What is Ovarian Torsion?

Ovarian torsion is a critical condition in the field of female emergency gynecology. The disruption of blood flow as a result of the rotation of the ovary around its own axis creates severe pelvic pain and a situation requiring urgent surgical intervention. Assoc. Dr. With her experience in women's health, Nazlı Korkmaz quickly diagnoses ovarian torsion and applies safe treatment methods.

What is Ovarian Torsion?

Ovarian torsion occurs when the connective tissues around the ovary rotate around its own axis. This rotation can partially or completely block blood flow to the ovary. As a result, damage to the ovarian tissue may occur and lead to loss if left untreated. Ovarian torsion is generally more common in women between the ages of 15 and 30, but there is a risk in all age groups.

In reproductive health evaluation, age, infertility duration, ovarian reserve, sperm parameters and uterine-tube factor should be considered together [1][3].

Ovarian Torsion Symptoms

Symptoms of ovarian torsion usually manifest with severe abdominal or pelvic pain that begins suddenly and gradually increases. Other symptoms include:

Protocol selection in in vitro fertilization and assisted reproductive treatments should be individualized, taking into account ovarian response and safety risks [1][2].

• Sudden and severe lower abdominal pain

• Nausea and vomiting

• Swelling or tenderness in the abdominal area

• Fever or general malaise (in some cases)

• The pain is usually unilateral and becomes evident on pelvic examination.

Assoc. Dr. Nazlı Korkmaz evaluates these symptoms and initiates the emergency diagnosis and treatment process.

Causes of Ovarian Torsion

The main causes of ovarian torsion are excessive mobility and size change of the ovary. Common causes:

Prior attempts, comorbidities, and pregnancy goal should be evaluated in detail before starting treatment [1].

1. Ovarian Cysts or Tumors

• Large or rapidly growing cysts predispose the ovary to rotation.

• Functional cysts and dermoid cysts are common causes

2. Length of Ovarian Ligaments

• In some women, ligaments may be longer than normal

• Long ligaments facilitate free movement of the ovary and lead to torsion

3. Hormonal Changes

• Follicular growth that occurs during ovulation

  To look at the issue from a broader perspectiveLaparoscopic CystectomyYou can review our article.

• Increase in ovarian size due to hormones

4. Previous Surgery or Pelvic Trauma

• Adhesions and pelvic operations

• May increase the risk of ovarian torsion

Diagnosis of Ovarian Torsion

Ovarian torsion is a condition that requires urgent diagnosis. Diagnosis usually includes:

Embryo transfer, genetic evaluation or additional laboratory applications may not be necessary for every patient; The decision should be made based on the individual clinical picture [2][3].

• Patient's history:Sudden and unilateral abdominal pain, nausea, vomiting

• Pelvic examination:Ovarian tenderness or swelling

• Display methods:

  • Ultrasound:May indicate increase in ovarian size, presence of cysts, or decreased blood flow

  • Doppler ultrasound:Used to evaluate blood flow

• Laboratory tests:Often helpful in diagnosis and used as an indicator of infection or inflammation

Assoc. Dr. Nazlı Korkmaz quickly makes the diagnosis and creates the treatment plan in emergency cases.

Ovarian Torsion Treatment Methods

Ovarian torsion requires urgent surgical intervention to preserve the ovarian tissue. Treatment methods include:

1. Laparoscopic Surgery

• Rotation on the ovary is resolved with a minimally invasive method

• Ovarian tissue is protected

• Assoc. Dr. Nazlı Korkmaz provides safe and rapid intervention with laparoscopic methods

2. Laparotomy

• Open surgery may be required in some cases

• Preferred in cases of large cysts, tumors or complications

3. Ovarian Resection

• If the ovarian tissue is damaged beyond recovery

• Partial or total ovarian removal may be required

Modern Approaches in Ovarian Torsion Surgery

Today, ovarian torsion surgery is mostly performed laparoscopically. Thanks to minimally invasive surgery, patients recover in a shorter time and the risk of pain and complications is reduced. In laparoscopic surgery, ovarian ligaments and tissue are tried to be preserved, and the cause of cyst or torsion is eliminated. Assoc. Dr. Nazlı Korkmaz provides safe intervention with laparoscopic surgery and supports the patient's rapid return to normal life.

Ovarian Torsion and Pregnancy

Ovarian torsion can also occur during pregnancy. Hormonal changes and ovarian growth, especially in the first trimester, increase the risk of torsion. Laparoscopic surgery can be performed safely during pregnancy, but the surgical plan is made taking into account the condition of the patient and the baby.

Recurrent Risks in Ovarian Torsion

Ovarian torsion may recur in some women. The risk is especially increased in people with ovarian cysts, long ligaments, or a history of previous torsion. Since recurrent torsion can threaten ovarian function, it is important for women in the risk group to be regularly monitored with ultrasound. Assoc. Dr. Nazlı Korkmaz evaluates these risks and offers preventive surgery options and follow-up plans.

Ovarian Torsion and Having Children

Ovarian rotation can cause permanent damage to ovarian tissue if left untreated. This may reduce women's fertility potential. If ovarian tissue can be preserved through surgical intervention, the chance of pregnancy largely continues. Assoc. Dr. Nazlı Korkmaz prioritizes the protection of ovarian tissue, especially in patients planning to have children, and takes the necessary precautions.

Prevention and Lifestyle Recommendations

Although it is not possible to completely prevent ovarian torsion, some precautions can reduce the risk:

• Regular monitoring of ovarian cysts

• Do not skip pelvic examinations

• Protection from sudden abdominal trauma

• Regular check-up after gynecological surgery

Assoc. Dr. Nazlı Korkmaz takes the necessary precautions by identifying risky patients and prevents complications with regular follow-up.

Ovarian Torsion and Quality of Life

Ovarian torsion is a condition that has not only physical but also psychological effects. Sudden pain, emergency surgery and uncertainty can lead to stress and anxiety in women. Therefore, patients receiving emotional support improves their quality of life after surgery. Assoc. Dr. Nazlı Korkmaz offers her patients not only surgery but also a safe and informative process.

Emergency and What to Do

Women who experience sudden and severe lower abdominal pain along with nausea or vomiting should consult a gynecologist without delay. Since ovarian torsion is a condition that requires emergency surgery, loss of time can lead to loss of ovarian tissue. Patients should seek medical help immediately to relieve pain rather than waiting at home.

Care After Ovarian Torsion

The recovery process after surgical intervention is important. Patients should avoid heavy activities for the recommended period and continue using medication under the supervision of a doctor. Ovarian functions are monitored with regular ultrasound checks. Assoc. Dr. Nazlı Korkmaz offers detailed recommendations to patients during the post-operative follow-up process and minimizes the risk of complications.

Frequently Asked Questions (FAQ)

Can ovarian torsion occur at any age?

• Yes, but it is most common between the ages of 15-30.

What happens if ovarian torsion is left untreated?

• Ovarian tissue may be lost, serious pelvic pain and complications may develop.

Will ovarian function return after surgery?

• Ovarian function can be preserved in most cases, but it depends on the extent of damage.

References

• [1] NICE NG257 - Fertility problems: assessment and treatment- Current clinical guidance for infertility evaluation, treatment options and IVF approach.
• [2] ESHRE - Ovarian Stimulation for IVF/ICSI- Ovarian stimulation, monitoring and personalization recommendations during the IVF/ICSI process.
• [3] ASRM - Definition of infertility: a committee opinion- Expert committee opinion on the definition of infertility and the timing of application for treatment.