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Q: 

Are ruptured cysts always obvious?

By September 11, 2014 - 4:31am
 
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I am 23 years old and my last period started the August 22nd, though my periods have not been regular in over a year. Two weeks ago, I was diagnosed with a 6 cm cyst on my left ovary. After the ultrasound, I didn't see my primary, because I was told to go straight to a gyn. My gyn performed a pelvic exam and sent me home without much information on what to expect. How common is a rupture, and is that the only way for a cyst to disappear?

I have not been feeling well for the past couple days (malaise, fatigue, on and off pelvic pain that is sometimes sharp). At work this afternoon, I walked to my coworkers desk and back, and felt like my heartbeat was 10 times heavier than normal! I felt very faint, but waited it off. Now I am up at 4:30 am with dull, achy pain in my right flank. Is it possible that my cyst ruptured? I am very concerned about the associated risks with rupture... plus, I hear it is incredibly painful.

Thanks in advance for any help.

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Guide

Hello BigNoseKate,

Welcome to the EmpowHER community. Thank you for reaching out to us with your concerns about an ovarian cyst and the signs of a ruptured cyst.

Ovarian cysts are rather common. Most women develop them at some time during their lives. Most ovarian cysts present little or no discomfort and are harmless. The majority of ovarian cysts disappear without treatment within a few months.

Ovarian cysts can vary in size. Functional ovarian cysts are the most common type and develop there is a functional fault with ovulation. Follicular cysts are seen in women receiving infertility treatment. Corpus luteum cysts form when the corpus luteu fills with fluid or blood to form a cyst. Both of these types of cysts can grow to about 6 cm across.

Severe or sharp abdominal or pelvic pain, fever, feeling faint or dizzy, and rapid breathing can indicate a ruptured cyst.

Your physician should recommend periodic ultrasounds to follow up and monitor the size of your ovarian cyst.

To learn more, please take a look at this article, "What is an Ovarian Cyst?" https://www.empowher.com/ovarian-cysts/content/what-ovarian-cyst

Regards,
Maryann

September 11, 2014 - 8:41am
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