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Stomachache
Stomachache gets worse when pressed
Tummy pain when standing on tiptoe then dropping to heels
Ovulation pain
Abdominal discomfort
Pain in the lower right stomach
Localized abdominal pain
Not seeing your symptoms? No worries!
Some ovarian cysts can enlarge with fluid or blood and then break open (rupture). This can cause bleeding from the ovarian surface, which can cause significant pain, and in rare cases cause enough blood loss to require medical or surgical treatment.
Your doctor may ask these questions to check for this disease:
Generally ovarian cyst rupture is not a medical emergency and most patients have mild symptoms such as pain, nausea or vomiting which can then resolve on its own, and no treatment besides pain medication is required. In severe cases, if there is concern for significant bleeding, surgery may be required to fix the problem.
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Mar 27, 2025
Following the Medical Content Editorial Policy
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With a free 3-min Ovarian Hemorrhage quiz, powered by Ubie's AI and doctors, find possible causes of your symptoms.
This questionnaire is customized to your situation and symptoms, including the following personal information:
Biological Sex - helps us provide relevant suggestions for male vs. female conditions.
Age - adjusts our guidance based on any age-related health factors.
History - considers past illnesses, surgeries, family history, and lifestyle choices.
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Q.
Pain in the Right Ovary Area But No Period: 7 Possible Reasons
A.
There are several factors to consider. Right-sided pelvic pain without a period can come from ovulation, ovarian cysts or hemorrhage, endometriosis, pelvic inflammatory disease, ectopic pregnancy, or non gynecologic causes like appendicitis, digestive issues, or muscle strain, and some require urgent care, especially with severe or sudden pain, dizziness, fever, or possible pregnancy. See below for red flags, when to take a pregnancy test, what self care helps, and which doctor visits or imaging may be needed, since details like cycle timing, spotting, discharge, and symptom pattern can change your next steps.
References:
* Nardone C, et al. Acute pelvic pain in women: a guide to diagnosis. Best Pract Res Clin Obstet Gynaecol. 2017 Jan;38:13-22. doi: 10.1016/j.bpobgyn.2016.08.005. PMID: 27932060.
* Ramachandran A, et al. Ectopic Pregnancy. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. PMID: 32644747.
* Raja K, et al. Ovarian Cysts: Clinical Implications and Management Strategies. Curr Treat Options Obstet Gynecol. 2022;23(4):259-270. doi: 10.1007/s11934-022-01103-w. PMID: 36589780.
* Chapron C, et al. Endometriosis. Nat Rev Dis Primers. 2019 Jul 11;5(1):47. doi: 10.1038/s41572-019-0099-y. PMID: 31296905.
* Latthe P, et al. Non-gynaecological causes of pelvic pain. Best Pract Res Clin Obstet Gynaecol. 2017 Jan;38:46-52. doi: 10.1016/j.bpobgyn.2016.08.003. PMID: 27932062.
Q.
Ovary Pain? Why Your Ovaries Ache & Medically Approved Next Steps
A.
There are several factors to consider. See below to understand more. Ovary pain can be normal from ovulation or small cysts, but it can also signal conditions like endometriosis, pelvic infection, ovarian torsion, or ectopic pregnancy, and red flags include sudden severe one-sided pain, fever, fainting or dizziness, heavy bleeding, or pain during pregnancy. Next steps include tracking where you are in your cycle and how intense the pain is, watching for red flags, using a trusted symptom checker, and seeking prompt care if severe or if you could be pregnant, while clinicians confirm causes with a pelvic exam, ultrasound, and a pregnancy test and tailor treatment from home care and hormones to antibiotics or surgery; full guidance is below.
References:
* Al-Jumaili F, Al-Jabri B. Chronic Pelvic Pain: An Updated Review of Pathophysiology, Diagnosis and Management. Int J Womens Health. 2021 Dec 14;13:1293-1300. doi: 10.2147/IJWH.S343992. PMID: 34949827; PMCID: PMC8686616.
* Ramezani TE, Esmaeili S, Esfahani N, Meysamie AP, Shahhosseini M, Esmaeili S, Aghamajidi A, Nazarian H, Nili M, Bagheri M, Aghamajidi L. Endometriosis: A review on the causes, challenges, and treatment options. Front Pharmacol. 2022 Jul 18;13:922616. doi: 10.3389/fphar.2022.922616. PMID: 35936496; PMCID: PMC9340242.
* Patel N, Price G, Alabdulkarim A, Shah M, Younis J, Konje JC, Seshadri S. Pain and polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod Update. 2022 Sep 27;28(5):663-690. doi: 10.1093/humupd/dmac019. PMID: 35816223; PMCID: PMC9515902.
* Teixeira F, Pereira R, Gago J, Costa R, Silva S, Paixão V, Pinto R. Ovarian Cysts: A Review of Diagnosis, Management, and Complications. Rev Bras Ginecol Obstet. 2020 Nov;42(11):775-780. doi: 10.1055/s-0040-1718501. Epub 2020 Nov 2. PMID: 33129314.
* Savaris RF, Marçal E, Rodrigues D, Gimenes F, Ruschel C, Carbonel A, Poltronieri F, Perini T. Pelvic inflammatory disease: A comprehensive review of epidemiology, etiology, diagnosis, treatment, and long-term sequelae. Best Pract Res Clin Obstet Gynaecol. 2020 Oct;68:20-33. doi: 10.1016/j.bpobgyn.2020.03.003. Epub 2020 May 7. PMID: 32387123.
Q.
Is lower left abdominal pain in females linked to the ovaries?
A.
Yes—lower left abdominal pain can sometimes involve the ovary (torsion, cysts, endometriosis, infection), but it’s often due to non-ovarian problems like diverticulitis, IBS/constipation, UTIs or kidney stones, hernias, or ectopic pregnancy. There are several factors and urgent red flags to consider (e.g., sudden severe pain, fever, persistent vomiting, fainting); see the complete details below for the full list of causes, tests, and the right next steps, including when to seek emergency care.
References:
Chang HC, Bhatt S, & Dogra VS. (2008). Pearls and pitfalls in diagnosis of ovarian torsion… Radiographics, 18166687.
Giudice LC. (2010). Clinical practice. Endometriosis… N Engl J Med, 20558323.
Wai CT, Greenson JK, Fontana RJ, Kalbfleisch JD, Marrero JA, Conjeevaram HS, & Lok AS. (2003). A simple noninvasive index can predict both significant… Hepatology, 12674743.
Q.
Is lower left abdominal pain in females linked to the ovaries?
A.
Yes—lower left abdominal pain can sometimes involve the ovary (torsion, cysts, endometriosis, infection), but it’s often due to non-ovarian problems like diverticulitis, IBS/constipation, UTIs or kidney stones, hernias, or ectopic pregnancy. There are several factors and urgent red flags to consider (e.g., sudden severe pain, fever, persistent vomiting, fainting); see the complete details below for the full list of causes, tests, and the right next steps, including when to seek emergency care.
References:
Chang HC, Bhatt S, & Dogra VS. (2008). Pearls and pitfalls in diagnosis of ovarian torsion… Radiographics, 18166687.
https://pubmed.ncbi.nlm.nih.gov/18166687/
Giudice LC. (2010). Clinical practice. Endometriosis… N Engl J Med, 20558323.
https://pubmed.ncbi.nlm.nih.gov/20558323/
Wai CT, Greenson JK, Fontana RJ, Kalbfleisch JD, Marrero JA, Conjeevaram HS, & Lok AS. (2003). A simple noninvasive index can predict both significant… Hepatology, 12674743.
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Which is the best Symptom Checker?
Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.
Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1ACOG Practice Bulletin
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2016/11/evaluation-and-management-of-adnexal-massesMantecon O, George A, DeGeorge C, McCauley E, Mangal R, Stead TS, Peplinski B, Ganti L. A Case of Hemorrhagic Ovarian Cyst Rupture Necessitating Surgical Intervention. Cureus. 2022 Sep 20;14(9):e29350. doi: 10.7759/cureus.29350. PMID: 36284799; PMCID: PMC958328.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9583282/