Torsion of Ovarian Cyst Quiz
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Stomachache
I have lower abdominal pain
Have nausea
Stomachache gets worse when pressed
Pain in the lower right stomach
I have left lower abdominal pain
Localized abdominal pain
Not seeing your symptoms? No worries!
What is Torsion of Ovarian Cyst?
A condition where fluid-filled sacs on the ovaries enlarge and cause the ovaries to twist around their blood supply. This can cause severe pain and future fertility issues.
Typical Symptoms of Torsion of Ovarian Cyst
- Stomach pain that worsens when the stomach is pressed
- Stomach or abdominal pain
- Pain in the lower right abdomen
- Stomach or abdominal pain in a specific area
- Pain in the lower abdomen
- Pain in the pelvis
- Pain in the lower left abdomen
- Nausea or vomiting
Diagnostic Questions for Torsion of Ovarian Cyst
Your doctor may ask these questions to check for this disease:
- Does your stomach pain get worse when you press on it?
- Do you have any stomach or abdominal pain?
- Do you have pain in the lower right abdomen?
- Do you have stomach or abdominal pain in a specific area?
- Do you have pain in your lower abdomen?
Treatment of Torsion of Ovarian Cyst
Emergency surgery is required to preserve the reproductive function of the affected ovary. Pain medications can help relieve symptoms in the meantime.
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Feb 13, 2025
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Upper left abdominal pain
- Upper right abdominal pain
- Have periodic abdominal pain
- Have pelvic pain
- Sharp abdominal pain
- Stomach pain with diarrhea
- Flank pain
Symptoms Related to Torsion of Ovarian Cyst
Diseases Related to Torsion of Ovarian Cyst
FAQs
Q.
Ovarian Cyst? Why Your Ovary Is Aching & Medically Approved Next Steps
A.
Ovary pain is often due to a common, usually harmless ovarian cyst, but sudden severe pain, nausea, dizziness, or fainting can signal emergencies like torsion or rupture and need urgent care. Next steps typically include a pelvic exam and ultrasound, watchful waiting with repeat imaging, pain relief, possible hormonal birth control to prevent future cysts, and surgery only if the cyst is large, persistent, suspicious, or you are postmenopausal; cancer is uncommon before menopause but red flags matter. There are several factors to consider; see below for key details that can change which actions you should take.
References:
* American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 177: Evaluation and Management of Adnexal Masses. Obstet Gynecol. 2017 May;129(5):e128-e153. doi: 10.1097/AOG.0000000000002018. PMID: 28426615.
* Yen S, Khosla A, Rebar R. Functional Ovarian Cysts. [Updated 2023 Jul 26]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: www.ncbi.nlm.nih.gov/books/NBK278965/. PMID: 25905391.
* Singh S, N.J., K.K., L.M., T.C. Benign ovarian cysts: diagnosis and management in adolescents and women. J Obstet Gynaecol Can. 2017 Nov;39(11):980-990. doi: 10.1016/j.jogc.2017.03.003. PMID: 29089182.
* O'Grady JP, O'Grady AT, D'Angio C. Ovarian cysts in adolescents: A review of current management. J Obstet Gynaecol. 2020 Jan;40(1):11-17. doi: 10.1080/01443615.2019.1601666. Epub 2019 Apr 8. PMID: 30958157.
* Bottomley C, Bourne T. Management of common benign ovarian cysts. BMJ. 2009 Oct 29;339:b2735. doi: 10.1136/bmj.b2735. PMID: 19864708.
Q.
Lopsided Bloating? Why the Lower Left Side of Your Stomach Feels Swollen and Hard
A.
Lower left abdominal swelling or hardness is usually due to gas, constipation, or IBS causing lopsided bloating or pelvic pressure; in people with ovaries, ovarian cysts or ovulation are common too, with less common causes including diverticular disease, muscle strain, and bladder or pelvic floor issues. There are several factors to consider, and some are urgent such as sudden one sided pelvic pain with nausea that could indicate ovarian torsion, so see the complete details below for red flags, when to seek care, and practical relief strategies that may guide your next steps.
References:
* Srinivasan S, Cash BD. Approach to the Patient with Abdominal Bloating. Med Clin North Am. 2021 Jan;105(1):169-183. doi: 10.1016/j.mcna.2020.08.010. Epub 2020 Nov 17. PMID: 33215984.
* Barber C, Moayyedi P, Mearin F, Ford AC. Irritable bowel syndrome: Update on diagnosis and treatment. J Intern Med. 2023 Nov;294(5):713-735. doi: 10.1111/joim.13689. Epub 2023 Aug 24. PMID: 37617595.
* Sana N, Bitar H, Talley NJ. Pathophysiology and management of chronic constipation. Minerva Gastroenterol. 2022 Dec;68(4):313-324. doi: 10.23736/S2724-5972.22.06734-X. Epub 2022 Aug 2. PMID: 35921760.
* Stollman N, Smalley W. Diverticular Disease: From Pathophysiology to Management. Gastroenterology. 2022 Nov;163(5):1111-1123. doi: 10.1053/j.gastro.2022.07.054. Epub 2022 Aug 16. PMID: 36253456.
* Saha L, Kumar A, Chander B. Abdominal bloating: an update on pathophysiology and treatment. Minerva Gastroenterol. 2023 Dec;69(4):303-313. doi: 10.23736/S2724-5972.23.07229-8. Epub 2023 Jul 13. PMID: 37446545.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Huang, C., Hong, M. K., & Ding, D. C. (2017). A review of ovary torsion. Tzu Chi Medical Journal.
https://journals.lww.com/tcmj/fulltext/2017/29030/A_review_of_ovary_torsion.3.aspxPoonai, N., Poonai, C., Lim, R., & Lynch, T. (2013). Pediatric ovarian torsion: case series and review of the literature. Canadian Journal of Surgery.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3617114/Gupta, A., Gadipudi, A., & Nayak, D. (2020). A five-year review of ovarian torsion cases: Lessons learnt. The Journal of Obstetrics and Gynecology.
https://link.springer.com/article/10.1007/s13224-020-01319-3