Doctor insights on:
Do Ovarian Cysts Bleed When They Rupture
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
Bleeding: Most cysts don't burst actually. A corpus luteum bursts as it releases an egg, which is part of normal ovulation. The "ruptured cyst" is actually bleeding into the corpus luteum after the cyst naturally ruptures, which can be quite painful for many months. But other kinds of cysts basically never burst, and in fact the ovary can stretch quite huge without rupturing. ...Read more
Most of the time, no: The eggs in your ovaries develop each month from puberty to menopause. The release of the egg is usually not noticed by women. Some times there may be a slight discomfort, and rarely there can be bleeding when the egg is released. The small amount of fluid released at ovuation is quickly absorbed by your body. ...Read more
Since ovarian cysts can bleed if they are large and they rupture what are the chances of an ovarian pregnancy being misdiagnosed when ruptured?
Need ultrasound: Ovarian pregnancies are rare. An ultrasound can make sure your pregnancy is in the uterus if you are far enough along. Following the bHCG levels for a doubling every 48hrs helps to exclude an abnormal pregnancy. If you are faint and/or have significant pain, call your doctor. ...Read more
Fluid is absorbed: An ovarian cyst is simply a fluid collection that develops in an ovarian follicle. When a cyst breaks open, the fluid goes into the abdomen where it is absorbed by the body. You can sometimes have some minor discomfort if the cyst fluid is irritating to your internal organs. Your ovary is very good at healing itself when this happens and there usually are not any long-term problems. ...Read more
Depends: Small ovarian cysts are very common and they can resolve by rupturing. In the majority of cases no treatment is needed. If you are in severe pain then prompt evaluation is needed to see if surgery may be needed. Typically it is not but occasionally a large cyst can cause internal bleeding ...Read more
Depends on cyst: Ovarian cysts usually do not cause infertility. Most ovarian cysts that rupture have no effect on future fertility. Ovarian endometriomas however are associated with infertility, but a standard infertility evaluation including assessment of sperm characteristics and patency of fallopian tubes is still recommended even if this was the case. ...Read moreSee 1 more doctor answer
Probably doesn't: Simple ovarian cysts (only fluid inside them) tend to come and go and probably don't affect your fertility. If the cyst reaches a large size (>5cm) then it can cause pain. Rarely a very large cyst (>8cm) can lead to ovarian torsion which is a medical emergency (you could end up losing that ovary). An endometrioma is a cyst filled with old blood. Endometriosis is associated with decreased fertility ...Read more
Pain : Pain is typically related to the size and location of the cyst. ...Read more
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