You're not asked to diagnose — only to know when the pain is "a big story". The rule: sudden severe one-sided pain, or pain with dizziness, fever or vomiting, needs assessment today not tomorrow. Important possibilities: ovarian torsion (an hours-level emergency for the ovary), cyst rupture, ectopic pregnancy, appendicitis, kidney stone.
In short — what to do
- No strong painkillers masking the picture before examination — paracetamol is fine.
- Nothing to eat or drink if severe (surgery possible).
- A home pregnancy test if even theoretically possible.
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The full details
Questions that light the way (prepare the answers)
- Where exactly, and does it radiate? When did it start and how (gradual or knife-like)?
- Where are you in your cycle? Any chance of pregnancy? (home test first, always).
- Any vomiting, fever, urinary burning, or unusual discharge?
- Similar pain before? Known ovarian cysts?
Until the assessment
- No strong painkillers masking the picture before examination — paracetamol is fine.
- Nothing to eat or drink if severe (surgery possible).
- A home pregnancy test if even theoretically possible.
ER immediately if
- Sudden knife-like one-sided pain with nausea — ovarian torsion cannot wait.
- Pain + dizziness/fainting or pallor.
- Pain + fever and chills, or an abdomen hardening to touch.
- Pain with known pregnancy or a late period.
One moment
A twisted ovary is saved in hours, not days — sudden severe one-sided pain in a woman always deserves an urgent ultrasound, even if it turns out to be "just a cyst".
This content is for general health education only and is not medical advice. Always seek guidance from a qualified healthcare professional. In an emergency, call 998.