Are twisted ovarian cysts dangerous?

Twisted ovarian tumor is one of the common complications of ovarian cysts in a woman. Although this is a gynecological emergency pathology that is not common clinically, if not handled in time, it can affect the health of the woman, especially fertility.

1. What is twisted ovarian tumor?

Twisted ovarian tumors are the phenomenon of ovarian cysts in women who are twisted, especially accounting for the highest proportion of ovarian cysts with long stalks, cysts that do not stick to neighboring organs, about 8cm to 10cm in diameter and of medium weight. This condition occurs when the ovaries in the woman are sagging, which leads to the phenomenon of ovarian torsion and causes a loss of blood supply to the ovaries.

According to many studies, more than 65% of twisted ovarian tumors are secondary torsion, including ovaries and proboscis. This phenomenon leads to damage to the static and arteries, which causes edema to spread, tighten the shell as well as pressure inside the ovaries. In addition, this phenomenon is also the cause of arterial thrombosis, anemia as well as infarction. It is for this reason that twisted ovarian tumors need timely treatment to prevent infection, inflammation from occurring.

Some of the causes of twisted ovarian tumors in women may be due to daily movement, jumping activities that cause the cyst to move more in the abdomen leading to torsion. Or for women who undergo childbirth, the uterus shrinks making the abdomen more empty and the cyst will be easier to move. Cysts with long stalks will not stick to neighboring organizations but easily move, changing positions causing torsion.

Twisted ovarian tumors are common at various ages, but the most common is still the phenomenon of twisted ovarian cysts during pregnancy. Some studies around the world have demonstrated that as a woman's age increases, i.e. at menopause, their ovaries will shrink, so the likelihood of ovarian torsion will also decrease, unless there is a cyst. However, post-menausal women or girls of pre-puberty are still at risk of developing twisted ovarian tumors but the incidence will be lower than those of women who are in childbirth.

In addition, for patients for whom their ovaries have a multiple cystic structure, they are also more likely to get sick than usual. Polycystic ovary syndrome will include both benign follicles and those capable of causing cancer, so the condition is prone to twisted ovarian tumors and needs timely treatment. Patients with long ovate ducts may also be risk factors for ovarian torsion.

Patients with a history of infertility treatment increase the likelihood of twisted ovarian tumors. The reason is that the drugs that help the pregnant woman will make the ovaries larger, the eggs become more juicy, so the ovaries will easily flip, twist. Therefore, for these cases, female patients need to exercise their body properly, nor should they practice sports that are too heavy because they will twist the ovaries. Besides, using contraceptives will reduce the phenomenon of twisted ovarian tumors because the contraceptive pill cleanses the skin, reduces cancer and helps prevent ovarian cysts, especially twisted ovarian tumors.


Twisted ovarian tumor

2. Symptoms of twisted ovarian cysts

Some of the manifestations of twisted ovarian tumors in women are:

  • Severe lower abdominal pain, pain during a gradual decrease, initially pain for about 10 minutes but then gradually reduced to 5 suction and maybe less.
  • Pain accompanied by vomiting.
  • Stunned, pale pale mucous skin, sweating, panic …
  • Abdominal obstruction in the hypotension position, where pain points are present in the pelvic cavity on the side with twisted ovarian tumors.
  • There may be a feeling of urination, urination, difficulty urinating due to tumours that move the bladder, or constipation caused by rectal compression tumors, which can also have edema of the lower 2 veins due to tumor compression of the vein system.

3. Treatment of ovarian torsion

Twisted ovarian tumors can be detected early and treatment of twisted ovarian tumors by appropriate methods can prevent cyst rupture, at this time the complications that need to be dealt with will be much simpler. Therefore, when there are abnormal manifestations such as severe lower abdominal pain, nausea … you need to go to the doctor immediately to get the earliest diagnosis and treatment. Especially for ovarian torsion during pregnancy is a common case, pregnant women need to participate in regular medical examinations for pregnant women to detect the disease in a timely manner.

Specific treatment can be surgery to remove the tumor, remove the torsion and be able to preserve or remove the entire already necrotic ovaries. In case of necrosis, peritonitis, the treatment becomes more complicated, can pose dangers to the body such as bacterial infections, intestinal stickiness, intestinal obstruction, so it should be taken to the hospital for emergency surgery.

4. Are twisted ovarian cysts dangerous?

Twisted ovarian tumors cause blood circulation to clog and stagnate, moreover, if this condition continues for a long time, dirty blood will stagnate in the cysts that make this tumor enlarge causing compression of other muscles. More seriously, when the ovaries have fallen into a state of twisting, the ovaries can no longer return to their original state, so if they are not detected and treated in a timely manner, it can lead to complications of ovarian rupture, infection, intoxication, peritonitis, blood loss … and the most dangerous is death.


Twisted ovarian cyst can cause peritonitis

5. Prevention of twisted ovarian cysts

To prevent twisted ovarian tumors from occurring, when ovarian cysts are detected, the woman needs to monitor her condition so that she can be treated promptly, preventing complications of twisted ovarian tumors from occurring by the following measures:

  • In cases of small ovarian cysts, it is necessary to regularly monitor the size of the tumor to know the development of these tumors.
  • For ovarian cysts being treated as prescribed by a doctor, it is necessary to strictly follow the advice in the doctor's in-command.
  • After the surgery of the ovarian cyst, it is necessary to re-examine according to the schedule given by the treating doctor to monitor and prevent complications of twisted ovarian tumors.
  • Regular medical examinations to detect ovarian cysts from the early stages.

To prevent the appearance of ovarian cysts, in daily life, each individual needs to follow the following tips so as not to suffer from this pathology:

  • Drink adequately filtered water to prevent the development of ovarian cysts.
  • Alleviate stresses and worries in life every day to prevent the production of
  • pathogenic hormones.
  • Practice physical exercise regularly to improve health.
  • Maintain a healthy and scientific diet.

Twisted ovarian tumors are a pathology that can be encountered at any age, among which it is common for women who are of reproduction age. This is an ovarian cyst complications that cannot be ignored because it affects the health, quality of life as well as fertility of the woman.

In order to help customers detect and treat other gynecologic diseases early, Share99 International Health Hub has a basic gynecologicexamination and screening package, helping customers detect inflammatory diseases early, making treatment easy and inexpensive. Screening for early detection of gynecologic cancer(Cervical cancer) even if there are no symptoms.

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  • Complications of ovarian cysts
  • Diagnosis of ovarian cysts
  • Fertility in people with ovarian cysts

About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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