A couple of weeks ago, I had medical situation. The situation was that I looked 5 months pregnant and had weird pain in my abdomen. My neighbor, a nurse, suggested I get an MRI to see if I had an ovarian cyst. Guess what?! I did! I’ve never had one before, so to Google I went. I found this article and thought it may help someone else out there. For the full story, click here.
What is an ovarian cyst rupture, exactly? Can anyone develop a cyst?
Unfortunately, yes, says ob/gyn Alyssa Dweck, M.D., an assistant clinical professor at the Mount Sinai School of Medicine. However, there are various types of ovarian cysts, and many go unnoticed by women.
“Most women will form a cyst with ovulation,” explains Dweck. Those cysts, known as follicular cysts, can rupture or regress on their own and go away. “Often, women don’t even know they’re there.”
When the cysts rupture, the fluid inside ends up in the pelvic cavity, where it’s usually reabsorbed over time, explains Jason James, M.D., medical director at Miami’s FemCare Ob-Gyn. “Simple fluid-filled cysts that rupture are usually of no significant concern,” he says.
However, a woman can also develop blood-filled cysts called endometriomas, which can cause “significant ongoing bleeding internally,” James says. Another type of cyst, called a dermoid cyst, may have solid material in it such as hair, teeth, and cartilage,which may need to be removed with surgery. And, while most cysts are benign (not cancerous), some may turn out to be malignant (cancerous).
“In most cases, cysts are harmless and go away on their own,” says board-certified ob/gyn Pari Ghodsi, M.D. “In other cases, they may cause problems and need treatment.”
How do you know whether you need to seek medical attention for your cyst?
When a larger cyst bursts, it typically causes a sudden, sharp pain for a woman. If the pain regresses and isn’t accompanied by vaginal bleeding, it’s probably nothing to worry about, says Dweck.
With endometriomas, the pain may continue—even if you take pain relievers such as ibuprofen or acetaminophen. It can also cause internal and external bleeding. That blood inside the pelvic cavity can be irritating, and cause bloating, nausea, and gas-like discomfort.
Pain plus bloating, nausea and bleeding that isn’t your period may signal a ruptured endometrioma. See your doctor and from there they’ll determine next steps. They may give you pain medication for a follicular cyst that burst and continues to hurt, but may recommend surgery for an endiometrioma. Experts stress that it’s unusual to need surgery for an ovarian cyst rupture, but say it can happen.
“Reasons to surgically address cyst rupture in endometriosis include the desire to alleviate a patient’s ongoing chronic pain due to the endometriosis, as well as the potential to improve a woman’s reproductive potential as endometriomas are known to potentially cause infertility,” says James.
However, if you’re worried, it’s best to play it safe. If you experience a sudden, sharp abdominal pain that isn’t relieved by over-the-counter medicine, call your doctor or go to the ER.
For the full story, click here.