What is a common symptom of torsion in the female reproductive system?

Severe pelvic pain is a classic symptom of torsion in the female reproductive system, particularly when it involves the ovaries. Torsion occurs when an ovary twists around the ligaments that hold it in place, which can cut off its blood supply. The resulting lack of blood flow leads to significant pain, which is often sudden and severe, sometimes accompanied by nausea or vomiting. This intense pain is typically localized to the lower abdomen or pelvic area and can be sharp or cramping in nature, making it a distinguishing feature of ovarian torsion.

Other symptoms listed, such as heavy menstrual flow, foul-smelling vaginal discharge, and nausea without abdominal pain, are not commonly associated with torsion. Heavy menstrual flow is more aligned with menstrual disorders or other gynecological issues, while foul-smelling discharge usually indicates infection rather than torsion. Nausea can occur with torsion, but it is typically in conjunction with abdominal pain rather than occurring in isolation. Thus, recognizing severe pelvic pain as a symptom helps in identifying and managing the condition effectively.