Ovarian Torsion
Medically reviewed by Drugs.com. Last updated on May 4, 2025.
AMBULATORY CARE:
Ovarian torsion
is a condition that causes twisting of a ligament that supports the ovary. The ovary may also become twisted with the fallopian tube. Blood flow to the ovary is reduced or blocked. The lack of blood flow can cause ovary necrosis (tissue death). Ovarian torsion needs immediate care to prevent this from happening. Torsion usually happens to only one ovary but can happen to both.
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Common signs and symptoms of ovarian torsion:
- Severe pain in your abdomen or pelvis that is worse with movement
- Pain that goes to your back or down your side
- Nausea and vomiting
- Tender abdomen or pelvis
- A fever
Seek care immediately if:
- You have a fever that is getting higher.
- You have new or worsening symptoms, such as increased pain or vomiting.
Call your doctor or gynecologist if:
- You have a fever.
- You have questions or concerns about your condition or care.
Treatment:
You must see a healthcare provider as soon as possible. You may need any of the following:
- Surgery is used to untwist the ovary. Your surgeon will also check to see if a lack of blood flow damaged the ovary. The ovary may need to be removed. If you have not gone through menopause yet, your surgeon may try to leave the ovary in place. Any cysts on the ovary may be removed. The fallopian tube may also need to be removed if it is twisted with the ovary.
- Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
Prevent ovarian torsion:
- Know what to do if you are at high risk for ovarian torsion. An ovarian cyst, pregnancy, or fertility treatment put you at high risk. Seek immediate care if you have any signs or symptoms of ovarian torsion, such as sudden, severe pelvic pain.
- Birth control pills may be prescribed if you are a person of childbearing age. Certain birth control pills help prevent ovulation. This helps prevent ovarian cysts that may lead to ovarian torsion. Talk to your healthcare provider about family planning, if needed.
Follow up with your doctor or gynecologist as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
Further information
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