How are swollen ovaries treated?

Depending on the cause of the swelling, there are several treatment options. In case of a bacterial infection, a sufficient and fast antibiotic therapy is very important. A spontaneous healing without antibiotics is impossible.

Which antibiotic is most suitable depends on the pathogen and the stage of the inflammation. In the acute stage, antibiotic therapy with metronidazole and cirprofloxacin is administered via the vein. If gonococci are detected, ceftriaxone is administered additionally.

Chlamydia detection requires additional therapy with azithromycin.It may also be necessary to puncture the ovary to remove the inflammation. In the subacute stage of the disease, antibiotics can also be taken in the form of tablets. The aim is to prevent complications, as these can have serious consequences.

These include, for example, abscesses or adhesions, which must then be treated surgically. Ovarian swelling due to endometriosis is also treated with various therapeutic options. Initially, the focus is on pain reduction with drugs such as ibuprofen and diclofenac. In addition, hormonal contraceptives and active substances that interfere with the hormonal balance are used. Very large endometriosis lesions can be surgically removed.

Duration of ovarian swelling

Ovarian swelling can be present for several weeks or even months. A bacterial infection of the ovaries can sometimes show chronic progression if it is not treated adequately. Likewise, endometriosis lesions are usually present for months or years, sometimes permanently.

The ovarian swelling in an ectopic pregnancy usually lasts only a few weeks, as it recedes again after termination of the pregnancy. Unfortunately, it is not possible to give a general duration for ovarian swelling. It depends on the cause and the success of the therapy.

Swollen ovaries before the period

Swelling of the ovaries does not usually occur with regularity before the period. If the ovaries are swollen, there is a different cause than the period behind it. This could be, for example, chronic inflammation of the ovaries (pelvic inflammatory disease), endometriosis or an ovarian cyst.

However, before the period, symptoms can become more severe. In the case of chronic pelvic inflammatory disease, a flare-up of symptoms is always possible in principle. Many women complain of flaring up abdominal pain, especially in the days before their period. Endometriosis is typically characterized by pain that begins about 2 to 3 days before the period. Ovarian cysts also react to the hormonal fluctuations of the cycle and can cause pain immediately before the days.