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Hello this is Dr. Salama MD,
It sounds like the pain you're having now is much worse than what you had before.
If this is truly the worst pain of your life then I would go to the ER ASAP because there is a condition known as ovarian torsion which is a surgical emergency.
If you feel that one ER is not taking you seriously, then go to another.
This is urgent.
Let me know if you have any other questions.
If not, please don't forget to leave a positive rating (bonus appreciated) as that's the only way I get credit for answering your question.
It is diagnosed with an ultrasound but if they couldn't see your ovaries then the next step would be a CT scan of your lower abdomen/pelvis.
If you have not had a CT scan, then you absolutely need one at this time considering the level of pain you are in now.
I would still go to the ER simply for pain control and see your gyno in the morning if they release you.
Is there anything else I can help you with today?
If not, please don't forget to leave a positive rating, thanks!