Patient's question:
Hello doctor, I have long-term pain in my lower left abdomen, aching!Doctor's answer:
Hello! Ovarian nonspecific inflammation includes acute and chronic forms of ovarian inflammation. The former is much rarer than the latter. Ovarian inflammation is often included within pelvic inflammatory disease (PID), so clinically, the following signs and symptoms are commonly observed:For acute cases, symptoms may include fever, abdominal pain (dull pain without radiation to other areas), lower back and sacral pain, and a sensation of rectal fullness.
For chronic cases, symptoms are often encompassed within chronic pelvic inflammatory disease, such as lower back and sacral discomfort or pain, rectal fullness, poor appetite, general fatigue and weakness, poor mental state, menstrual changes (most commonly increased menstrual flow), or even lower abdominal masses.
Gynecological examination: In acute cases, there may be lower abdominal tenderness and tension, rebound tenderness, cervical motion tenderness, a full posterior fornix, and sometimes palpable, poorly defined, soft masses in the adnexal region. In chronic cases, signs may include lower abdominal tenderness, adnexal thickening, or even masses.
Additionally, infertility is another important manifestation. Pelvic inflammation can lead to increased inflammatory secretions in the reproductive tract, impairing sperm survival and motility; blocked or (accumulated fluid) fallopian tubes preventing sperm and egg (meeting); ovarian adhesions or encapsulation causing ovulation disorders or preventing the fallopian tubes from retrieving eggs; and ovarian dysfunction leading to an inability to ovulate and menstrual irregularities.