What happens when an ovarian cyst ruptures?

 What happens when an ovarian cyst ruptures?

Ovarian cysts are fluid filled sacs like structures, sacs or pockets in an ovary or on its surface. A large number of women undergo these cysts located in or on their ovaries in their lifetime. Most of these ovarian cysts are harmless and cause no discomfort. The majority of these cysts vanish on their own in a span of few months without being treated. 


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However, in some of the rare cases when the ovarian cysts are ruptured, it causes harm to the body. It has serious implications and causes symptoms that need immediate medical attention. A ruptured cyst is known to cause a lot of pain and discomfort along with internal bleeding. The larger the size of the cyst, bigger the discomfort and pain after it ruptures. A rigorous physical activity increases the risk of a cyst being ruptured. Experts are still trying to figure out the reason behind why some cysts tend to rupture and some don’t. 

The two most common types of ovarian cysts are:

  • Corpus luteum cyst

  • Follicular cyst

Women who are battling PCOS (Polycystic ovary syndrome) tend to develop multiple follicular cysts on the ovary. This further results in hormone imbalance and irregular ovulations leading to irregular menstruation. 

In rare conditions, the cysts turn as dangerous as life threatening when it outgrows the size of the ovary, leading to the ovaries getting twisted and lots of internal bleeding. If it is too damaged, the surgeon might have to remove them. 

You might need immediate medical attention and might be required to be admitted to the hospital if you show any signs of a ruptured ovarian cyst. An intravenous (IV) painkiller might be administered to you and you might also need transfusions of blood or fluids to replace the internal bleeding that has occurred. 

When does an ovarian cyst need medical attention?

Cysts usually are harmless and cause no damage but there are certain conditions when a medical attention is needed for an ovarian cyst. Some of the typical cases of difficult ovarian cysts involve:

  • An infected ovarian cyst

  • Ovarian Torsion

  • Pregnancy and ovarian cysts

  • Endometriosis and ovarian cysts

Extreme care is required in such cases of ovarian cysts. One of the critical durations when the cyst ruptures is another case when a healthcare professional’s expert is required. 

How can you tell if the ovarian cyst has ruptured?

“Although not all women have to undergo the pain of a ruptured ovarian cyst, there are some cases and women who experience the trauma of the same”, explains a prominent doctor. However the symptoms of a ruptured cyst are treatable with ideal medication and drugs prescribed by the doctor. 

The primary symptoms of a ruptured cyst includes:

  • A sudden and sharp pain in the lower belly or back

  • Vaginal spotting/bleeding

  • Abdominal bloating

Remember to seek urgent medical attention if-

  • The patient experiences severe nausea and vomiting 

  • Episodes of fever

  • Heavy vaginal bleeding

  • Faintness or dizziness

An ultrasound will further help the doctors to identify the cause of the rupture and therefore the further course of action and treatment can be designed. Although the pain of an ovarian cyst is not always uncomfortable and inconvenient, sometimes the pain can be quite difficult to tolerate. You should be prepared to experience pain around the pelvic region, a sudden pain in the abdomen, occasional fever, pain accompanied by vomiting, and some other non-pain symptoms such as rapid breathing, lightheadedness, or weakness. 

In the event that your ovarian cyst requires a medical procedure such as a surgery after it has ruptured, your doctor will explain you about the two types of surgery possible:

  • Laparoscopy (lap-uh-ROSS-kuh-pee). With this medical procedure, the specialist makes a little cut above or underneath your stomach catch to glimpse inside your pelvic territory and eliminate the growth. This is regularly suggested for more modest growths that look benevolent (not dangerous) on the ultrasound. 

  • Laparotomy (lap-uh-ROT-uh-mee). Your PCP may pick this strategy if the blister is huge and might be carcinogenic. This medical procedure utilizes a bigger slice in the midsection to eliminate the blister. The blister is then tried for malignancy. On the off chance that it is probably going to be carcinogenic, it is ideal to see a gynecologic oncologist, who may have to eliminate the ovary and different tissues, similar to the uterus. 

In the event that you had a medical procedure, you will be advised how to really focus on your injury and swathe. You may have to restrict your actual work for some time. Your medical care group will give you more data.

Your medical services supplier or an ob-gyn (obstetrics/gynecology) specialist will analyze the condition. Your doctor will get some information about your clinical history and your symptoms. Make certain to tell the doctor in the event that you realize that you have an ovarian cyst. You will likewise have an actual test. This will probably include a pelvic test. A few other tests that are conducted if you are suffering from ovarian cysts like:

  • Ultrasound- to identify the shape, size and location of the cyst

  • Pregnancy Test- This will rule out pregnancy as the cause of the cyst

  • Blood tests- To keep a check on iron in the blood and other signs of infection

  • Urine test- will put a light on other causes of pain and discomfort

  • Vaginal culture- Rule out any probable causes of infection

  • CT Scan- Have access to a detailed picture of the cyst and surrounding area

You can't predict and thus prevent practical ovarian cysts on the off chance that you are ovulating. On the off chance that you get an ovarian cyst regularly, your primary care physician may recommend hormonal contraception prevention to prevent you from ovulating. This will help bring down your danger of getting new cysts. 

Ovarian cysts are regular during pregnancy. Ordinarily, these cysts are generous (not dangerous) and innocuous. Ovarian cysts that keep on developing during pregnancy can burst or curve or cause issues during labor. Your primary care physician will screen any ovarian cyst found during pregnancy.

Here is a list of things you can do that’ll help you manage your pain of ovarian cyst while you are waiting for the pain to pass. 

  • Try taking OTC pain killers to help you manage the sudden outbursts of pain

  • Heat therapy is a proven method to help cramps and pain in the lower abdomen and pelvic region

  • An Epsom salt bath also relaxes your muscles and eases the cramping

  • Almonds are high in magnesium- It helps with the discomfort

  • Dong quai supplements also ease out the pain

  • Drink chamomile tea

  • Ginger tea reduces pain and inflammation

  • Small changes in the diet will show results in the long run

Complex ovarian cysts are usually a result of minor hormonal changes. Ovarian cysts which are complex in nature tend to grow too large and may also result in pushing the ovaries out of place. This painful condition is also known as ovarian torsion (twisted ovaries). 

A ruptured cyst can further lead to:

  • Severe abdominal pain

  • A fever

  • Dizziness

  • Weakness

  • Rapid breathing

  • Vomiting

  • Internal Bleeding 

The management of a ruptured ovarian cyst relies upon whether it is complex or small. A standard cyst is a straightforward liquid filled sac. An intricate sore may have strong zones, knocks on a superficial level, or a few regions loaded up with liquid. 

On the off chance that you have a complex burst ovarian cyst, you may have to remain in the clinic for at least 1 day. On the off chance that your cyst is removed, you might have the option to return home. You can utilize pain meds on a case by case basis. You may require follow-up imaging tests to ensure that your internal bleeding has paused and to check whether the cyst necessities medical procedure to rule out cancer.


Reference:

https://www.mayoclinic.org/diseases-conditions/ovarian-cysts/symptoms-causes/syc-20353405#:~:text=Symptoms%20can%20include%20an%20abrupt,severe%20pain%20and%20internal%20bleeding.

https://www.hopkinsmedicine.org/health/conditions-and-diseases/what-risks-are-associated-with-a-ruptured-ovarian-cyst

https://www.womenshealth.gov/a-z-topics/ovarian-cysts


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