What to Do when an Ovarian Cyst Ruptures

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A few weeks ago I had the pleasure of taking part in sexual intercourse. It was all going great until about halfway through – with all of the pushing, pulling, and jostling around, it felt like something in my lower left pelvic region had been knocked free. At the time it just felt like a slight twinge, so I finished up my business and moved on.

As the night progressed, the tiny pinprick didn’t go away. In fact, it got worse. It transformed from a pinch to an ache to a full-blown stabbing pain. Needless to say, I was pretty freaked out (appendix? miscarriage? infection?) and finally went to the emergency room around midnight because I couldn’t sleep.

After undergoing a few vital tests I was sent home and told to come back in the morning for an ultrasound. As a picture of my uterus flashed across the screen the next day, I took note of what looked like an ugly purple bruise on one of my ovaries. “Yep,” the technician said to me. “You've got a ruptured cyst.”

It turns out that ruptured cysts are a relatively common phenomenon. Cysts are little fluid-filled sacs that grow on the outside of your ovaries. They start out as follicles, which are usually eliminated each month during menstruation. The most stubborn follicles hang around and set up camp to become full-blown cysts. Sometimes cysts will go away on their own and sometimes they require surgical removal. Doctors often take a biopsy of surgically removed cysts in order to confirm that they are benign (non-cancerous).

When a cyst bursts, or ruptures, a woman will most likely experience pain and bleeding. She may also have a feeling of fullness or heaviness in her abdomen and may be extra sensitive during sexual activities and trips to the bathroom.

The biggest health risk associated with ruptured cysts is hemorrhaging. You don’t want to lose too much blood or become dizzy or weak – these are all bad signs! Always visit a doctor if your pain is severe or bleeding continues for days on end. It is a good idea to mention the cyst to your gynecologist next time you’re in for an exam, too, so that more severe medical problems can be ruled out.

Add a Comment15 Comments

EmpowHER Guest

You should speak with a doctor before writing an article on the anatomical presentation of ovarian cysts. Follicles are inside your ovaries, and cysts grow INSIDE your ovaries. The pain that is being experienced is from the pressure and stretching of your ovary as it contains the cyst inside its walls.

May 2, 2015 - 2:31pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Lol maybe YOU need to see a dr first I have papers right here saying I have cysts ON my ovaries NOT IN!! And this has caused my ovary to swell. You sound like and IDIOT

August 15, 2015 - 9:50pm
EmpowHER Guest

I have been spotting for 21 days now. This of course is not normal for me. I am going to be turning 41 in a couple of months. My doctor says it isn't perimenopause. It is really freaking me out.

March 22, 2015 - 9:32pm
EmpowHER Guest

I have a benign cyst no pain. Had lots of bleeding for months at a time and would only stop for 2 days a month. Had to take birth control pills to stop the bleeding with took 3 months n hass been successful . no i believe the cyst has ruptured. I have been having lower back pain always dizzy no more bleeding seldomly spot. However i have alot of wetness n don't know why feels like my water has broke, yet i am NOT pregnant. Any advice

March 19, 2015 - 1:51pm
EmpowHER Guest
Anonymous (reply to Anonymous)

I've been wondering the same thing about the wetness. I have seen on the depo shot for 6 months now and though I don't have a period I still have spotting. But the more I think about I think it may be cyst repturing. I have back pain like crazy and wetness that I can't explain. I feel like my Drs and idiot and she just wants to write me a prescription for Norco for the back pain. I hate self diagnoseing but right now I feel like I'm a better dr then her. Hopycan get an answer soon as to what's goin on.

March 20, 2015 - 10:39pm
EmpowHER Guest

i never got my period and apparently i have an ovarian cyst and it burst it hurts so much i had to stay in a wheel chair and the doctors had to call other doctors from different hospitals to come its really painful but i had no bleedng

March 18, 2015 - 3:38pm
EmpowHER Guest

Im not having pain continuosly only some times i will get very mildly. I came to know that im also having ovarian cyst when i went near to doctor with other problem. I'm worried about that

March 14, 2015 - 12:21am
EmpowHER Guest

bleeding is mentioned a couple of times in this article and i just wanted to point out that while uterine bleeding is concerning bleeding into the abdominal cavity is just as likely and probably more dangerous because there is not a visual symptom. if you have intense pain in your stomach or lower back and laying on your back causes spasms and pain in your chest/shoulders/upper back go to the ER.

February 15, 2015 - 6:42am
EmpowHER Guest
Anonymous (reply to Anonymous)

Ok. I think I have had a couple issues going on and thought it was all related to one thing. First...IBS. mostly under control. Would tell my doctors I had a churning in my abdomen and would be bloated. Just felt it was blood.....due to IBS and internal hernias. After reading this and other comments I am beginning to think it is "liquid" from my ovaries/cysts. Last week I had a quick sharp pain lower left side...assuming ovary location. Next day I was home sick...al I can say is I felt yucky. Thought I had been eating too many veggies and too many other foods that had my stomach all messed up again.....and I felt wet....now after putting all these comments together.....think I had another rupture.....damn....my insides are revolting against me!

August 16, 2015 - 3:38pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Wow. I think I may have found my problem! 2 nights ago I had severe stabbing pains. My right arm hurt, my hips hurt. I was scared. Didn't get much sleep and when I did it wasn't restful. Late the next morning I got a fever. Was to weak, and maybe delirious to get out of bed. Once the fever broke, the pain was almost gone. Still sore lower left abdomen and an occasional pinch of pain. I had a hysterectomy 10 1/2 years a got and kept got ovaries.
I have had stomach issues for years, and pass blood frequently in my stool. Have had many test with gastrointolgists and been told I have IBS and inner hemmroids. Could the blood I pass be from hem morphing of the cysts or the ovaries???

February 28, 2015 - 1:47am
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

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