Patient's question:
Recently, I've been experiencing lower abdominal pain, discomfort in the lower abdomen, increased leukorrhea, yellow-colored leukorrhea, a foul odor in the leukorrhea, and irregular menstruation.Doctor's answer:
Hello! Ovarian non-specific inflammation includes acute and chronic ovarianitis. The former is much rarer than the latter. Ovaritis is often included within pelvic inflammatory disease (PID), so clinically, the following signs and symptoms are commonly observed:For acute cases, there may be fever, abdominal pain (dull pain without radiation to other areas), lower back and sacral pain, and a sensation of rectal fullness or pressure.
For chronic cases, symptoms are often included within chronic pelvic inflammatory disease, such as lower back and sacral discomfort or pain, rectal fullness or pressure, poor appetite, generalized fatigue and weakness, poor mental state, menstrual changes (most commonly increased menstrual flow), or even lower abdominal masses.
Gynecological examination:
- Acute cases may show lower abdominal tenderness and guarding, rebound tenderness, cervical motion tenderness, a full posterior fornix, and sometimes palpable, poorly defined, soft masses in the adnexal region.
- Chronic cases may present with lower abdominal tenderness, adnexal thickening, or even masses.
Additionally, infertility is a significant manifestation. This is because pelvic inflammation leads to increased inflammatory secretions in the reproductive tract, impairing sperm survival and motility; tubal obstruction and hydrops prevent sperm and eggs from meeting; ovarian adhesions or encapsulation disrupt ovulation or prevent the fallopian tubes from retrieving eggs; and ovarian dysfunction may result in an inability to ovulate or menstrual irregularities.