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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]
The suspensory ligament of the ovary is one continuous tissue that connects the ovary to the wall of the pelvis. There are separate names for the two regions of this tissue. In the anterior region, the suspensory ligament is attached to the wall of the pelvis via a continuous tissue called peritoneum.
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Unilateral ovarian agenesis, also known as unilateral ovarian absence (UOA), is a rare condition in an individual has one ovary instead of two not explained by previous ovariectomy. Possible causes include torsion or vascular obstruction leading to loss of one ovary, and true agenesis where the ovary never formed during development.
Ovarian hyperstimulation syndrome (OHSS) is a medical condition that can occur in some women who take fertility medication to stimulate egg growth, and in other women in sporadic cases. Most cases are mild, but rarely the condition is severe and can lead to serious illness or even death.
Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, mainly the uterus, fallopian tubes, and ovaries, and inside of the pelvis.
Usually, ovulation occurs in one of the two ovaries releasing an egg each menstrual cycle. The side of the ovary closest to the fallopian tube is connected to it by infundibulopelvic ligament , [ 3 ] and the other side points downwards attached to the uterus via the ovarian ligament .
While only one or two eggs mature to the point of being released, a number of follicles grow during the follicular phase of the menstrual cycle (non-dominant follicles atrophy prior to ovulation). Because follicles develop on both sides, this theory explains mittelschmerz that occurs simultaneously on both sides of the abdomen.