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Ovarian Torsion Treatment in India

Ovarian torsion is an emergency condition in which an ovary twists around the supporting tissues and ligaments, which affects the blood supply to the ovaries and in some cases, the fallopian tube. In case the ovarian torsion treatment is delayed, the affected ovary will be deprived of oxygen and eventually become non-functional. Recognising ovarian torsion symptoms on time and undergoing proper treatment can make all the difference in preserving your ovarian functionality. While ovarian torsion can affect women of all ages, it is more common among women who are of reproductive age and have ovarian cysts. However, with a proper diagnosis and surgery, most women recover successfully.

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Table of Index

   

Causes of Ovarian Torsion

Understanding the causes of ovarian torsion can help identify women who may be at higher risk. Although there is no obvious reason for ovarian torsion, it is often associated with conditions that increase the size or weight of the ovary.


Ovarian Cysts and Masses

Ovarian cysts are the most common cause of ovarian torsion. The presence of cysts over 5 cm in size may increase the chances of twisting due to the alteration in the balance of the ovary. The majority of the cysts causing torsion are benign and include:

  • Functional ovarian cysts
  • Dermoid cysts
  • Benign ovarian tumors
  • Endometriomas

The larger the cyst, the greater the chance that the ovary may rotate around its supporting ligaments.

Enlarged Ovaries Due to Hormonal Conditions

Hormonal stimulation may cause the size of the ovaries to increase and make them prone to torsion. This condition can be seen in women

  • Going through infertility treatments
  • Receiving ovulation induction medicines
  • Having ovarian hyperstimulation syndrome (OHSS)
  • Having certain hormonal problems

Enlarged ovaries are heavier and have greater mobility within the pelvis, increasing the risk of twisting.


Pregnancy-Related Changes

Pregnancy is also a known risk factor, especially during the first trimester. It is due to hormonal changes along with the corpus luteum cyst that may cause enlargement of the ovaries during early pregnancy. Along with that, as the uterus enlarges, the shifting of the pelvic organs will also cause ovarian displacement. Ovarian torsion during pregnancy, however, is quite rare, but its prompt management is necessary.

Risk Factors for Ovarian Torsion

A number of factors can increase the risk of developing ovarian torsion, including:

  • Ovarian cysts larger than 5 cm
  • Benign ovarian tumours
  • Fertility treatment and ovarian stimulation
  • Previous ovarian torsion
  • Pregnancy
  • Polycystic ovaries
  • Congenitally long ovarian ligaments
  • Prior pelvic surgery

The presence of one or more of these risk factors does not necessarily mean ovarian torsion will occur but awareness can help ensure timely evaluation if symptoms develop.

Symptoms of Ovarian Torsion

Common ovarian torsion symptoms include:

  • Sudden, severe pain in the lower abdomen or pelvis, usually on one side
  • Pain that may come and go
  • Nausea and vomiting
  • Pelvic tenderness
  • Abdominal bloating
  • Mild fever in prolonged cases

Diagnosis of Ovarian Torsion

Ovarian torsion can be difficult to diagnose because of the similarities of the symptoms with other abdominal or gynaecological emergencies like appendicitis, rupture of ovarian cysts, ectopic pregnancy or kidney stones. Your doctor may suggest any of the following to confirm the condition: 

Clinical Examination and Symptom Review

The diagnostic process starts with the assessment of symptoms and medical history including the nature of pain, menstrual pattern, pregnancy status, the presence of any ovarian cysts and ongoing fertility medications. Physical examination can show tenderness over the affected ovary; however, further investigations are required for diagnosis.

Ultrasound with Doppler Imaging

The primary test used to diagnose ovarian torsion is a pelvic ultrasound, which is usually done transvaginally. This test can be used to detect large ovaries, ovarian cysts or other conditions, while Doppler ultrasonography is used to evaluate the blood flow. Possible findings are:

  • Enlarged ovary
  • Ovarian swelling
  • Ovarian cyst or mass
  • Fluid around the ovary
  • Reduced or absent blood flow

Normal Doppler findings do not completely rule out ovarian torsion, especially in intermittent cases.

Blood Tests and Imaging Support

Blood tests cannot confirm ovarian torsion but help rule out other causes of pelvic pain and assess the patient's overall health. Common investigations include:

  • Complete blood count (CBC)
  • Pregnancy test
  • Urine analysis
  • Blood chemistry tests, if required
  • CT scans or MRI (in selected cases)

Diagnostic Challenges in Ovarian Torsion

Ovarian torsion is hard to diagnose since its symptoms mimic many other abdominal and gynecologic emergencies. Doctors, therefore, rely on clinical symptoms, physical examination findings, imaging tests, and patient's medical history. If suspicion persists but no definitive diagnosis is made, an urgent laparoscopy may be done in order to diagnose and treat the disease.

Treatment Options for Ovarian Torsion

Since blood supply to the ovaries is affected due to ovarian torsion, the condition requires immediate medical intervention. The main objective of ovarian torsion treatment is to restore blood flow, provide relief from symptoms, preserve the ovary whenever possible while protecting future fertility.


Laparoscopy for Ovarian Detorsion

Laparoscopy is the preferred choice of treatment for most of the ovarian torsion cases. This is a minimally invasive procedure and uses small incisions and a camera to access the ovary. The recovery is also faster and most women resume their daily activities in 1-2 weeks. During surgery, the surgeon may:

  • Untwist the affected ovary
  • Assess blood flow
  • Examine any ovarian cyst or mass
  • Evaluate nearby pelvic organs

Benefits of laparoscopy include:

  • Smaller incisions
  • Less pain
  • Faster recovery
  • Minimal scarring
  • Lower risk of infection
  • Shorter hospital stay


Cystectomy

Since ovarian cysts happens to be one of the leading causes of ovarian torsion, a cystectomy can be done to remove the cyst that has caused the torsion problem. The surgery will remove the cyst but keep as much healthy ovarian tissue as possible to ensure normal ovarian function and fertility preservation. 


Oophorectomy

An oophorectomy is a procedure where the affected ovary is removed. It is advised only in severe cases where the ovary has been permanently damaged due to prolonged loss of blood supply or if another serious condition is present.

The ovary may need to be removed if there is:

  • Irreversible tissue damage
  • Severe infection
  • Uncontrolled bleeding
  • A suspicious ovarian tumour

With the help of one healthy ovary, most women can still maintain normal hormone production and conceive naturally.

Fertility Preservation During Treatment

Wherever possible, the surgeon aims to save the affected ovary, especially in women who are hoping to conceive in the future. The ovary, even though it is swollen and discoloured at the time of the surgery, is capable of healing itself once the blood circulation resumes. If the other ovary is in a healthy state, the fertility is usually unaffected. When required, fertility specialists can also discuss future fertility options.

Cost of Ovarian Torsion Treatment in India

The cost of ovarian torsion treatment in India may differ from clinic to clinic. It also depends on various other factors, including

  • The urgency of the surgery
  • Hospital infrastructure
  • Surgeon's expertise
  • City
  • Diagnostic investigations

Approximate treatment costs are as follows:

Treatment

Estimated Cost (INR)

Emergency consultation and diagnostic evaluation

₹2,000–₹8,000

Pelvic ultrasound with Doppler

₹2,000–₹5,000

Laparoscopic ovarian detorsion

₹60,000–₹1,50,000

Ovarian cystectomy (if required)

₹80,000–₹1,80,000

Oophorectomy

₹80,000–₹2,00,000


At Birla Fertility & IVF, we offer a personalised treatment plan along with a transparent estimate after a detailed clinical evaluation. 

Why Choose Birla Fertility & IVF for Ovarian Torsion Treatment in India?

At Birla Fertility & IVF, patients benefit from accurate diagnosis, advanced surgical care and customised treatment plans designed around their unique reproductive health needs.

We offer:

  • A robust team of 120+ experienced gynaecologists and fertility specialists adept at managing ovarian issues.
  • Prompt diagnosis supported by modern ultrasound and diagnostic facilities
  • Minimally invasive procedures like laparoscopic surgery, wherever applicable
  • Evaluation and treatment of associated disorders like ovarian cysts or hormonal imbalance
  • Personalised post-surgical care and fertility counselling
  • Advanced assisted reproductive techniques for any future need related to fertility
  • Superior care and treatment in a patient-centric environment with transparent communication throughout

Initial Consultation and Diagnosis
Treatment Planning
Surgical Intervention
Recovery and Post-operative Care
Follow-up and Fertility Assessment