After ovulation, the ovaries form the corpus luteum. In daily life, if the lower abdomen is severely impacted, the corpus luteum may rupture. The symptoms of corpus luteum rupture are similar to those of ectopic pregnancy, and the menstrual cycle may be prolonged. So what are the other symptoms of corpus luteum rupture? What causes corpus luteum rupture?
Symptoms of luteal rupture
1. The degree of abdominal pain in patients' clinical manifestations can also vary greatly, and its development process is basically the same as that of abdominal pain in ectopic pregnancy. However, in the case of tubal abortion, abdominal pain can occur multiple times due to repeated bleeding, and ovarian corpus luteum rupture can gradually aggregate and stop bleeding after one bleeding, with less chance of repeated episodes.
2. Sudden lower abdominal pain, tenderness and rebound tenderness in the lower abdomen during the second half of menstruation, tenderness in the fornix after gynecological examination, cervical shaking pain, and tenderness in the adnexal area on one side B-ultrasound can detect pelvic fluid and adnexal masses, and the posterior fornix puncture can remove non coagulation. Due to its clinical manifestations, signs, and ultrasound results being similar to ectopic pregnancy, especially with prolonged menstrual cycle. When urine HCG is weakly positive, it is easily misdiagnosed as ectopic pregnancy Increase the chances of surgery.
3. Apart from abdominal pain, the majority of ovarian corpus luteum ruptures occur in the second half of the menstrual cycle, and there are generally no symptoms of menstrual delay or vaginal bleeding. The main basis for diagnosing internal bleeding also relies on posterior fornix or abdominal puncture. The pregnancy test generally shows a negative reaction. Therefore, if a gynecological patient with internal bleeding and acute abdomen does not have symptoms of amenorrhea or bleeding, and the pregnancy test is negative, the possibility of ovarian corpus luteum rupture should be considered more. Laparoscopic examination can reveal the corpus luteum and fissure of the ovary, sometimes with active oozing, and normal bilateral egg ducts.
Reasons for luteal rupture
1. Automatic rupture
Under normal circumstances, there is a small amount of bleeding inside the corpus luteum, but if there is too much bleeding, it may increase the pressure inside the corpus luteum, leading to spontaneous rupture. Some people believe that during the luteal phase of blood vessels, dysfunction can lead to capillary bleeding within the corpus luteum, resulting in corpus luteum rupture.
2. The result of external force
If the lower abdomen is impacted, as well as when jumping, running, coughing or defecating vigorously, the sudden increase in intra-abdominal pressure can cause the mature corpus luteum to rupture. In addition, during sexual activity, the female reproductive organs expand and become congested, leading to an increase in tension within the corpus luteum. Coupled with the rough movements of the male partner, the female's lower abdomen is strongly impacted, which can also cause the corpus luteum to rupture.
In short, women of childbearing age who experience severe lower abdominal pain within about a week after the middle of their menstrual cycle should consider the possibility of corpus luteum rupture and promptly seek consultation and appropriate treatment from a gynecologist.
