Symptoms of ruptured ovarian cyst

The main symptoms of ovarian cyst rupture include sudden severe lower abdominal pain, vaginal bleeding, nausea and vomiting, anal swelling and shock. Ovarian cyst rupture may be related to strenuous exercise, external impact, corpus luteum cyst and other factors, and usually manifests as pelvic effusion, peritoneal irritation and other symptoms.

1. Sudden severe lower abdominal pain

When an ovarian cyst ruptures, the fluid in the cyst stimulates the peritoneum and can cause sudden knife-like pain, usually in the lower abdomen on the affected side. The pain may radiate to the lumbosacral region or inner thigh, and is often accompanied by symptoms such as paleness and cold sweats. Immediate medical attention is required to rule out ovarian cyst pedicle torsion or ectopic pregnancy rupture. The doctor may recommend an ultrasound and prescribe ibuprofen sustained-release capsules to relieve pain.

2. Vaginal bleeding

Functional cyst rupture may cause endometrial shedding and bleeding, which may manifest as vaginal spotting or increased menstrual flow. The amount of bleeding is related to the type of cyst, and is more likely to occur when a corpus luteum cyst ruptures. It needs to be differentiated from abnormal uterine bleeding. The doctor may use tranexamic acid tablets to stop the bleeding and cooperate with Fuke Qianjin Capsules for conditioning.

3. Nausea and vomiting

Irritation of the peritoneum by cyst fluid can trigger the vagus nerve reflex, leading to gastrointestinal symptoms such as nausea and vomiting. In severe cases, intestinal paralysis may occur, which needs to be differentiated from acute gastroenteritis. Metoclopramide tablets are commonly used in clinical practice to relieve vomiting. At the same time, food and water are required until the diagnosis is confirmed to avoid aggravating the risk of abdominal infection.

4. Feeling of swelling in the anus

When blood or cyst fluid accumulates in the uterine-rectal pit, it will stimulate the rectum and produce tenesmus. Patients often describe anal prolapse or a feeling of defecation, and physical examination reveals a full posterior fornix. The doctor may confirm the diagnosis through posterior fornix puncture and give cefixime dispersible tablets to prevent infection.

5. Shock

When a large cyst ruptures and causes massive internal bleeding, hemorrhagic shock symptoms such as decreased blood pressure and rapid pulse may occur. Urgent blood transfusion and surgery are required to stop the bleeding. Intraoperative injection of fenethylamine may be used to improve microcirculation. This condition is a gynecological emergency and delays in treatment can be life-threatening.

When symptoms of ovarian cyst rupture appear, you should stay in bed immediately to avoid strenuous activities that aggravate bleeding. Choose easy-to-digest liquid foods, such as rice soup, lotus root starch, etc., and avoid spicy and irritating foods. During the recovery period, you can appropriately supplement iron-containing foods such as animal liver, spinach, etc. to help correct anemia. It is recommended to review gynecological ultrasound every 3-6 months to monitor changes in cysts. Women with fertility needs should develop individualized treatment plans under the guidance of a doctor.