Symptoms of ovarian cyst rupture

Written by Xia Hu
Obstetrics and Gynecology
Updated on March 16, 2025
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It often manifests as severe pain that feels downward, and if it ruptures, there is obvious intraperitoneal bleeding, along with a sensation of heaviness in the anus. The pain is persistent and intense. If there is significant blood loss in the pelvis, there may also be symptoms of blood loss such as dizziness and fatigue, and other discomforts may occur. For example, there may be complications related to anemia and even symptoms of shock. Once an ovarian cyst ruptures, it requires prompt treatment. First, it is necessary to identify the specific location, as the ovaries are located on the left and right sides. After locating the affected area, timely treatment can be administered. The examination of ovarian cysts often reveals quite noticeable tenderness.

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Written by Yan Qiao
Obstetrics and Gynecology
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Do ovarian cysts hurt?

This ovarian cyst is generally a benign tumor change. Normally, ovarian cysts do not show any symptoms. However, as the cyst grows larger, it may cause an increase in abdominal size and bloating. It may also press on the gastrointestinal tract and the bladder, leading to corresponding urinary and gastrointestinal symptoms. Additionally, changes in body position may lead to acute abdomen, such as ovarian cysts, torsion of the stalk, rupture of ovarian cysts, and other conditions.

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Written by Xia Hu
Obstetrics and Gynecology
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Do ovarian cysts require the removal of the ovary?

Generally, ovarian cysts do not require the removal of the ovary; the common practice is to perform a cystectomy, which involves peeling off the cyst from the ovary. After that, the situation of bleeding is assessed. If there is no significant bleeding on the surgical surface, suturing can be done, which preserves both the morphology and function of the ovary. Ovaries are crucial for females as they produce estrogen, progesterone, and also have the function of ovulation. Therefore, removing ovaries would reduce the levels of estrogen and progesterone in the body and decrease ovulation functions, which is why ovary removal is generally not recommended. Typically, the impact of the cystectomy on these ovarian functions is minimal. Thus, recovery tends to be good, with minimal impact on daily life in terms of prognosis.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do ovarian cysts hurt?

Most ovarian cysts do not cause abdominal pain, especially when they are small and benign. However, some patients with ovarian cysts may experience abdominal pain symptoms. For example, endometriotic cysts, also known as chocolate cysts, can cause severe lower abdominal pain, particularly manifesting as menstrual-like abdominal pain. When these pain symptoms occur, the primary reason patients initially visit local hospitals is to undergo medical examination for the condition.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to eliminate ovarian cysts?

Currently, most ovarian cysts in clinical practice require surgical removal. However, not all ovarian cysts need to be removed surgically. For some ovarian cysts, such as pelvic inflammatory cysts, anti-inflammatory treatment can be given first. After one course of anti-inflammatory treatment, the treatment effect should be evaluated. If the treatment effect is unsatisfactory, surgical treatment can be considered again. Furthermore, if the ovarian cyst is not large, it is also not indicated for surgical removal. Therefore, the severity of the condition needs to be assessed before treating an ovarian cyst.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Ovarian cysts have no symptoms

Most ovarian cysts are physiological, so few people experience symptoms. Common ovarian cysts include corpus luteum cysts and other ovarian cysts, which generally disappear naturally after two to three months. Therefore, if the ovarian cyst is not large, within five centimeters, and there are no symptoms, it is possible to temporarily observe it and perform an ultrasound after two to three months. If the cyst has not decreased in size or continues to grow, it may be an ovarian tumor, which would require surgical treatment. This is because if an ovarian tumor is left for a long time, it may become malignant or may lead to ovarian torsion.