Ultrasound Evaluation of Abnormally Positioned Ovaries as a Cause of Pelvic Pain

Background Pelvic pain is one of the commonest symptoms in women of child bearing age. Abnormal position of the ovaries may be one of the reasons for the unexplained pelvic pain. Objectives To evaluate the association between abnormal ovarian position and pelvic pain. Materials and methods One thousand female patients of reproductive age group who underwent USG pelvis where included in the study. History of pelvic pain, discomfort and tenderness elicited and correlated with ovarian positions. Results Out of 1000 patients, 825 (82.5 %) had normally positioned ovaries. Most common abnormal position of ovaries was POD, 170 (17 %). Symptomatic patient counts was 236 (23.6 %) and 764 (76.4 %) were asymptomatic. P value for correlation of abnormally positioned ovaries with pelvic pain was less than 0.0001. Conclusions Abnormally positioned ovaries are common in routine USG practice. Almost 50 % of patients with ovaries in POD are symptomatic.