3:07 pm - 12/22/2010

Ovarian Cysts: What happens if they rupture?

Hey guys.

I have an ovarian cyst on my left ovary. Sometimes it hurts off and on, but then sometimes it feels like I have a cyst on my right side as well since I get pain over on that side too, but the CT scan only showed a small cyst on my left ovary. Anyway, I am just curious and kind of worried: what would it mean if it ruptured? I read that if large ones rupture that can be dangerous, but if it's a small one? The majority of the time, is it usually okay if they rupture and nothing comes of it?

I ask because earlier today I got up from sitting and stretched my arms over my head and I got a sharp pain on the left side where my ovary is. It hurt for a couple of minutes and then stopped. Now, every once in a while, I've been getting a dull pulsing kind of pain in that area. Not really that painful, but still can feel it and not comfortable. Maybe stretching kind of twisted the cyst and caused the pain. No idea, just guessing.

But I'm just curious what happens if they rupture? Should we be worried? What would it feel like? Is it really painful or not always? And if they don't rupture they are just reabsorbed by the body?

Thanks so much!
arseaboutface 22nd-Dec-2010 08:11 pm (UTC)
When mine burst, it hurt. A lot. I had no idea what was going on, and wound up in the ER at 6 in the morning. There were no lasting effects, though (except the ER bill).

Going on HBC should make them clear up, if you're concerned.
disturbedme 22nd-Dec-2010 08:24 pm (UTC)
How did they find out it was a cyst that had ruptured? Did they do a CT scan or did they do a transvaginal ultrasound, etc.?

That kind of worries me because I cannot have another CT scan because I had an allergic reaction this last time.
arseaboutface 22nd-Dec-2010 08:43 pm (UTC)
They did a CT scan at the ER, in which they found the evidence of the ruptured cyst (Fenrir) as well as the other cyst that was hanging out (Odin). At the follow up three months later they did an ultrasound (TV and abdominal) to check on Odin's progress.
arseaboutface 22nd-Dec-2010 08:47 pm (UTC)
Odin, by the way, went away after three months on HBC.
pinkduck08 22nd-Dec-2010 08:32 pm (UTC)
I had a large one rupture on my left ovary. It hurt A LOT. I couldn't move barely, I was throwing up from the pain, and it lasted for at least a few hours straight. It felt like someone was stabbing me in the vagina. At the ER they put me on IV pain killers and did an external ultrasound, finding another on my right ovary with a lot of fluid around the left. It just got reabsorbed. I do agree that HBC helps a lot.
paraxeni 22nd-Dec-2010 08:57 pm (UTC)
I've had little cysts burst, and big ones. The big ones hurt immensely and have the potential to leak fluid that can cause internal scarring. The little ones? I can usually manage them with a hot water bottle, a big cuddle, and some pain meds. AFAIK they leak a lot less and the fluid is absorbed more easily.

I've only ever had to be hospitalised because of large ones bursting. My doc said that with the amount of them I get (despite 2x forms of HBC) that there'd be no point going in every time one burst, and to only seek help if the pain was absolutely intolerable, or I showed signs of infection or shock.

Another thing that can happen, depending on the size/location of the cyst is an ovarian or fallopian torsion. Functional cysts tend to grow quickly, and are usually attached to the ovary by a stalk. If the cyst is big/heavy/awkwardly placed then it can put pressure on the ovary or tube, creating a very painful tugging sensation when you move. Sometimes the cyst can be so big that it twists the whole ovarian-fallopian structure causing a torsion that can be very dangerous. Prolonged severe pain in that area should be checked out.
nightengalesknd 23rd-Dec-2010 03:12 am (UTC)
Lots of women have cysts that occur with their cycle, rupture and they never even knew they had one in the first place. Six years ago I had one found during an MRI for something unrelated and so far as I know, it's either still there causing no symptoms, or vanished.

A fraction of cysts do cause symptoms, and a small fraction of these can cause signifigant pain, bleeding or torsion. So if any serious symptoms develop or your current symptoms worsen, it's worth getting the cyst checked out again (usually by ultrasound) but it's not something likely to happen just because you have a cyst.
moniusia 23rd-Dec-2010 08:15 am (UTC)
When mine ruptured it was honestly the worst, most painful experience of my life. It was hours of pain and crying, i took some prescription pain pills to now avail, more pain and crying, i was ready to go to the er until i took a vicodin and passed out. That pain continued for about 2 days, then started to slowly ease up. All in all about a week of solid pain.

I went to the doctor the morning after the pain started, they sent me to the hospital for an evil/horribly painful ultrasound.

sorry to be so drastic, it just really was that awful
mutesovereign 23rd-Dec-2010 08:27 am (UTC)
I've had a cyst the size of a softball before. When that one finally ruptured it hurt like hell, but the smaller ones felt like my typical cramps. I'd also like to echo the comments of birth control will help with that. I quit having issues the 10 years I was on the pill.
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