The syndrome is characterized by chronic pelvic pain, deep dyspareunia and a fixed tender ovary felt at the vault of the vagina.It may appear in 1–3 percent of all cases of hyste[1]rectomy with preservation of one or both the ovaries. The pain is due to tension within the developing follicle of the ovary with periovarian adhesions. Pain may also be due to perioophoritis with a thickened ovarian capsule. Ultrasonography (TVS) can detect
characteristic ovarian enlargement. The relief of pain may be achieved by ovarian suppression with hormones (high dose progestins, OC pills, danazol or GnRH agonists). Cure is by removal of the ovaries.
The symptoms may comprise:-
- Pelvic pain.
- Painful intercourse.
- Painful Urination.
- Painful bowel movements.
- Pelvic mass.
The medicines that can be thought of use are:-