Single Story: How women can be extremely "sexy"”

Ovarian corpus luteum rupture can be diagnosed through ultrasound, laparoscopy, blood tests, medical history collection and physical examination. Ovarian corpus luteum rupture may be related to factors such as strenuous exercise, excessive intercourse movements, coagulation dysfunction, etc. It usually presents with symptoms such as sudden severe lower abdominal pain, vaginal bleeding, and shock.

1. Ultrasound examination

Transvaginal or transabdominal ultrasound is the preferred examination method, which can visually display free fluid in the pelvis and the shape of the corpus luteum. Ultrasound shows enlarged ovaries, irregular echogenic areas in the corpus luteum, and uneven hypoechoic pelvic hemorrhage. This test has no radiation, good reproducibility, and can quickly assess the amount of bleeding and determine whether emergency surgery is needed.

2. Laparoscopy

For patients whose ultrasound diagnosis is unclear or whose condition is critical, laparoscopy has both diagnostic and therapeutic value. The bleeding from the ovarian rupture can be directly observed under the microscope, and the amount of hemoperitoneum can be accurately determined. At the same time, electrocoagulation can be used to stop bleeding or suture repair can be performed. Laparoscopy is less invasive and has a faster recovery, but requires general anesthesia.

3. Blood test

Routine blood tests can reveal a progressive decrease in hemoglobin, indicating active bleeding.； Coagulation function tests help detect bleeding tendencies caused by coagulation abnormalities ； Human chorionic gonadotropin testing can rule out ruptured ectopic pregnancy. Continuous monitoring of blood changes is of great significance in assessing disease progression.

4. Medical history collection

Focus on asking about the relationship between the occurrence time of abdominal pain and the menstrual cycle. Rupture of the corpus luteum is more common on days 20-27 of the menstrual cycle. Understand the triggers such as recent strenuous exercise, history of sexual intercourse, or abdominal trauma. The history of bleeding disorders and ovarian cysts also needs to be recorded in detail. This group of people is more likely to have corpus luteum rupture.

5. Physical examination

Abdominal examination shows lower abdominal tenderness and rebound tenderness, and positive shifting dullness indicates massive hemoperitoneum. Gynecological bimanual examination revealed a tender mass in the adnexal area, and the posterior fornix was full and tender. In severe cases, signs of hemorrhagic shock such as pale complexion and rapid pulse appear, and first aid procedures need to be initiated immediately.

After diagnosis of ovarian corpus luteum rupture, absolute bed rest is required and actions that increase abdominal pressure should be avoided. In the acute stage, ice can be applied to the lower abdomen to relieve pain. When there is heavy bleeding, food and water should be fasted to prepare for surgery. During the recovery period, it is recommended to supplement foods rich in iron and protein, such as lean meat, animal liver, spinach, etc., to promote hemoglobin synthesis. It is forbidden to exercise strenuously and have sex within three months, and regular ultrasound examinations are required to monitor the recovery of the ovaries.