What is the primary concern in ovarian torsion?

The primary concern in ovarian torsion is the potential infarct of the ovary. When the ovary twists around its blood supply, it can lead to a reduction or complete cessation of blood flow to the affected ovary. This lack of blood flow can result in ischemia and subsequent tissue necrosis, which can cause significant damage to the ovarian tissue if not identified and treated promptly. Timely surgical intervention is often required to untwist the ovary and restore blood flow; otherwise, the ovary can suffer irreversible damage, potentially leading to loss of the organ.

While loss of fertility is a valid concern in cases of ovarian torsion, it is often a consequence of the primary issue of ischemia and tissue death rather than a direct concern during the initial stages of the condition. Pelvic inflammatory disease and hormonal imbalances are not directly related to the immediate acute presentation of ovarian torsion and therefore do not represent the primary concern in this scenario. Addressing the risk of ovarian infarction is crucial for preserving ovarian function and overall reproductive health.