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Ovarian torsion (OT) or adnexal torsion is an abnormal condition where an ovary twists on its attachment to other structures, such that blood flow is decreased. [3] [4] Symptoms typically include pelvic pain on one side. [2] [5] While classically the pain is sudden in onset, this is not always the case. [2] Other symptoms may include nausea. [2]
PTCs may be found at surgery or during an imaging examination that is performed for another reason. Larger lesions may reach 20 or more cm in diameter and become symptomatic exerting pressure and pain symptoms in the lower abdomen. [3] Large cysts can lead to torsion of the adnexa inflicting acute pain. [3] [4]
Plus, she learned that “when the ovaries get big and swollen like that, they can end up twisting, and the blood supply can get cut off,” referring to a complication known as ovarian torsion.
Ovarian cysts such as theca lutein cysts can cause ovarian torsion. Torsion occurs when the cysts enlarge the ovaries, causing an imbalance resulting in the twisting of the fallopian tubes. [25] As a result, blood flow to the ovaries is restricted which can cause infarction of the tissue. This requires prompt surgical treatment. [25]
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At times, these can go unnoticed without pain or visible symptoms. A cyst may develop in either of the ovaries that are responsible for producing hormones and carrying eggs. Ovarian cysts can be of various types, such as dermoid cysts, endometrioma cysts, and the functional cyst. [medical citation needed] Symptoms: Abdominal bloating or swelling.
There are four types of ovarian cysts — functional cysts, PCOS cysts, benign ovarian tumor and malignant ovarian tumor — that range from harmless to fatal.
Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. [1] Untreated PID can result in long-term complications including infertility , ectopic pregnancy , chronic pelvic pain , and cancer .