Adnexal torsion Quiz: Ace Your Exams

A 27-year-old woman presents to the emergency department with severe sharp left lower abdominal pain. She is nauseous and has vomited twice. She has no diarrhea or blood in her stool and no dysuria. She is not currently sexually active and has never experienced similar symptoms before. She has a history of a left follicular ovarian cyst that is being managed with surveillance. The patient has no other significant past medical history and takes no medication. Temperature is 37 ºC (98.6 ºF), pulse is 120/min, respiratory rate is 20/min, blood pressure is 135/86 mmHg, and SpO2 is 100% on room air. On physical examination, the patient appears to be in pain. There is moderate tenderness to palpation in the left lower abdomen with guarding but without rebound. Beta HCG urine pregnancy test is negative. A transvaginal ultrasound is ordered. Which of the following additional historical elements would be most consistent with the likely underlying condition?