So what is a ruptured ovary? How does a good ovary rupture? Ovarian rupture occurs when a mature follicle or corpus luteum in the ovary causes a break in the wall of the ovary and bleeding, which in severe cases can result in a large amount of intra-abdominal hemorrhage. There are two types of rupture: follicular rupture and rupture of the corpus luteum or corpus luteum cyst. It can occur in both married and unmarried women, and is most common in the childbearing age. Causes Ovarian rupture is somewhat different from rupture of other organs, which is usually due to an external injury leading to breakage and injury. While there are external causes of ovarian rupture, in most cases, ovarian rupture is a form of spontaneous rupture. Rupture of the corpus luteum of the ovary is somewhat dangerous. The vast majority of ovarian corpus luteum ruptures occur on days 20 to 26 of the menstrual cycle, and the onset can be characterized by lower abdominal pain of varying severity. Clinical manifestations Patients with ovarian rupture usually have no history of ovarian dysfunction, and most have ovulatory cycles. Abdominal tenderness is unremarkable, but bimanual pelvic tenderness is extremely pronounced. Combined with a history of menstruation, the diagnosis can mostly be made. A history of postcoital episodes is more likely. If menstruation is regular, the onset of the disease occurs suddenly in the middle of menstruation or before menstruation, with severe pain in the lower abdomen, which becomes persistent crushing pain after a short period of time; in mild cases, the pain gradually decreases, but in severe cases, the pain gradually intensifies, and symptoms of internal hemorrhage and shock appear. Physical examination 1. Mild type has only mild tenderness in the lower abdomen, and the pressure point in the right side is in the lower and inner part of the Mai’s point, which is in a lower position, while in severe cases, the tenderness in the lower abdomen is obvious, and there is rebound pain, but the phenomenon of abdominal muscle rectification is not as good as that of generalized peritonitis. 2. Duplex diagnosis The cervix is lifting and painful, and there is tenderness in the dome of the two sides. The uterus is normal and large, and it is painful to move the uterus, and the adnexal area or the posterior dome can be felt to be full when there is much internal bleeding. Enlarged ovaries are sometimes palpable. Diagnosis Ovarian rupture is difficult to diagnose due to the lack of typical symptoms, and often occurs on the right side, it is easy to be confused with acute appendicitis, and also easy to be confused with ectopic pregnancy. To make a correct diagnosis, the most important thing is to ask carefully about the menstrual history, combined with the clinical manifestations and examination, comprehensive analysis. The time of ovarian rupture has a certain relationship with menstrual cycle, which can be the main basis for diagnosis. Ovarian rupture, about 80% of the corpus luteum or corpus luteum cyst rupture, thus generally after ovulation, mostly at the end of the menstrual cycle 1 week, occasionally in the first two days of menstruation onset. In a minority of cases, follicular rupture occurs, often in mature follicles, and thus the onset is usually on the 10th to 18th day of the menstrual cycle. Patients with ovarian rupture usually have no history of ovarian dysfunction and most have an ovulatory cycle. Abdominal tenderness is unremarkable, but bimanual pelvic tenderness is extremely pronounced, and combined with a history of menstruation, the diagnosis can often be made. If there is a history of postcoital episodes, it is more likely. Differential diagnosis 1. acute appendicitis 2. ruptured tubal pregnancy or abortion Treatment Bed rest, close observation, taking Chinese medicine to activate blood circulation to dispel blood stasis, attack and break up the accumulation of the main, appropriate addition of heat and detoxification drugs. For those with excessive internal bleeding, shock symptoms and critical condition, surgery should be performed immediately to avoid delay in treatment. The principle of surgery must try to preserve ovarian function. The rupture of the ovary or blood flow from the newly formed corpus luteum can usually be seen. The rupture may be closed with a chain of fine gut sutures or the corpus luteum cyst may be removed. As can be seen from the pathogenesis, there is generally no good prevention for ovarian rupture, and it is a small probability emergency event that occurs in every woman, every menstrual cycle. It is a small probability event that occurs in every woman, in every menstrual cycle. It is an independent small probability event, equivalent to the “random walk” of stock prices, which is unpredictable! It’s mostly up to our luck. But then again, the vast majority of people don’t have a chance encounter in their lifetime, so don’t worry! Very few people will meet a few times in their lives, indeed “bad luck”, you really did nothing wrong.