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The hallmark symptom of ovarian torsion is the sudden onset of lower abdominal pain. This condition occurs when an ovary twists around the ligaments that support it, which can cut off its blood supply. The pain is typically abrupt and severe, often described as sharp or stabbing. This sudden change in pain intensity can be alarming and is a key feature that distinguishes ovarian torsion from other conditions that may present with abdominal or pelvic pain.

In cases of ovarian torsion, patients may also experience nausea and vomiting due to the intense pain. The rapid onset of discomfort plays a critical role in prompting medical evaluation, as timely intervention is vital to preserve ovarian function and prevent complications. Other symptoms such as chronic pelvic pain or lower back pain during menstruation are not characteristic of ovarian torsion, while frequent urination does not directly relate to this specific condition. Understanding this symptom helps in recognizing ovarian torsion early, allowing for appropriate management and treatment.