Health and Fitness

Can ovarian cysts cause bleeding?

Women often have to go through sudden body changes. One of the huge examples of hormonal change is pregnancy and menstrual flow/period. They also go through sudden abdominal pain and pelvic pain that often cause the symptoms of ruptured ovarian cyst. Most of the time, ruptured ovarian cysts are part of the normal menstrual cycle. When a lady ovulates, the follicles holding the egg rupture and releases the egg. There are many over-the-counter drugs that may help you with the rupturing of ovarian cyst. you may require a full body rest along with consumption of a healthy diet. In certain rare cases, rupturing of ovarian cysts can develop the need for surgery. If you have severe pain accompanied by fever, you can consider talking to the experts of Sitaram Bhartia Hospital.

What are ovarian cysts?

Ovarian cysts are fluid-filled sacs that are the real ovaries and produce every month when you ovulate. The production of ovulatory cysts is normal at the time of childbearing age. Most of them are not harmful and have no general symptoms. However, some of them need to be generalized by the doctor.

When a woman goes through a normal menstrual cycle, you can expect a woman to produce a cyst. In general, a cyst is a sac of water.

  • There can be chances that three or four cysts grow in the ovaries. One cyst may get pretty big, full of water while another can have an egg inside it.
  • It is around the middle of your cycle when the cyst with the egg pops out. It causes the release of an egg. The leftover cyst dissolves in the body. This happens every month until you are on the stage of conceiving. So, rupturing of ovarian cyst is a normal part of menstrual flow.
  • Some women may feel a little watery liquid coming out of their pelvic. Some others may feel little discomfort along with pain. This is called mittelschmerz [mid-cycle pain].
  • Sometimes, a cyst will break and will cause the rupture of blood vessels that can cause bleeding. Sometimes, there can be chances that this blood may end up in your abdominal cavity. This however becomes very irritating and can develop more pain. This time, you may develop the need to call a doctor.

What is the reason behind a ruptured ovarian cyst?

Most ovarian cysts are the normal part of a woman’s monthly cycle. They are mostly non-cancerous. Other types of ovarian cysts called endometriomas are not normal. Also, it is not known why the cyst ruptures. But there can be chances of development of possible risk factors like:

  • You may likely face the scenario if you have a family history of ovarian cyst or symptoms of ruptured ovarian cyst
  • If you are involved in strenuous activities like aerobic exercises or heavy weight lifting. There can also be chances of ruptured ovarian cysts after sexual intercourse.
  • In general, larger cysts bust more easily

You can try to keep yourself updated on the information about an ovarian cyst. You can connect with your gynecologist and can work in collaboration. Ask your doctor about the changes in your body and seek complete information.

Is there any chance of developing cancer?

If you have any kind of doubt, you can seek help from your doctor. Your doctor may help you with ultrasound, which in turn may help you distinguish between the ovulatory cyst, simple cyst, and the complex cyst. It may also show you the chances and development of any kind of cancerous or malignant tumor. Malignant tumors are the specific type of structure that can be easily detected by ultrasound. But, it may not mean that the distinguished structure can always be a malignant tumor. Malignant ovaries are less common, especially in younger women. It is noticed that at least 5-10% of women often go through surgery because of ovarian cysts. Also, around 13-21% of women develop the chances of malignant tumors.

What are the ways to treat ruptured ovarian cysts?

In severe cases, the symptoms of ruptured ovarian cyst may develop into pelvic pain. This may require you to admit yourself to an emergency room. Your doctor may ask you about the history of any medical condition. Also, you may undergo several tests. These tests will help to determine the cause of pain. The tests may include:

  • pregnancy test
  • complete blood workup
  • urine test
  • ultrasound scan
  • CT or MRI scan
  • laparoscopic surgery

An ultrasound scan may help you determine or distinguish the ruptured ovaries from other types. There can also be chances that the cyst may collapse when it opens. In that case, ultrasound is not the definitive option. Your doctor may have to look for other diagnosing options to have a check for a ruptured cyst.

What are the chances of complications with the development of an ovarian cyst?

In many cases, a ruptured ovary may develop without any cause or complication. Your doctor may keep a check on you with the regular use of over-the-counter medications. Also in this case, you may develop functional cysts. If there is any chance of complications, such as heavy bleeding and loss of blood, you may develop the need for hospitalization. While you are admitted to the hospital, your doctor may keep a check on:

  • vital signs and the ratio of your red blood cells
  • Conduction of repetitive scans to check whether you are suffering from internal bleeding or not. This may affect the abdominal walls and the internal part of the pelvic.

In very rare cases, you may develop the chances of surgery

In this case, your doctor may advise you to have laparoscopic surgery to scan the bleeding and stop the same. Surgery is generally recommended if you have:

  • A cyst larger than 5 centimeters
  • persistent pain
  • the possibility that imaged masses may not be benign

Some cysts are larger than 5 cm and are even bigger than 10 cm in size. In this case, your doctor may advise you to have surgery. However, some cases of cysts are manageable if the woman reaches the stage of premenopausal.

Your doctor may use advanced imaging technology to have a view of a ruptured cyst. Sometimes symptoms of ruptured ovarian cyst are often accompanied by high blood pressure. This needs to be treated surgically.


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