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Ovarian torsion accounts for about 3% of gynecologic emergencies. The incidence of ovarian torsion among women of all ages is 5.9 per 100,000 women, and the incidence among women of reproductive age (15–45 years) is 9.9 per 100,000 women. [15] In 70% of cases, it is diagnosed in women between 20 and 39 years of age.
"Ovarian torsion can cause severe pain and require emergency surgery." If you feel this kind of pain and suspect a cyst, Tanouye says, "It's always a good idea to talk with your doctor.
Ovarian cysts—the ovary produces a large, painful cyst, which may rupture. Asherman's syndrome (AS) is an acquired uterine condition that occurs when scar tissue form inside the uterus and/or the cervix. Ovarian torsion—the ovary is twisted in a way that interferes with its blood supply. (pain on one side only)
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.
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.
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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]
Germ-cell tumors are typically discovered when they become large, palpable masses. However, like sex cord tumors, they can cause ovarian torsion or hemorrhage and, in children, isosexual precocious puberty. They frequently metastasize to nearby lymph nodes, especially para-aortic and pelvic lymph nodes. [26]