Ovarian torsion symptoms

Pain is often low in the abdomen or pelvis and may be sharp, cramping, or constant. It can spread toward the back, side, or groin. Nausea and vomiting may happen because the body is reacting to intense pain. Some people have tenderness or a swollen feeling, while others have symptoms that come and go.

A breast or pelvic symptom does not identify its cause on its own. Ovarian torsion presents with a pattern that overlaps with cyst rupture, appendicitis, kidney stones, and other urgent conditions, so assessment is needed rather than self-diagnosis.

Note when the pain began, which side is affected, whether it followed movement, and whether vomiting, fever, bleeding, or faintness occurred. Seek prompt medical review instead of waiting to see whether recurring pain settles. Tell the clinician about pregnancy, known cysts, and recent fertility treatment.

Evaluation may include an examination and ultrasound. If torsion is suspected, treatment can involve surgery to untwist the ovary and address a cyst. [Laparoscopic Ovarian Cystectomy](/treatments/gynaecological-surgery/laparoscopic-ovarian-cystectomy/) may be discussed when cyst removal is needed.

Go to an emergency department for sudden severe one-sided pelvic pain, repeated vomiting, faintness, fever, a very tender abdomen, or symptoms that are worsening. Even pain that briefly improves can need urgent review. See [Pelvic Pain](/symptoms/pelvic-pain/) for related symptom language, but do not delay care.

Ask which alternative causes have been considered, whether an ovary or cyst looks enlarged, what tests are needed, and which changes should prompt immediate return.