43 y/o female, G3, P2, A1, with recent onset of intense pinching like sensation in left lower abdomen, more toward the groin area. The pain isn t constant but is severe when it happens. History of right salpingo-oopherectomy in 1998 due to repeated cysts (largest and final cyst 16 cm x 9 cm x 9 cm). Ultrasound in 7/15 showed left ovarian cyst. I was told it would resolve on its own and was nothing to worry about. Periods have been coming more often and much heavier than normal for the past 2-3 months. Earlier today, the pinching pain became severe and continuous. CT scan on 7/15/16 (in ER for abdominal pain, nausea and vomiting) showed left ovary enlarged at 4.3 cm x 4.2 cm x 4.7 cm. No mention of the prior cyst although I would not consent to contrast administration. Dx with gastritis and discharged. I do not know whether to go to urgent care or wait it out. The pain is intense, not relieved by Ibuprofen 600 mg. I really cannot afford more treatment if not necessary but do not know if this could be a possible torsion. I keep telling myself that a torsion would be unbearable pain but must admit that I did not notice the previous large cyst on the right ovary before removal. I have had some nausea but no vomiting and no fever. Is the enlargement of the ovary significant? Should I be concerned about torsion?