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Ruptured Ovarian Cyst

For most women, an ovarian cyst will develop without symptoms and disappear without the need for any medical involvement. However, it is also possible that serious complications can occur, and these include a ruptured ovarian cyst, or the twisting or pressure on nearby organs.

The most common issue with diagnosing a ruptured ovarian cyst is that the major symptom is similar to the occurrence of a normal ovarian cyst, that is the incidence of pain especially in the pelvic area.

It is also possible for pain to manifest itself:

  • during or immediately after sexual intercourse;
  • when passing a bowel movement;
  • during regular daily activities such lifting, bending or reaching;
  • just before or after the menstrual period.

After an ovarian cyst ruptures, the abdomen will be swollen and tender to the touch. It is also possible for ruptured ovarian
cysts to be connected to hemorrhage which results in abdominal pain and bloating, especially if the person going through this is taking anticoagulant medications such as Warfarin. There are also instances where a person with a rupture ovarian cyst may experience anemia or pallor, which shows blood loss or possible internal bleeding. If internal bleeding happens, surgery may be needed to stem the blood flow and remove the blood from the abdominal cavity.

In addition to pain, other more common symptoms of a ruptured ovarian cyst include fever, nausea and/or vomiting, weakness, dizziness or fainting. If these symptoms are present, you will need to seek medical attention immediately because they could be signs of internal bleeding.

The major complication of a ruptured ovarian cyst includes the twisting of the ovary (which may be due to the location of the
cyst, and if the cyst is larger than 4 cm), which may result in infertility. This condition (also referred to torsion) is usually occurs if the cyst is accompanied by a tumor which can restrict the blood supply to the ovary and kill the ovarian tissue (which affects the chances of getting pregnant in the future). A twisted ovary will require a surgical remedy. Most doctors prefer to use an open-abdomen surgery for a twisted ovary compared with a laparoscopic method.

Another complication of a ruptured ovarian cyst is that the leakage of cystic fluid into the abdominal cavity can cause sepsis or hemorrhagic complications. In most cases, the right ovary experiences hemorrhagic complications compared with the left because the left ovary is partly cushioned by the large bowel, preventing damage from twisting. Like a twisted ovary, hemorrhage complication will also a surgical remedy to either stop the bleeding, or remove the hemorrhaged matter.

On the long-term ramifications of a ruptured ovarian cyst, scarring or adhesions can happen and should the scarring occur on the ovaries, the ovaries will have limited capacity to release eggs and this can lead to permanent infertility.

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