How do I know it is fibroid torsion?

You cannot self-diagnose. Sudden unilateral pain with a known pedunculated fibroid needs emergency imaging and specialist review.

Can medicines untwist a fibroid?

Pain medicines help comfort but do not correct torsion; surgery is often required.

Will torsion affect future pregnancy?

Timely treatment usually preserves the uterus. Discuss healing time before conception with your surgeon.

Pedunculated Fibroids & Sudden Pelvic Pain

Name: Pedunculated Fibroids and Sudden Pelvic Pain: When to Seek Help
Creator: Dr. Avani Reddy
Published: 2026-08-01T05:59:46.760Z

Pedunculated Fibroids and Sudden Pelvic Pain: When to Seek Help

Medically reviewed by Dr. Avani Reddy

MBBS, MS OBG (OMC) · Reviewed 1 August 2026

Pedunculated fibroids hang from a stalk and can twist (torsion), causing sudden severe pelvic pain, nausea, or vomiting. Urgent gynaecology assessment in Hyderabad is needed to exclude torsion and other emergencies.

Not all fibroid pain is chronic pressure. Acute abdomen with a known pedunculated fibroid is a red flag. Please consult a doctor or emergency services urgently — do not wait for a routine OPD slot if pain is severe.

Why torsion happens

A stalk twists, cutting blood supply. The fibroid becomes ischaemic and exquisitely painful. Ultrasound with Doppler may suggest compromised flow.

Other acute causes to exclude

Ovarian cyst torsion or rupture
Appendicitis or urinary stones
Ectopic pregnancy in reproductive-age women

Treatment

Confirmed torsion often needs prompt laparoscopic detorsion and myomectomy or removal of the fibroid. Delayed care risks necrosis and infection.

After stabilisation

Follow-up with Dr. Avani Reddy at Kokapet or Gachibowli plans elective management of remaining fibroids and reviews fertility implications.

Book a fibroid consultation with Dr. Avani Reddy (MBBS, MS OBG) at Jade Clinics, Kokapet or Ankura Hospital, Gachibowli — call 83095 78197 or book online.

This article is for educational purposes and is not a substitute for professional medical advice. Please consult a doctor for personalised evaluation and treatment planning.

Medical disclaimer: The information on this page is provided by Dr. Avani Reddy for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website. Full disclaimer.

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83095 78197 Book online