A 31-year-old female arrives at the emergency department with sharp, right-sided pelvic pain that started suddenly 12 hours ago, accompanied by nausea. She denies any fever or vaginal bleeding. The pelvic ultrasound indicates an enlarged ovary with twisted vascular pedicle. Based on this presentation, which intervention is most critically required?
Narcotic pain relief administration
Immediate surgical consultation
Antibiotic therapy
Administer NSAIDs for pain management