So with any intense pain should a patient always go to the hospital immediately? My doctor said it was not necessary with ovarian rupture-he said to call the drs. office instead.
In my experience, at the point of rupture - really fast rupture - the pain is bad enough that you start going in to shock. With a slower leak I'm not so sure it would be quite that dramatic.
Often, fluid in the abdomen causes it to become kind of rigid - they call it guarding - and pressing / releasing will cause pain more intense after the release.
I have a friend who had a full torsion and she was literally on the floor, but then everybody has a different pain threshold.