Many women of pain during menstruation perceive as something obligatory. And do not attach special importance, if their intensity increases or decreases. In fact, any such feelings should be treated very carefully. Causes of pain can hide not only in endometriosis, violation of the synthesis of prostaglandins, etc. If suddenly a cyst burst during the period, the clinical picture will be similar, but the symptoms increase with time. When and how does it happen?
Can the cyst burst in criticaldays
If a woman on the ovary has a cyst, a rupture of it can occur at any time. Probability in many ways depends on a combination of factors. For example, on how tense and large is education, and whether the girl is subjected to some kind of excessive stress and even psycho-emotional experiences. In fact, the critical days are no different from the usual ones in this respect, except for the presence of bloody discharge from the genital tract.
Which cyst can burst
Most often you have to deal with functional cysts, both follicular and lutein. But a rupture can occur with all neoplasms on the ovaries. Assuming an aetiology is possible by the following criteria:
- Functional cysts can occur practically without any symptoms, and their existence may not be known to a woman. They are formed on the ovaries from the follicles, which begin to grow, if there is no ovulation. As a result, the secret accumulates inside, which leads to their increase sometimes to a very impressive size - more than 10 cm in diameter. Against the background of follicular cysts, various malfunctions of the menstrual cycle can occur, most often delays.
And when the monthly came 10 to 15 days later than usual, the probability that there is a cyst is great. And due to a number of circumstances, it may break even in critical days. Although most often this happens in the second phase before the onset of menstruation.
- Functional cysts can also include lutein, they are formed from the yellow body. Very often they appear when fertilization occurs. As a result, the fetal egg can not yet be visualized due to its extremely small size and location outside the uterine cavity, and there is a cyst. Against the background of implantation bleeding or threat, as well as with undeveloped pregnancy, there may be a rupture of the cyst.
It happens that, according to all the criteria, the doctor goes to an intervention about the ectopic, and during the operation it becomes clear that, in addition to her, there is also a burst cyst of the yellow body. This happens infrequently, but it does happen.
- Paravarian cysts are usually small in size and do not cause much concern to a woman. Rarely, their rupture is observed, regardless of the day of the cycle.
- There are also cases of cysts on the ovaries, which are benign and sometimes malignant tumors. Their growth and functioning is not so dependent on the phases of the cycle, so the gap can occur at any time if there is a provoking factor.
- Less often, damage to endometrioid or dermoid cysts occurs. Most often they do not bother the woman and grow for years.
We recommend that you read an article about menstruation with an ovarian cyst. From it you will learn about the pathology and its effect on menstruation, ways of normalizing the cycle, the consequences of a ruptured cyst and the need for an operation.
What provokes the gap
Violation of the integrity of the cyst in 95% of cases occurs under the influence of some factors. The main ones are as follows:
| Reasons for | Why it happens |
| Physical loads | To break just enough of a single sharp effort, awkward movement or unusual tension. Often these are aerobics classes, jumping( including rope), hoop use, horse riding, etc. Therefore, women should protect themselves if they have any cyst, until radical treatment is performed. |
| Sexual contact | Many couples do not take a break in intimate relationships during menstruation. Sometimes even ordinary postures and movements can injure the cyst and lead to its tearing. |
| Abrupt change in intra-abdominal pressure | In addition to sports, as already mentioned, severe straining with constipation, overeating can provoke a violation of the integrity of the cyst, especially if it is tense( comparable to a balloon when any embarrassing movement or a change in position leads to its rupture). |
| Injuries to | Especially in the pelvic area and abdomen. |
| Stormy intestinal peristalsis | Stormy intestinal peristalsis can lead to rupture of the cyst, but more often to torsion of its pedicle, while also symptoms of an acute abdomen. |
| Concomitant inflammation of the genitals | The fact is that with any infection the tissues swell, become loose and very easily injured. Therefore, the cyst rupture can occur at any time even in a calm state. At the same time, its contents are purulent in most cases, with a malodorous unpleasant odor. Treatment in such situations is the most difficult and long lasting. |
Sometimes the reason to find out is difficult, so girls should regularly undergo gynecological examinations, and if necessary, follow all the recommendations and treatment.
Look at the video about the disease:
Signs of the onset of the
problem Cyst tear has a somewhat blurred clinical picture. Usually the girl remembers the moment when below( probably more to the right or left) the abdomen sharply fell ill. As a rule, acute discomfort lasts about 1 - 2 minutes, after which it becomes somewhat easier. If at this time the girl was doing some work( studying in the hall, riding a horse, etc.), she usually completes it and only after that starts to "listen" to her feelings.
If there is a serious rupture with damage to a more or less large vessel, the clinical picture is more vivid. The girl notices a sharp pain, after which she goes into pulling within a few minutes. With time, the intensity increases. All this causes anxiety and the subsequent appeal for medical help.
Symptoms that will help to understand the condition of
In addition to all of the above, a girl may be bothered by other symptoms, the definition of which is also important enough for the timely diagnosis and treatment of pathology. These include:
- gradually growing pain in the lower abdomen, often it gives into the rectum and perineum;
- appears weakness, lethargy, dizziness;
- increases heart rate, blood pressure decreases;
- the girl pale, even can lose consciousness.
An important point is that pain, unlike menstrual pain, does not go away with taking analgesics, but only increases. Sometimes, in a certain position of the body, it can slightly weaken( with legs bent and lowered to the abdomen), but this is only for a short time.
At inspection it is not always clearly possible to establish that there was a rupture of the ovary. Diagnosis is assisted by performing an ultrasound study in which it is possible to detect free fluid in the abdominal cavity. When culdocenter( punctures through the vagina), blood is detected, which is an indication for emergency surgery.
Doctors' actions with a burst cyst
A ruptured cyst is an acute gynecological pathology that requires immediate surgical treatment, otherwise the situation poses a real threat to the life of a woman.
Usually, in order to make a decision, a doctor needs 10 to 30 minutes, it all depends on the initial condition of the patient. If there is already a lot of blood loss, it is possible that they will be delivered directly to the operating room from the receiving dormitory.
The amount of intervention depends on how much other structures are involved, what is the loss of blood. Most often only the cyst is removed, sometimes the ovary itself also partially falls. But the most optimal option is its vyluschivanie. Thus the ovary is minimally damaged. Next, the place where the cyst was previously located is sutured.
All the blood that was in the stomach due to rupture is removed.
In rare cases, the volume of the operation has to be expanded to remove the entire ovary or other structures. This happens most often when the festering cysts are ruptured, in which case it is likely that the uterus will be removed. In any case, the volume of the operation is decided directly during its execution and depends on so many factors.
How are the monthly ones after
? Most often, the monthly ovarian cysts come after some kind of functional malfunction. Sometimes it can last even a few months. Therefore, in a complex recovery after such interventions, the girl is encouraged to drink hormones for at least three months, which will help the reproductive system to come to its usual rhythm.
Variants of possible secretions after rupture of the cyst and its surgical treatment can be as follows:
- The cycle is not broken, the next menstruation comes strictly according to the schedule. This is rare enough, most likely the volume of the operation was small, so the body "did not notice" anything.
- After 2 - 5 days after the intervention, no matter when the last menstruation was, blood spots again appear. They can be in the form of an ointment, if the critical days are not over, or only a couple of days have passed. The next menstruation then comes about a month later, often there are delays. Also, the allocation can be quite abundant. Then there is a high probability that this will be the first day of the new cycle, and the next monthly ones will begin in 28-30 days.
- If from the moment of surgery the girl immediately took oral contraceptives, then in most cases, menstruation will go to cancel the drug, that is, on inactive tablets.
We recommend reading the article about monthly after apoplexy of the ovary. From it you will learn about the causes of menstrual irregularity, the peculiarities of menstruation after apoplexy, as well as the possible pain sensations.
Can the cyst burst during a period? Yes, this occurs a little less frequently than on other days of the cycle, but it is possible. Therefore, any girl should carefully monitor their health these days, regularly undergo examinations with a gynecologist and, if necessary, perform all appointments. If the recommendations are observed, in most cases there are no breaks, and the cyst either passes by itself, or it is surgically removed in a planned manner.