Condition	Suggestive symptoms	Possible physical examination finding
Ectopic pregnancy	Lower abdominal (usually unilateral and severe) or pelvic pain	Adnexal mass or tenderness, hypotension, tachycardia
Endometrioma	Abnormal uterine bleeding, dyspareunia, worsening pain with menses	Adnexal mass or tenderness, tenderness over uterosacral ligaments
Functional ovarian cyst (corpus luteum)	Unilateral pelvic pain, pain during middle of menstrual cycle (mittelschmerz), pain with intercourse	Adnexal mass or tenderness
Leiomyoma	Dysmenorrhea, menorrhagia	Abdominal mass, uterine enlargement
Ovarian cancer	Pelvic or abdominal pain, abdominal fullness and pressure, bloating, difficulty eating, early satiety, increased abdominal size, indigestion, dyspareunia, urinary urgency or frequency, incontinence	Abdominal or adnexal mass, ascites, lymphadenopathy, nodularity of uterosacral ligaments, pleural effusion
Ovarian torsion	Sudden onset of unilateral and severe lower abdominal or pelvic pain, associated with nausea or vomiting	Abdominal or adnexal tenderness
Pelvic inflammatory disease or tubo-ovarian abscess	Fever, lower abdominal or pelvic pain, nausea, vaginal discharge, vomiting	Abdominal or adnexal tenderness, cervical motion tenderness, fever, vaginal discharge
Polycystic ovary syndrome	Oligomenorrhea, amenorrhea, or menorrhagia associated with obesity and hirsutism	Unilateral or bilateral adnexal fullness or enlarged ovary or ovaries