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Ovarian Torsion: What you need to know?

What Is Ovarian Torsion?

Ovarian torsion is a medical emergency. It happens when an ovary twists around the tissues that hold it in place. Because of this twist, blood flow to the ovary can slow down or stop. Ovarian torsion can cause sudden pain and may damage the ovary if not treated quickly. Although it is rare, it is important to know the signs and act fast. According to the CDC, ovarian torsion most often affects women of childbearing age, but it can happen at any age.

Symptoms and Warning Signs

Ovarian torsion symptoms can appear suddenly. However, some people may notice mild signs first. It is important to watch for these symptoms:

  • Sudden, severe pain in the lower belly, often on one side
  • Nausea or vomiting
  • Fever in some cases
  • Feeling faint or dizzy
  • Abdominal swelling or tenderness

    • Sometimes, the pain may come and go. But if you notice these signs, seek medical help right away. Early treatment can help save the ovary.

    Common Causes and Risk Factors

    Ovarian torsion can happen for several reasons. Most often, it occurs when the ovary is enlarged or heavy. For example, an ovarian cyst can make the ovary more likely to twist. Here are some common causes and risk factors:

  • Ovarian cysts or masses
  • Fertility treatments that cause the ovaries to swell
  • Pregnancy, especially in the first trimester
  • Long or loose ligaments that support the ovary
  • Previous ovarian torsion

    • Additionally, young girls and women of childbearing age are at higher risk. But, ovarian torsion can also affect postmenopausal women.

    How Ovarian Torsion Is Diagnosed

    Doctors use several steps to diagnose ovarian torsion. First, they ask about your symptoms and medical history. Next, they do a physical exam to check for pain or swelling. Often, doctors use imaging tests to get a closer look. These may include:

  • Ultrasound: This test uses sound waves to show the ovary and blood flow.
  • CT scan or MRI: These may help if the ultrasound is unclear.

    • Sometimes, doctors may need to do surgery to confirm the diagnosis. Quick diagnosis is important to prevent damage to the ovary.

    Treatment Options and What to Expect

    Treatment for ovarian torsion usually involves surgery. The goal is to untwist the ovary and restore blood flow. There are two main types of surgery:

  • Laparoscopy: A small camera and tools are used through tiny cuts. This is less invasive and helps you recover faster.
  • Laparotomy: A larger cut is made if the ovary is very damaged or if the doctor needs a better view.

    • If the ovary is healthy after untwisting, it can often be saved. However, if it is badly damaged, the doctor may need to remove it. After surgery, most people recover well and can return to normal activities soon.

    Prevention Tips and Lifestyle Guidance

    While you cannot always prevent ovarian torsion, you can lower your risk. Here are some helpful tips:

  • See your doctor for regular pelvic exams
  • Report any new or unusual pelvic pain right away
  • Follow your doctor’s advice if you have ovarian cysts
  • Discuss risks before starting fertility treatments

    • Additionally, staying aware of your body and acting quickly can make a big difference.

    When to Seek Medical Help

    If you have sudden, severe lower belly pain, do not wait. Especially if you also feel sick, dizzy, or have a fever, seek emergency care. Ovarian torsion can cause lasting harm if not treated quickly. Early action can help save your ovary and protect your health.

    Conclusion

    Ovarian torsion is a serious condition that needs fast treatment. Knowing the symptoms, causes, and treatment options can help you act quickly. If you suspect ovarian torsion or have related symptoms, consult a healthcare professional right away.