Ovarian Torsion

What is Ovarian Torsion?


What does ovarian torsion feel like?
Ovarian torsion is a condition where the ovary twists on its attachment to the uterus. It can cause pain in your lower abdomen, nausea and vomiting, difficulty eating or moving around.  If you have these symptoms it may be that your ovary has twisted and needs surgical intervention. Ovarian cysts are often associated with this condition as well which can make diagnosis more difficult because they may not show up on an ultrasound scan of the pelvis. Laparoscopy is used to diagnose ovarian torsion by looking at all of the pelvic organs so if you suspect that there might be something wrong then go see a doctor right away!


Can ovarian torsion resolve itself?


A study in the Journal of Obstetrics and Gynecology found that when a woman has unexplained abdominal pain, it is important to rule out ovarian torsion. The article states that if there are no other symptoms or findings on examination, an ultrasound may be performed to look for free fluid around the ovary which would indicate possible torsion. If this is not present then further evaluation with pelvic exam can be done. If these tests do not reveal any abnormalities then surgery may not be necessary but should still be considered as a possibility because ovarian cysts have been known to cause similar symptoms.
If you suspect your patient might have ovarian torsion, they will need laparoscopy surgery where they make small incisions in their abdomen so they can see inside and diagnose what's wrong with them more accurately. They will also likely need some type of treatment such as removing an ovary or fallopian tube due to cancerous cells or removing excess tissue from the uterus if there was infection causing inflammation leading up to the development of scar tissue (adhesions).


What are the symptoms of ovarian torsion?
Ovarian torsion is a condition in which the ovary twists on its pedicle, or stalk. This can lead to severe pain and other complications such as nausea, vomiting, fever and infertility. Symptoms may also include abdominal swelling and pelvic pressure. The most common symptom is pain that worsens with movement; however it’s possible for there to be no symptoms at all (asymptomatic). If left untreated, ovarian torsion can lead to serious health problems including: damage to organs in the abdomen like bowel obstruction or bladder rupture; bleeding from ruptured blood vessels; infection around an inflamed ovary called peritonitis; permanent damage to reproductive organs like fallopian tubes or uterus if they twist too far off their normal position
The following terms were mentioned: Fallopian tube - Pregnancy - Cancer - Uterus - Laparoscopy- Ovary- Ovarian cyst- Nausea- Surgery


What is the treatment for ovarian torsion? 



The most common treatments for ovarian torsion are surgery and hormone therapy. Surgery may involve a laparotomy or laparoscopy, depending on the severity of the condition. A laparotomy involves an incision into the abdominal cavity to view and repair any damage while a laparoscopy only requires small cuts in order to examine and treat any problems with minimal scarring. Hormone therapy can be used as a temporary measure before surgery or if there is no other option available at that time. This type of treatment typically includes birth control pills, but it also depends on what stage of pregnancy you're in because hormonal changes could affect your ovaries' ability to recover from trauma caused by ovarian torsion [1].


How does laparoscopy surgery work to repair an ovary that has become twisted?
Laparoscopy is a surgical procedure in which the surgeon makes small incisions around the navel and inserts a thin, lighted tube with a camera on one end. The surgeon can then see inside of the patient's abdomen. This type of surgery is used to diagnose problems like ovarian torsion because it allows for better visualization than other types of surgeries do. If there are any abnormalities found during this process, such as an ovarian cyst or cancerous tumor, they can be removed right away before causing further damage to organs like the uterus or fallopian tubes. Laparotomy is another type of surgery where surgeons make large cuts across your belly button and use their hands instead of instruments through these openings to examine you internally for signs of disease or infection.


After surgery, what activities can you resume and how long should you wait before trying to conceive?

A woman who has had a laparotomy or laparoscopy may be able to return to work in one week. She should avoid lifting heavy objects for six weeks after the surgery. A woman who has had a laparotomy will need two months of recovery time before she is physically able to try conceiving again. Women who have had a laproscopy can try conceiving immediately after their procedure but it is recommended that they take some time off from work and refrain from strenuous activity while recovering.


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