Ruptured ovarian cyst information source: Hopkins Medicine
Ovarian cysts burst for different reasons. They can rupture because of physical trauma. Strenuous activities such as sex can cause a rupture. And so can hormonal imbalance.
The good news is that most of the time, treating an ovarian cyst rupture doesn’t require surgical intervention. In fact, in most cases, being placed under observation is all you need. Well, you may also need pain medications to cater for the severe abdominal pain that you will experience. But nothing complicated really.
However, there are times when ruptured ovarian cysts cause complications. One of the serious ones is excessive internal bleeding. And given the role that blood plays in the functioning of your body, this is a serious ovarian cyst rupture complication that needs the immediate attention of a doctor.
Here is what you should know about ruptured ovarian cysts and excessive internal bleeding.
Increased risk of excessive internal bleeding after an ovarian cyst rupture
Excessive internal bleeding usually occurs in cases involving a preexisting condition. If you usually take too long to stop bleeding, you are at a higher risk of excessive internal bleeding. Same thing if you bleed easily.
The thing is that when an ovarian cyst ruptures, the capsule of the ovary usually stretches. Some cysts also bleed into themselves. And in some cases, the act of rupturing can cause bleeding in tissues adjacent to the ovarian cyst. It all depends on factors such as the type of cyst, hormonal balance, genetics, the size of the cyst and the nature of the cyst burst.
But what really determines whether the bleeding is excessive or not is your body’s ability to stop the bleeding. If your blood takes too long to clot, you will experience excessive internal bleeding. Same thing will happen if the wound that results from the ovarian cyst rupture is too large for your body to stop it from bleeding.
The symptoms excessive internal bleeding caused by ruptured ovarian cysts
Any bleeding that results from ruptured ovarian cysts usually leads to the presence of fluid in the pelvic cavity. This is uncomfortable. It usually manifests itself in terms of most of the common ovarian cyst symptoms. This includes nausea and bloating.
Loss of excess blood is a serious condition. It can lead you to feel light headed. Can affect your heart. It can lead to life-threatening blood clots. Infections can arise. It can cause anemia, and in rare cases can lead to death.
Treatment of excessive bleeding caused by an ovarian cyst rupture
If a doctor determines that you have internal bleeding, the first order of business will be to stop the bleeding. This will call for emergency surgery.
Through surgery, the doctor will control the bleeding. He or she will remove any excess fluid in your abdominal cavity. The doctor will also get rid of any blood clots.
In some cases, removing the cyst will be necessary. In others, the doctor may have to remove the affected ovary — this is one of the situations where an ovarian cyst rupture can affect your fertility / ability to get pregnant.
Since excessive internal bleeding will rob your body of blood, replenishing the lost blood is important. You may have to be hooked to an IV so as to replace any lost fluids.
Part of the doctor’s duty during this time will be to keep track of your progress. Monitoring your heart rate will be important. So will be tracking your red blood cell count. Equally important will be keeping a close eye on the bleeding. To this end, an ultrasound will come in handy.