be pain during bladder or rectal fullness or emptying, or other bladder/rectal irritation symptoms such as frequent urination or tenesmus.
(2) Irregular Menstruation: The most common manifestations are frequent menstruation and excessive menstrual flow, which may result from pelvic congestion and ovarian dysfunction. Chronic inflammation can lead to uterine fibrosis, incomplete uterine involution, or abnormal uterine positioning due to adhesions, all of which may cause heavy menstrual bleeding.

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