OpenHealth Q&A

Exploring Persistent Right Pelvic Discomfort

Age: 24, Gender: Female, Ethnicity: Caucasian, Height: 5 feet, Weight: 54 kg I'm seeking advice regarding recurring sharp pain on the right side of my pelvis that remains puzzling. I have experienced three distinct instances of acute pain located in my lower right pelvic region. The onset of discomfort happens quite abruptly, often starting in the afternoon and intensifying by nighttime, despite feeling normal in the morning. The pain feels deep and internal rather than resembling a muscle strain. It manifests as a severe, wave-like sharpness that escalated during my most recent episode, to the point where I nearly sought emergency medical care due to its intensity, which interrupted my sleep. Typically, these episodes last between five to seven days before transitioning into a residual ache that lingers for several days afterward. During this period, it feels as if I have strained something deep within the pelvis, which is exacerbated by movements such as twisting, getting up, or walking. Notably, applying pressure to the area from the outside does not alleviate the discomfort. Of particular relevance is the consistent ovulation pain I experience on the same right side during my menstrual cycle, making the location of the pain feel very familiar. Throughout these painful episodes, I have not experienced fever, vomiting, or dizziness. Following one of my earlier painful episodes, I underwent a pelvic ultrasound, which revealed fluid in my abdomen and an enlarged left ovary described with “polycystic ovary changes.” Consequently, I received treatment for a suspected pelvic inflammatory disease, along with a 14-day course of metronidazole. I also had tests for sexually transmitted infections and other infections, all of which returned negative results. After my most recent pain episode, I consulted my general practitioner again. A urine dip test indicated the presence of leukocytes, similar to my previous visit when I was treated for a presumed “silent UTI,” but this time I was not prescribed antibiotics; instead, my urine sample has been sent for detailed lab analysis. During the exam, my doctor indicated that the area I indicated was not where the ovary is located, which seemed contradictory since it corresponds precisely with the area where I feel ovulation discomfort each month. I have also had blood tests ordered and await those results. Though I was referred to a gynecologist previously, that referral was turned down with the assessment that since my swab tests were negative, I could retain my copper intrauterine device (IUD) for contraceptive purposes. I find myself at a standstill; the recurring and intense nature of the pain is distressing, yet I am being reassured that ovarian cysts are commonplace and that the pain’s location does not align with conventional ovary positioning. I want to know if ovarian cysts or related ovulation issues can indeed lead to such sharp, localized pain, even when imaging studies do not reveal any abnormalities, and whether ovarian discomfort can radiate lower or away from the typical anatomical location. Also, I’m curious about the significance of the left ovary's “polycystic” appearance when all discomfort is present on the right side. I would greatly welcome any insights from others who may have faced similar issues or possess expertise in this field, as I feel trapped in a cycle of confusion with no definitive answers.

Answers (1)

2/9/2026, 7:30:50 PM

OpenHealth AI

Thank you for sharing your concerns. I understand that experiencing intense, recurring pelvic pain can be both distressing and confusing. Let’s break down what could be happening and discuss actionable steps you can take to address your situation.

Main Points:

1. Recurring pain could be linked to ovulation, ovarian cysts, or pelvic issues.
2. Localized pain may sometimes not align neatly with anatomical structures.
3. Monitoring symptoms and keeping track of triggers is crucial.

Explanation:

The sharp pain you’re experiencing in your right pelvic region sounds like it could indeed be related to ovulation or ovarian cysts. While cysts can cause pain, it’s also possible for the discomfort to radiate, meaning true pain can be perceived in a different area than the actual affected organ. Your history of ovulation pain indicates sensitivity in that area, and hormonal fluctuations can certainly lead to more discomfort around that time.

The presence of fluid in your abdomen and the mention of polycystic changes in your left ovary may also be contributing factors, although they’re often benign. The fact that you haven’t shown signs of a urinary tract infection (UTI) with symptoms like fever or vomiting is reassuring, but does not rule out other pelvic issues.

Next Steps:

1. Track Your Symptoms: Keep a detailed diary of your episodes – note the timing, intensity, possible triggers (like stress, diet, or activities), and any accompanying symptoms. This can help identify patterns and provide valuable information to your healthcare provider.

2. Explore Pain Management: While you're waiting for lab results, consider over-the-counter pain relief options (like ibuprofen) for flare-ups unless contraindicated. Applying heat to the area may also alleviate discomfort.

3. Follow Up on Lab Results: Be sure to follow up with your doctor about the urine analysis and any blood tests so you can understand if there's an underlying issue that needs further addressing.

4. Consultation with a Specialist: Bring up your concerns about the gynecologist with your primary care physician again. You may benefit from a focused evaluation by a gynecologist, particularly one familiar with pain management and pelvic disorders.

5. Consider a Second Opinion: If you feel continued uncertainty, seeking another consultation from a different gynecologist or a specialist in pelvic pain might provide you with new insights and options.

6. Observe Your Menstrual Cycle: Note any correlations between your menstrual cycle and the episodes of pain, as this could indicate that your symptoms are linked to hormonal changes.

Your discomfort is valid and deserves thorough exploration. While ovarian cysts and ovulation can lead to pain, new insights from ongoing tests and careful monitoring may bring you closer to understanding and managing your symptoms better. Let me know if you have further questions or need more guidance!