Late at night, the girl in the emergency room covered her stomach, pale and cold sweat: "Doctor, my aunt is in pain..."
In addition to the feeling of weakness caused by blood loss, the pain of tearing the heart and lungs in the lower abdomen makes every second extremely painful.
After arranging the operation urgently, the doctor drew a tube full of blood from the girl's pelvis:
This is not ordinary dysmenorrhea, it is a rupture of the luteum.
Once this occurs, it may require hospitalization and surgery. In severe cases, it can even lead to excessive blood loss, shock and death.
What is the luteum? The yellow body ruptures, why is it so dangerous?
The yellow body, a term that is unfamiliar to many girls, should actually be as common as menstruation and ovulation.
Because in general, as many times a woman has menstruated, the corpus luteum will appear as many times.
During ovulation, after the follicle releases the egg, the follicle wall collapses with trauma.
At this time, a large number of capillaries and connective tissue will enter the position where the follicle collapses, filling the gap in the egg. Under the action of luteinizing hormone, it differentiates into a large, capillary-rich cell mass.
Because it appears yellow when it is first formed, it is called "yellow body".
The development process of follicles in the ovaries: 1. ovaries; 2. primary follicles; 3. mature follicles; 4. ovulation; 5. corpus luteum; 6. degenerative corpus luteum/source/Wikimedia Commons
The role of the yellow body is not just to fill the space, occupy a seat, or break it from time to time and scare women.
The cells that make it up are divided into two types: granulophylloid cells, which mainly secrete progesterone; and adenophanthobeal cells, which mainly secrete estrogen.
Progesterone and estrogen promote the growth of uterine mucosal glands, thicken the lining of the uterus, and create conditions for sperm implantation.
The eggs move into the pelvis and sperm bind/source/Wikimedia Commons
If the egg and sperm are successfully combined, the corpus luteum transforms into the gestational corpus luteum, escorting it: constantly secreting progesterone and estrogen to promote embryonic development and maintain intrauterine conditions.
If the egg is not fertilized, the yellow body "hero is useless" and will slowly atrophy and fade, waiting for the next menstrual cycle.
Unfortunately, the development and structure of the corpus luteum is doomed:
Powerful, it can protect "others", but it can't protect itself.
The inside of the corpus luteum is full of tiny capillaries, which means that it is extremely sensitive and fragile.
Just like after a slight collision of arms and knees, the body may not feel pain, and the fragile capillaries have ruptured and bleeding, forming bruises.
The same is true of the luteum, which can easily trigger the rupture of the entire luteum once the capillaries inside the luteum are bleeding under pressure.
In general, the lifespan of the corpus luteum is only 7 to 8 days, and it matures about a week after ovulation, when it is the largest in volume, usually 1 to 4 cm in diameter, and a few can reach more than 7 cm, and the size and color are similar to a small egg yolk.
As it continues to develop, the corpus luteum expands like a balloon that has been inflated, and the complex capillaries inside become more and more unstable.
The week before menstruation is the time when the volume of the corpus luteum is the largest, and it is most likely to rupture and bleed.
The point is, under what circumstances does the corpus luteum rupture?
Here we will mention a widely spread misconception: "The rupture of the yellow body is too intense for sex." ”
Strictly speaking, any external force collision may cause the yellow body to be compressed and cause rupture, and sexual behavior is just one of them.
Gynecological examination, abdominal blows, and even turning over while sleeping can cause the corpus luteum to rupture.
Running, forking, spinning and other lower limbs, more intense exercise is also the hardest hit area of yellow body rupture.
When constipation, forceful defecation, sneezing, coughing... Women may not pay attention to the luteal period, and will "anger" the fragile yellow body.
At the same time, some emotional problems, such as nervousness, anxiety, etc., will also increase the probability of lutein rupture.
In other words: as long as the corpus luteum is pressed, whether it is compressed by external force or caused by one's own force, there is a possibility of rupture.
Even more overwhelming is the spontaneous rupture of the yellow body.
Spontaneous corpus luteum rupture usually occurs internally ruptured and bleeding, followed by the rupture of the corpus luteum itself.
Women who carry pelvic inflammation themselves, such as postpartum infections and poor menstrual hygiene, are at greater risk of luteal rupture and may be more severe.
The causes of corpus luteum rupture are varied, too many to imagine, and the symptoms and manifestations are also different.
In general, the rupture of the corpus luteum can be divided into capillary hemorrhage and major bleeding.
The symptoms of the former are mild, the bleeding is confined to the membrane of the luteal body, and the pain in the abdomen can be reduced by itself. A small amount of blood is absorbed by the body without significant discomfort.
If the degree of vascular destruction is large, and even the corpus luteum membrane has ruptured, it may cause heavy bleeding, and the blood vessel damage will not heal itself.
Women who are under pressure in the abdomen during the luteal phase, followed by persistent abdominal pain, distention, nausea and vomiting, need to consider the possibility of heavy bleeding.
In this case, most patients will be in excruciating pain and go to the hospital on their own.
If the delayed consultation time is too long, too much blood flows into the abdominal cavity, which may lead to cold limbs, blood pressure drop and even shock, and only surgery can remove pelvic blood, and treatment is not timely or even life-threatening.
Therefore, the rupture of the yellow body is really sloppy.
Since the rupture of the yellow body is so terrible, how can we protect our own yellow body and prevent it from rupturing?
The answer is: there is no way to prevent it 100%.
At present, for the rupture of the luteal body, it can only be paid as much attention as possible, timely detection and proper treatment.
Rupture of the corpus luteum is medically characterized as a common acute abdomen in gynecology and is promptly sent to the emergency department as soon as it occurs.
In order to avoid delaying the time of medical treatment, women can simply distinguish whether they have a luteal rupture through some symptoms.
First, there is sudden, severe abdominal pain.
After a ruptured capillary vessel bleeds, if blood flows into the abdominal cavity, it can cause severe abdominal pain, usually pain in one side of the lower abdomen.
This abdominal pain comes violently and without warning, and as the amount of bleeding and the degree of blood vessel breakage increase, the pain in the abdomen becomes more pronounced.
Second, determine whether the time of abdominal pain is in the premenstrual period.
Because the abdominal pain during the rupture of the yellow body is similar to the pain of dysmenorrhea, many girls will mistake the rupture of the yellow body for normal abdominal pain before menstruation, and endure it again and again.
Luteal rupture and dysmenorrhea generally occur at different times, with the most likely period of occurrence being the week before menstruation.
That said, special attention needs to be paid to the persistent lower abdominal pain felt during premenstrual periods, especially if the abdomen is under external pressure.
It is likely that this is not a precursor to the onset of menstruation, but a manifestation of a ruptured luteum.
In addition to severe abdominal pain, in some cases the rupture of the corpus luteum can also reduce people's blood pressure, and in severe cases, they may even have difficulty breathing.
These symptoms come quickly and quickly, and can easily be ignored in the early stages.
But it does not mean that in the face of the rupture of the yellow body, the girls can only rely on luck and seek more blessings.
During the luteal phase, there are a number of protective measures that can help reduce the likelihood of luteal rupture.
Since the luteal phase is more dangerous, minimize strenuous exercise during this period to avoid abdominal compression.
For women with partners, during sex, the female reproductive organs will naturally expand and congestive, and the tension in the yellow body will be forced to rise.
According to studies, 57.1% of the luteal body rupture is due to the man's excessive movements during sex.
Therefore, when women are wearing the luteal body, they should pay special attention to the strength and mode of sexual life to avoid hurting the fragile corpus luteum.
Adolescent girl dies of excessive blood loss due to corpus luteum rupture due to sexual activity / source / fruit doctor
Luteal rupture is generally more common in young women aged 14 to 30 years, so it is also called "teenage killer".
This kind of emergency is rapid, and there is a possibility that it cannot heal itself, from taking medicine and hanging water to taking blood for heavy disease.
At present, the rupture of the corpus luteum has not attracted enough attention from everyone, and some girls also lack basic understanding and cognition of this emergency.
The misunderstanding between "luteal rupture" and "sexual life" has given a layer of "shame" filter to the rupture of the luteal body.
Even girls with luteal ruptures are labeled as "misconduct in their private lives".
Boring humiliation and moral kidnapping, mostly from ignorance.
If girls feel severe pain in the abdomen, they must seek medical treatment in time, and the consequences of strong tolerance may be more and more serious, and they can recover early if they are found early.
Instead of feeling ashamed or guilty of physical ailments, the haze that hangs over the rupture of the yellow body is time to dissipate.
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