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Pain in the ovary

by Dolores
(Canada)

Hi Wray,

I haven't talked to you in a while. I hope all is well. I thought I would let you know what is going on with me and to see if you knew what is going on with me. I am still on 600 mg. of prometrium a day and for the most part is working quite well. When I try and reduce it, the symptoms return. Last July, I began to feel a dull ache on my right ovary shooting down my leg. I got concerned about it, so I had an ovarian ultra sound and everything was fine. I did try and reduce my dose and eventhough some of the symptoms returned, the pain went away. I then got tired of the symptoms which did not improve, so I went back up to 600 mg. and the symptoms all went away, but now I have a sharp pain in my right ovary which is weighing heavily on my mind. The thought of ovarian cancer came into my mind and scared me.

Wray, I am hoping you can tell me what the pain is and if I should be concerned about it. Also, has anyone else experienced this?

Thanks.


Comments for Pain in the ovary

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Jul 23, 2013
 Pain in the ovary
by: Wray

Hi Dolores You'll have to fill me in a bit. Can you give me your age, i.e. do you still have regular cycles? Or are you in Peri-menopause or Menopause? It seems you are taking the prometrium, is this correct? If so it's far better to open the capsules, empty the contents into a small amount of skin cream and then rub that on your skin. Oral progesterone is the least effective Delivery system, "The liver and gut region removed a mean of 96 per cent of the progesterone entering these tissues", see here. Doing this means you will get the full benefit of the progesterone, and will relieve the liver of having to metabolise it. You'll find you won't need as much progesterone. If you are still ovulating, then the pain is called Mittelschmerz, see here, here and here. It occurs in approximately 20% of women at ovulation only and in no way is it dangerous. It is not a cyst rupturing, but the follicle containing a mature egg bursting to release the egg. The pain usually subsides within hours, but can linger for a day or two. Take care Wray
Jul 23, 2013
 Pain in the ovary
by: Dolores

Hi Wray,

I guess you don't remember me and I put a new title this time, so I guess you did not make the connection, but I am Dolores from Coming Off High Doses. I am 54 and haven't had cycles for about 14 years. I do use 600 mg. of prometrium but I do not take it orally. I take it vaginally. I do still have this pain which is intermittent, and as I said before, I used to have a dull, persistent pain on the right ovary. After I brought down the amount of prometrium, it went away but the symptoms returned (at least some of them). When I raised the dose, a sharp intermittent pain is now present on the right ovary that is causing me to worry. I know you say we cannot overdose on progesterone, but I am worried that I am using too much because of the pain, but yet, when I lower the amount, some of the symptoms return. What do I do? I would be even more worried, but as I said, when I had the persistent dull ache in July, I lived with it for a few months, and in October I had an ultra sound and everything was clear.

I hope you can help me out with this. Thanks.
Jul 24, 2013
 Pain in the ovary
by: Wray

Hi Dolores Of course I remember you, but I can't remember everything about you, as I deal with so many people. Thanks for filling me in. I don't know what to suggest. You say if you reduce the progesterone your symptoms come back but the pain goes. So then you have to increase the progesterone to stop the other symptoms. I suggest you try using the progesterone as I described above, and apply it directly over the painful ovary and down the leg. I've no idea if this will help you but it might. It could be the pain is referred, i.e. coming from the vagina but manifesting in the ovary. This could be because all the progesterone is being used in the vagina which doesn't give it a break. Let me know if this helps you. Take care Wray

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