Ovarian Torsion – Symptoms and Treatment
What is Ovarian Torsion?
Ovarian torsion is a rare condition when your ovary and portions of the fallopian tube twists around the ligaments that hold it in place, which can cut off the blood flow to the ovary and fallopian tube. If the blood supply is cut off long enough, the tissue in the ovary may die potentially impacting fertility.
Causes of Ovarian Torsion
Most cases of ovarian torsion are caused by a cyst or mass on the ovary. More than 80% patients with ovarian torsion had ovarian masses of 5 cm or larger. Women that are undergoing assisted reproductive technologies are also at an increased risk of ovarian torsion.
About 20% of cases of ovarian torsion occur in women who are pregnant, which is typically caused by a corpus luteal cyst or laxity of the adjacent tissues.
Ovarian Torsion Symptoms
The symptoms of ovarian torsion include:
- Severe lower abdominal/pelvic pain
- cramping
- nausea
- vomiting
- fever
When to See Doctor
If you are experiencing the above symptoms, it’s important to seek medical care immediately. Quick diagnosis and treatment are required in order to untwist the ovary to avoid necrosis.
How is Ovarian Torsion Diagnosed?
Ovarian torsion is diagnosed based on symptoms and a physical examination, including a transvaginal ultrasound.
Ovarian Torsion Treatment
Emergency surgery is the only way to treat ovarian torsion with the goal of untwisting the ovary to restore blood flow. If the blood supply was cut off causing the tissue to die, your ovary will need removal. Laparoscopy and laparotomy are two surgical options to treat ovarian torsion.
