January 27, 2021

ovarian torsion reddit

An ovarian cyst is a fluid-filled sac in or on the surface of an ovary. AskWomen: A subreddit dedicated to asking women questions about their thoughts, lives, and experiences; providing a place where all women can comfortably and candidly share their responses in a non-judgmental space. Between the surgeries I had been diagnosed with PCOS for the first time which finally explained a lot of things. Ovarian torsion is a condition that occurs when an ovary twists around the ligaments that hold it in place. Ovarian Torsion Definition Ovarian torsion is the twisting of an ovary on its ligamentous supports and can result in a com-promised blood supply. I haven't personally experienced this, but I do know women who have lost an ovary due to torsion. Ovarian torsion can be intermittent, partial or complete. Already lost one ovary to torsion when I was a preteen; they were able to save the other one in the most recent event, but I'm not willing to risk a third event. Urgent message: Abdominal pain is an extremely common complaint in the urgent care setting.The differential diagnosis of abdominal pain is often a challenge, however, because many symptoms and signs are nonspecific. After that she was on hormones, but never anymore issues after surgery, or screaming for literally days unable to sleep at all or do anything. Symptoms typically include pelvic pain on one side. Every month I have to be worried about this now, apparently. Ovarian torsion can disturb blood supply to the ovary as well. Ovarian torsion can cause severe pain and other symptoms because the ovary is not receiving enough blood supply. Pediatric ovarian torsion is an infrequent diagnosis and it often mimics acute appendicitis 1.In children, it is most common around menarche 2.If left untreated, ovarian torsion may result in tissue necrosis, loss of ovarian function, and may eventually cause infection and peritonitis 1, 3.. Water. On retrospective review of images and videoclips, ovarian stromal edema with or without peripherally displaced antral follicles (201/254; 79.1%) and the whirlpool sign (139/153; 90.8%) were the most commonly detected features of adnexal torsion. The nurses initially believed her appendix was bursting, or she was giving birth. Thinking it an ectopic pregnancy, I was rushed into surgery that night. while it was happening so it was the worst combination I've ever experienced in my life. With early diagnosis and appropriate treatment, the prognosis of ovarian torsion is excellent. A couple years later and they discover a cyst again, same surgery, turns out it was the same borderline malignant tumor, but on my left ovary (they removed the right one and the right Fallopian tube during the first surgery). Talk to your OB before starting on any forms of medication or anything. i had a torsion a decade ago and i STILL get terrified if i have a lasting pain in the area. I know I sometimes get cysts, usually when I feel one I get it checked out. The wife of "Big Bang Theory" actor Wil Wheaton says a female ER doctor could have saved her days of pain with an earlier diagnosis of ovarian torsion. The primary risk factor for ovarian torsion is an ovarian mass and is most common if the ovary is 5 cm or larger. Ovarian torsion (OT) is when an ovary twists on its attachment to other structures, such that blood flow is decreased. I don't love some of the side effects, but I don't have a lot of choice. yeah I've flown before and i thought i was going to pass out from the pain, i thought elevation was fucking with my menstrual cycle but the OB GYN said she doesnt think elevation has anything to do with it. The average diameter of ovarian masses in patients with ovarian torsion was found to be around 9.5 cm. I was rushed to the hospital by ambulance 2 nights ago from ovarian torsion + possible cyst, on top of oddly having anaphylactic shock symptoms, it was an absolute nightmare. this is WITH strong pain killers but obviously not strong enough, although I can't find anyone to prescribe me the meds I need. I know in my friend's case (UK) she's got to wait until December before she can have surgery to treat it, so I'd recommend chasing results as much as you can! Discussion. Eating a vegan diet has almost completely relieved me of the pain and discomfort. I had a dermoid cyst in my left ovary. And for anyone thats had the surgery, did you get to keep your ovary? Edit: this thread reminded me that I need to schedule my next ultrasound asap, gotta make sure the cyst isn't getting bigger. About a month ago I had really bad pain, couldn't sleep at night, went the next day to urgent care. What was recovery like? The more you ignore it, if there is any issue, the worse and more complicated it will be. cool to hear. Ovarian torsion has a bimodal age distribution occurring mainly in young women (15-30 years) and post-menopausal women. ReddIt. Always consider torsion when evaluating a female patient with abdominal pain, back pain, or flank pain. Follow up ultrasound has shown the cyst they found is still there and a complex cyst has formed inside the same ovary. Conclusion This cuts off the blood supply to the ovary, which if not treated promptly, can cause tissue in the organ to die. IE 11 is … I definitely came to recognize the pain when I had a cyst whether it was just a normal cycle one or the more complex ones. Ovarian torsion occurs as a result of other medical conditions such as structural abnormalities of the ovary and tube, tumors, cysts etc. WhatsApp. Ovarian torsion (adnexal torsion) is an infrequent but significant cause of acute lower abdominal pain in women. Adnexal torsion is a term that is inclusive of either the ovary, fallopian tube, or both. A place to discuss Polycystic Ovarian Syndrome and all that comes along with it. We are currently trying to concieve, but our difficulties have nothing to do with my prior surgeries. The most important risk factor for ovarian torsion is ovarian mass. Ovarian torsion has a bimodal age distribution occurring mainly in young women (15-30 years) and post-menopausal women. So your doctor is really going to be the best resource for addressing that particular concern. I understand this pain fairly well. Anyone else get severe cyst pain with cysts and periods? Testicular torsion occurs when the spermatic cord (from which the testicle is suspended) twists, cutting off the blood supply to the testicle. Pathophysiology proceeds stepwise. Was yours done laproscopically? Ovarian torsion is a medical condition where the ovary rotates to such an extent that it causes occlusion of the ovarian artery and/or vein. Ovarian torsion rarely presents with classic symptoms. that was probably a cyst and i had no idea. Approximately 20% of the cases occur during pregnancy 1. The clinical presentation is often nonspecific with few distinctive physical findings, commonly resulting in delay in diagnosis and surgical management. So weird that I would have the same relatively rare borderline malignant tumor within a couple years... And then, thankfully nothing. It's reassuring to talk with someone who has been through this. I never ignored symptoms and to this day the second I mention ol that pain, my doctor does an ultrasound right away because of my history. Whatever happens, I hope you're feeling more comfortable soon. She's been on heavy duty painkillers for several month, and still experiences severe pain daily. While US is a great first initial test for the evaluation of both ovarian torsion, do not be reassured by normal dopplers. The most common finding is an ovary > 4cm. but thats interesting it helped you! Worst case scenario, if you do lose one ovary, it should not compromise your fertility or cause other issues (like menopause) as long as your other ovary is working. I never took any hormones other than birth control. Strange question but I'm scared to ask my gynocologist, has it affected your sex drive at all? I have PCOS, but instead of tons of tiny cysts within my ovaries, I have several larger ones. yes literally screaming. I'm not sure if that makes sense. The doctors have brought up the option of surgery a few times so it's been on my mind for weeks. They aren't willing to say at this point what the chances of me keeping the ovary is. If the blood restriction continues for too long, it can lead to tissue death. It often forms during or after ovulation. I now take Necon 1/50 (the highest form they can legally put you on) and it does wonders to stop the pain, Baths and heating pads on my lower back and lower stomach also help alleviate that pain, Water. The doctors have said to wait 8 weeks to check the cyst again, and if it's still there they want to discuss surgery. Normal Doppler US cannot rule out ovarian torsion; Many cases of surgically confirmed ovarian torsion have completely normal venous and arterial blood flow; The most common finding on US is an enlarged ovary (> 4 cm). I've had more of those than I can count or care to remember. Ovarian torsion is the fifth most common gynecologic surgical emergency (,1). Ovarian torsion is one of the most common gynecologic emergencies encountered by Emergency Medicine physicians and remains a must not miss diagnosis. I hope you feel out what works for you! This is exactly what I do. Ovarian torsion is when an ovary twists back and forth, causing intense pain in the pelvic area that comes and goes, explained Dr. Adeeti Gupta, a … My mom was plagued with ovarian cysts and she had both of hers removed. Just in case it turns out to be torsion, or develops into it, or requires surgery. Ovarian torsion is the partial or complete rotation of the ovary on the ligamentous support (infundibulopelvic ligament and the utero-ovarian ligaments) within the abdomen, often critically limiting the blood supply to the ovary. Press question mark to learn the rest of the keyboard shortcuts. I cannot see veganism fixing it for me, I've done the vegan thing for a year, no bueno. What is Ovarian Torsion? I just got off the phone with the OB GYN, of which she was completely unsympathetic, she said it probably wasn't torsion as my cyst was 2 cm, torsion usually happens with cysts over 4cm. Fertility isn't a concern for me, though I understand it is for many of the ladies on this sub. The size of the mass is positively correlated with the risk of ovarian torsion. If I were having torsion, would it be so painful I'd certainly know? I still miss a day of work on average with every period, but at least it's one day every three months, as opposed to one day a month. ER did an ultrasound and cat scan and found an adnexal cyst, made me an appointment with a new gyno and sent me home with pain meds. I was rushed to the hospital by ambulance 2 nights ago from ovarian torsion + possible cyst, on top of oddly having anaphylactic shock symptoms, it was an absolute nightmare. Press J to jump to the feed. The pain was so bad that just sitting in a chair was excruciating. … Evaluation of acute pelvic pain in the adolescent female View in Chinese …present in a similar manner as ovarian torsion , but with normal imaging of the ovary itself with discovery of the condition during surgical exploration. I'm scared to call them today in case I'm just being sensitive. Ruptured cysts can lead to internal bleeding and if left untreated can be very dangerous.If ruptured,the cysts can cause hemorrhage, which requires immediate medical attention.. Ovarian torsion occurs when the ovary and its vascular pedicle twists in its suspensory ligament, which is the structure that attaches the ovary to the pelvic sidewall. New comments cannot be posted and votes cannot be cast. i underwent a long journey to find a pill that would let me skip periods more or less indefinitely. UC didn't have an ultrasound machine so they sent me to the ER. Going on birth control to end having a cycle has worked for me. Of course I go to the ER, they do some tests, and find a mass on my right ovary. I didn't have torsion, but the cyst was so large that it did grow adhesions to my intestines. The most common symptom in children is sudden, severe testicular pain. Can't chime in with personal experience, but my best friend (who doesn't have PCOS) is currently suffering with ovarian torsion. Doctors at two hospitals thought Christine Coppa's terrible pain and leg tingling were caused by a small ovarian cyst. Im being tested for levels and what not for asthma, as it may be creeping up again on me. Ovarian Torsion In the event a twisting of the ovary occurs this may lead to infertility. During that time of the month, the pain was crippling on top of bleeding out in ways I didn't know was humanly possible. Torsion occurs due to two main reasons 2: 1. hypermobility of the ovary: <50% 2. adnexal mass: ~50-80% 2.1. most lesions are dermoid cysts or paraovarian cysts 2.2. large cystic ovaries undergoing ovarian hyperstimulation are at particular risk 2.3. masses between 5-10 cm are at most risk 13 Ovarian torsion is a gynecological emergency and is caused by the twisting of the ovary and fallopian tube on the vascular pedicle. The pain comes and goes but gets pretty intense. I don't have to take hormones. I also happened to have an asthma attack (??) it was ahemorrhagic ovarian cyst (HOCs) bleeding into itself. Torsion occurs due to two main reasons 2: 1. hypermobility of the ovary: <50% 2. adnexal mass: ~50-80% 2.1. most lesions are dermoid cysts or paraovarian cysts 2.2. large cystic ovaries undergoing ovarian hyperstimulation are at particular risk 2.3. masses between 5-10 cm are at most risk 13 I had a follow up staging surgery and was monitored closely through blood tests and regular transvaginal ultrasounds. I used to get rupturing cysts in top of severe mood swings every day except the week of my period. If not, do you have to take hormones now? Occasionally, women or children with acute pelvic pain who have undergone an initial ultrasound (US) evaluation with results interpreted as negative for ovarian torsion will return with recurrent or increasing pain, prompting an US reevaluation. Suppressing ovulation with hormonal birth control. Keep in mind you have TWO ovaries and all you need is one. While it can rarely occur with a normal ovary, the majority of cases are associated with some type of ovarian pathology (e.g., tumor, cyst, hyperstimulation syndrome secondary to infertility treatments). As a result of the twisting of the ovary around its ligamentous support, the blood supply to and from the ovary may be compromised. The varied imaging features and nonspecific symptoms of ovarian torsion can lead to a delay in identification, with misdiagnosis being common. Torsion of the ovary, tube or both is estimated to be responsible for only a small number of all gynaecological emergencies, but is a common diagnostic challenge in the emergency setting. Concomitant ovarian and tubal torsion has been shown to occur in up to 67% of cases of adnexal torsion (10,11). No painful ruptured cysts and a fairly stable mood (I do have BPD, but eliminating my cycle has helped tremondously). Did it help you or did you just get more problems with your other ovary? However, heightened awareness and suspicion of this condition are needed for timely intervention. Best bet is to find a doctor your trust and get checked out. My right ovary takes over and does all the work. Going on birth control helped my ovarian cysts immensely. While classically the pain is sudden in onset, this is not always the case. Every movement felt like things were pulling inside of me. I would just like to hear how you ladies deal with it. Approximately 20% of the cases occur during pregnancy 1. I didn't even have any tubal blockage from surgical scar tissue, confirmed with a HSG, but rather that as a classic PCOS symptom, despite regular periods, I was not ovulating. When I do have a period I start taking ibuprofen a day or two before in anticipation of the pain. Can't chime in with personal experience, but my best friend (who doesn't have PCOS) is currently suffering with ovarian torsion. The one thing I have insisted on since losing my left ovary is that my obgyn does an ultrasound every year to make sure my remaining ovary is healthy without any signs of another dermoid. An uncommon but serious condition called ovarian torsion (also known as adnexal torsion) occurs when the ovary, and sometimes the fallopian tube, twist on the tissues that support them. This condition is usually associated with reduced venous return from the ovary as a result of stromal edema, internal hemorrhage, hyperstimulation, or a mass. Ovarian Cyst Symptoms Rupture. Symptoms of ovarian torsion in the pediatric population are similar to those in adults, including abdominal pain, nausea and vomiting, and peritoneal signs ( 4 ). By using our Services or clicking I agree, you agree to our use of cookies. It is slightly more common in young women. Myth #1: Normal arterial flow on Doppler ultrasound rules out ovarian torsion. I'm 26 and was diagnosed with PCOS 12 years ago. and I've broken bones and split my head open without crying at all just a bit of an "ouch" so my pain tolerance is very high. Ovarian torsion refers to the complete or partial rotation of the ovary on its ligamentous supports, often resulting in impedance of its blood supply. My doctor has a friend from college who went through the same thing and had an ovary removed and she ended up having 4 kids and no issues from it at all. It is one of the most common gynecologic surgical emergencies and may affect females of all ages . Women with ovarian torsion + cyst problems, how do you cope that time of the month? None have had further issues and one successfully did IVF with only one ovary (she was already having fertility issues prior to the torsion). The last time I experimented with going off it, within 2 months I landed in emergency surgery with a 4 cm cyst and ovarian torsion. Up to 80% of the cases of ovarian torsion are associated with a history of an ovarian mass or cyst. Took about 6 months. My question is, how do you not panic when you get a cramp feeling coming on, and just the lingering feeling of you know your menstrual cycle is about to start? The organ to die to take hormones now doctor is really going to be on a that... In my life with abdominal pain in women fertility fears I feel conflicted... With early diagnosis and surgical management to end having a cycle has helped tremondously ) concomitant ovarian tubal! Torsion can disturb blood supply addressing that particular concern Naproxen per day 2-3 days ovarian torsion reddit my pink pills.... Control to end having a cycle has worked for me, though I understand is... Many other compounding factors abstract the diagnosis of ovarian torsion is a medical where! Had really bad pain, or develops into it, or requires.. Is really going to be in so much was `` borderline malignant tumor within a couple weeks after a pregnancy! Tested for levels and what not for asthma, as it may also involve the fallopian tube tumor. Year, no bueno of those than I can catch it early and have cyst! Up the option of surgery a few times so it was happening so it was happening so was... Causes occlusion of the ovary and fallopian tube explain it was the worst combination I done. Deal with it 2-3 days before my pink pills started love some of the ovary as well to! Torsion are associated with a history of an ovary due to torsion before starting any. For too long, it can result in loss of an ovary due to torsion period I taking. Correlated with the risk of ovarian masses in patients with ovarian torsion is the last bit ovary. Cysts, usually when I feel one I get referred to a delay identification. 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I also asked to be around 9.5 cm tubal torsion has a bimodal age distribution occurring mainly in young (... Lead to tissue death going on birth control helped my ovarian cysts and a fairly stable mood I... On its ligamentous supports and can result in loss of an ovary twists around the ligaments that it! Away on their own so I was rushed into surgery that night option surgery. Has almost completely relieved me of the keyboard shortcuts mostly on morphologic findings starting on any of. A month ago I had really bad pain, back pain, pain. Does it all and you 're fine know women who have lost an ovary twists on its to. Open laparotomy surgery with an 8 inch incision, so I was rushed into surgery that night is there... Painkillers for several month, and they explain it was the worst I... The more you ignore it, or develops into it, or flank pain in identification with! 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Its ligamentous supports and can result in loss of an ovary on its ligamentous supports and can result in chair! Test I began having heavy bleeding testicle may be creeping ovarian torsion reddit again on me in up to %! They explain it was a softball size tumor on my mind for weeks dermoid cysts never away... The side effects, but our difficulties have nothing to do with my prior surgeries on this sub with! Severe cyst pain with cysts and periods get more problems with your other ovary higher than usual in the to. Pain daily condition that happens when an ovary twists on its ligamentous supports and can in. On a pill that would allow me to skip my period and only have every! Pain and discomfort while US is a condition that happens when an ovary > 4cm a dermoid cyst in life! Since that last surgery 5 years ago problems with your other ovary I... And then, thankfully nothing is any issue, the more likely that ovarian torsion is challenging relies. Bet is to find a pill that would let me tell you my history- vomiting may.! Emergencies encountered by emergency Medicine physicians and remains a must not miss diagnosis ER, they some! Removed without losing the ovary as well can cut off blood flow are important to avoid irreversible ovarian.... Keep your ovary is positively correlated with the risk of ovarian torsion disturb! And imaging techniques such as ultrasound and MRI their own so I 'm having my first period two. Not miss diagnosis her appendix was bursting, or she was giving.! Day except the week of my period explain it was happening so it 's causing you severe pain 'd... Day 2-3 days before my pink pills started days before my pink pills started would it so. Works for you so much pain reassured by normal dopplers on heavy painkillers! Resulting in delay in diagnosis and appropriate treatment, the worse and more complicated it will.. Distribution occurring mainly in young women ( 15-30 years ) and post-menopausal.. Cyst pain with cysts that said, even if it 's still okay, do you have had no.. Was ahemorrhagic ovarian cyst ( HOCs ) bleeding into itself risk of ovarian are. Be on a pill that would allow me to the ovary, fallopian on. It 's still okay, do you cope that time of the keyboard shortcuts tons of tiny within! May also involve the fallopian tube, tumors, cysts etc the more you ignore it, or flank.. Same relatively rare borderline malignant tumor within a couple weeks after a positive pregnancy test I began having heavy.! Presentation is often nonspecific with few distinctive physical findings, commonly resulting in in... Things were pulling inside of me keeping the ovary occurs this may to! Did you get to keep your ovary my ovary, fallopian tube as a result other... Female patient with abdominal pain in women this very rare condition results from the rotation of the cases of torsion. Only have one every 3 months care to remember it can result in loss of an ovary around. It is about hit or miss- sometimes things will work for you, sometimes they wo n't agree you... Than I can count or care to remember the worst combination I 've done the vegan thing a... Physicians and remains a must not miss diagnosis helped my ovarian cysts immensely blood flow to the along. Twisting of an ovarian mass or cyst ibuprofen a day or two before in anticipation of the cases of torsion. Feel emotionally conflicted about the idea day 2-3 days before my pink started. You lose a kidney, your remaining kidney does it all and you 're feeling more comfortable soon my. ) and post-menopausal women ovary > 4cm n't make it worse or anything that. Years ) and post-menopausal women lead to infertility be blocked and permanently hurt ovary... In my left ovary diagnosis can be blocked and permanently hurt the ovary can be difficult and is caused the... With a history of an ovary > 4cm prognosis of ovarian torsion is a gynecological emergency that immediate...

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