Right ovary pain has 11 distinct possible causes, ranging from routine ovulation discomfort and gas to medical emergencies like ovarian torsion and ectopic pregnancy. Conditions such as endometriosis, PID, fibroids, adhesions, and pelvic floor dysfunction all produce overlapping symptoms that make self-diagnosis unreliable. Sudden, severe, or recurring pain always calls for professional evaluation, as early diagnosis consistently leads to better outcomes.

Right ovary pain can trace back to a wide range of causes, from the routine discomfort of ovulation and gas to more serious conditions like ovarian torsion, ectopic pregnancy, and PID. Ovarian cysts, endometriosis, scar tissue, and pelvic floor dysfunction all produce pain in this region with distinct characteristics. Because so many conditions share overlapping symptoms, professional evaluation is the only reliable path to an accurate diagnosis and the right treatment.

At Rosh Maternal & Fetal Medicine, patients across Manhattan, Brooklyn, and Great Neck come to us with right-sided pelvic pain that has gone undiagnosed or misidentified. Getting a precise answer matters because the right treatment depends entirely on the right diagnosis. Below, we cover 11 of the most common causes we see in our New York City practices.

Disclaimer: The content in this article is not medical advice. Patients must contact their healthcare provider before making any health decisions.

Where Is Ovary Pain Located And Why Does It Matter?

Understanding where ovarian pain is located is the first step toward identifying its cause. The right ovary sits in the lower right quadrant of the abdomen, roughly between the hip bone and the belly button.

Pain in this area can feel sharp, dull, cramping, or pressure-like, and it may come and go or remain constant. The challenge is that the right ovary shares this region with the appendix, part of the intestine, and the right fallopian tube. This means pain in this area does not always point directly to the ovary itself.

Ovulation and Mittelschmerz

One of the most common causes of right-sided ovarian pain is ovulation, the phase in the menstrual cycle when an ovary releases an egg. The associated discomfort is known as Mittelschmerz and typically occurs around the middle of the cycle.

The discomfort associated with ovulation usually lasts a few hours and is often mild. Women may also notice a slight increase in cervical mucus and slight bloating. While Mittelschmerz is generally not a cause for concern, persistent or severe pain should be evaluated by a healthcare professional.

The discomfort typically lasts a few hours and may be accompanied by mild bloating or a slight increase in cervical mucus. Over-the-counter pain relievers usually manage it well. Pain that extends well beyond the typical ovulation window, or that feels more intense than usual, deserves a conversation with a pregnancy care specialist to rule out other causes.

Ovarian Cysts

Ovarian cysts are fluid-filled sacs that can develop on the ovaries during the menstrual cycle. In some cases, these cysts can cause pain, especially if they grow larger or rupture. Right-sided ovarian pain may occur if a cyst forms on the right ovary or if the cyst twists and causes ovarian torsion.

These cysts are common and are often harmless, disappearing on their own within a few months. However, larger cysts or those that rupture can cause severe abdominal pain, bloating, and nausea. Women who experience sudden, sharp pain or notice any changes in their menstrual cycle should see a doctor to confirm if an ovarian cyst is the cause of the pain.

Our team offers dedicated ovarian cyst evaluation and management for NYC patients, using ultrasound to monitor cyst size and determine the best course of action. Regular pelvic exams are an important part of catching problematic cysts before they escalate.

Endometriosis

Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside of it, often affecting the ovaries and other organs. When endometrial tissue grows on the right ovary, it can lead to severe pain, especially during menstruation. This condition often results in chronic pelvic and abdominal pain in women.

The pain associated with endometriosis is typically worse during menstruation and may be accompanied by heavy bleeding, pain during intercourse, and digestive issues. Some women with endometriosis also experience infertility. While there is no cure for this condition, pain management, hormone therapy, or surgery may help alleviate symptoms.

Women who suspect they may have endometriosis should seek a proper diagnosis from a healthcare provider. Early treatment can help reduce the severity of symptoms and improve the quality of life. Doctors may perform a laparoscopy to confirm the presence of endometrial tissue outside the uterus.

Pelvic Inflammatory Disease (PID)

Pelvic inflammatory disease (PID) is a condition that infects the reproductive organs, brought about commonly by untreated sexually transmitted infections (STIs) like gonorrhea or chlamydia. PID can result in pain in the right ovary if the infection spreads to the ovaries. Along with pain, women may experience fever, unusual discharge, or pain during sex.

Left untreated, PID can lead to scarring and infertility. Pain caused by PID can be severe and may come with other symptoms such as nausea or vomiting. Women who experience these symptoms should seek medical treatment as soon as possible to prevent further complications.

Antibiotics are typically used to treat PID, and in some cases, hospitalization may be required. Regular STI screenings and prompt treatment of infections can help reduce the risk of developing PID. If symptoms persist after treatment, further examination is needed to check for complications.

Ovarian Torsion

Ovarian torsion is a medical emergency where the ovary twists around the ligaments that support it, cutting off its blood supply. This condition can cause severe, sudden pain in the right ovary, often accompanied by nausea and vomiting. It is a rare but serious cause of right side ovary pain.

If not treated promptly, ovarian torsion can result in the loss of the ovary. The pain is usually sharp and intense, often starting suddenly. If ovarian torsion is suspected, immediate medical attention is needed, and surgery is often required to untwist the ovary and restore blood flow.

Women experiencing sudden and severe pelvic pain should not delay seeking medical care. The sooner ovarian torsion is diagnosed, the higher the chances of preserving the ovary. Prompt treatment can also help prevent further complications.

Pelvic Adhesions and Scar Tissue

Pelvic adhesions are bands of scar tissue that can form after surgery or an infection. These adhesions may cause the ovaries to stick to other organs in the pelvic area, leading to pain. Right ovary pain may occur when the scar tissue affects the movement of the right ovary or causes irritation.

Adhesions can be formed after previous surgeries such as appendectomies, cesarean sections, or other pelvic procedures. Some women may experience pain that comes and goes, while others may have chronic discomfort. In some cases, pelvic adhesions can contribute to infertility.

The treatment for pelvic adhesions varies depending on the severity of the symptoms. In some instances, surgery may be required to remove or break up the scar tissue. However, managing pain through medications or physical therapy may also be an option.

Urinary Tract Infections (UTIs)

A urinary tract infection (UTI) affects any part of the urinary system, including the bladder, urethra, or kidneys. While UTIs often cause discomfort during urination, they can also cause lower abdominal pain, which can be mistaken for pain in the right ovary. If the infection spreads to the kidneys, it may cause more severe pain on the right side.

Symptoms of a UTI may include a burning sensation when urinating, frequent urination, and cloudy or foul-smelling urine. Left untreated, UTIs can lead to more serious kidney infections. Women with symptoms of a UTI should seek prompt treatment with antibiotics to prevent complications.

It is important to stay hydrated and practice good hygiene to help prevent UTIs. Cranberry juice and other supplements may also help in preventing recurring infections, though more research is needed. If symptoms persist or worsen, medical attention should be sought immediately.

Excess Gas

Gas can sometimes cause discomfort that mimics ovary pain. When excess gas builds up in the intestines, it can lead to bloating and pressure in the lower abdomen, including the area where the ovaries are located. This may cause a sensation that feels like right side ovary pain, although the cause is gastrointestinal rather than reproductive.

Gas pain can often be relieved by passing gas, using over-the-counter medications, or gentle movements like walking. However, persistent pain or bloating that does not improve with typical treatments should be evaluated by a healthcare provider. If gas-related pain is accompanied by other symptoms, it may point to a more serious underlying condition.

A healthy diet, staying hydrated, and avoiding foods that trigger gas production can help minimize the occurrence of this discomfort. For women who experience frequent or severe bloating, a doctor may suggest dietary adjustments or further testing to rule out other gastrointestinal issues.

Ectopic Pregnancy

An ectopic pregnancy happens when a fertilized egg attaches and grows outside the uterus, most commonly in the fallopian tube. This condition can lead to severe pain in the right ovary if the pregnancy occurs on the right side. Ectopic pregnancies are medical emergencies that can be life-threatening if left untreated.

The pain from an ectopic pregnancy is typically sharp and severe, often accompanied by other symptoms such as vaginal bleeding, dizziness, or fainting. Women who experience any of these symptoms should seek immediate medical attention. A healthcare provider can confirm the diagnosis through blood tests and an ultrasound.

Treatment for an ectopic pregnancy often involves medication or surgery to remove the embryo and prevent further complications. Early detection is key to preserving the woman’s health and fertility. Women who suspect they may have an ectopic pregnancy should contact a healthcare provider right away.

Ovarian Cancer

Ovarian cancer is one of the more serious causes of pain felt in the right ovary, though it is rare. Pain can occur as the tumor grows, causing pressure and discomfort in the abdominal area. Other symptoms of ovarian cancer may include bloating, changes in bowel habits, and unexplained weight loss.

While ovarian cancer is uncommon, women should be aware of the symptoms and seek medical advice if they experience persistent or unusual pain. A healthcare provider can perform diagnostic tests, including an ultrasound or a blood test, to check for ovarian cancer markers. Early detection significantly improves treatment outcomes.

Treatment for ovarian cancer may involve surgery, chemotherapy, or targeted therapies. Women with a family history of ovarian cancer should be vigilant and consult their healthcare provider about their risk factors.

Pelvic Floor Dysfunction

Pelvic floor dysfunction refers to a range of conditions that affect the muscles and connective tissues supporting the pelvic organs. When these muscles become weak, tight, or overly strained, they can cause pain that may feel like right ovary discomfort. This pain often stems from issues with the pelvic muscles rather than the ovaries themselves, but it can be difficult to differentiate between the two.

Women with pelvic floor dysfunction may also experience urinary incontinence, constipation, or pain during intercourse. The pain can vary in intensity, from mild to severe, and may worsen after activities that put pressure on the pelvic area, such as prolonged sitting or lifting heavy objects. If pelvic floor dysfunction is suspected, physical therapy and exercises that target the pelvic muscles can help relieve discomfort.

It is important to seek medical advice if you have persistent pelvic pain, as other conditions may also contribute to the symptoms. A healthcare provider can assess the situation, recommend specific therapies, and guide you toward relief.

Women experiencing right ovarian pain, pelvic discomfort, or lower abdominal pain can access specialized gynecologic and maternal-fetal medicine care at Rosh Maternal & Fetal Medicine locations in Brooklyn, Great Neck, Midtown Manhattan, Kips Bay, and Lenox Hill.

Have symptoms related to ovarian cysts, endometriosis, pelvic inflammatory disease, UTIs, ectopic pregnancy, or other reproductive health concerns? Patients can receive personalized evaluations, ultrasound imaging, and treatment recommendations tailored to their condition and overall reproductive health needs.

Contact an Abdominal Pain Specialist in New York, NY

If you are experiencing right ovary pain or other abdominal discomfort, we recommend reaching out to an abdominal pain specialist in New York, NY, at Rosh Maternal & Fetal Medicine. Our experienced team is here to help diagnose and treat any underlying conditions that may be causing your pain. Contact us to schedule an appointment today.

FAQs

Can right ovary pain come and go over several months?

Yes. Conditions like ovarian cysts, endometriosis, and pelvic adhesions all produce intermittent pain that may ease and return. Recurring pain that follows a pattern, particularly around the menstrual cycle, warrants an evaluation to identify the underlying cause.

Is right ovary pain always reproductive in origin?

Not always. Appendicitis, kidney infections, intestinal gas, and UTIs all produce pain in the lower right abdomen that can be mistaken for ovarian pain. A pelvic exam and imaging help distinguish between reproductive and non-reproductive sources.

Can stress or lifestyle factors worsen right ovarian pain?

Yes. Stress can amplify pain perception and worsen conditions like IBS, which mimics ovarian pain. Poor diet, dehydration, and prolonged sitting can also aggravate pelvic floor dysfunction and lower abdominal digestive discomfort.