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Her corpus luteum rupture was suspected of infertility, and the obstetrician-gynecologist advised: Break up quickly

Author:Sa Jie (Attending Physician of Obstetrics and Gynecology)

Sister Sa help you popularize popular health knowledge at the same time, found that the screening out of the ignorant reasons for breaking up is really a lot, the other day sent "break up, who called you nipple inverted", is from a sister's real experience.

There are nipples inverted here, and a few days ago came a "break up, I'm afraid you can't have a baby if your yellow body ruptures!""

Her corpus luteum rupture was suspected of infertility, and the obstetrician-gynecologist advised: Break up quickly

Source: The Doctor Woman Biography

This kind of reason is too much, and Sister Sa can't get angry anymore, because according to such a qi method, it is estimated that I will be angry and hang up early.

Although it is not angry, but the article still has to be written, so that you will take the article in the face of the other party in the future is also convenient!

The rupture of the yellow body was really impressive for Sajie, because my cousin once jumped rope madly in order to lose weight, and as a result, the corpus cyst on the ovaries was broken at night, and the ambulance pulled over for an operation.

First, what exactly is the rupture of the luteal cyst?

Before that, let's talk about what the yellow body is.

After the female ovary ovulation, the follicle wall collapses, the blood vessels and connective tissue inside the follicular membrane protrude into the granular cell layer, under the action of luteinizing hormone, these granule cells continue to grow, vacuotic, accumulate yellow lipids, form a yellow structure, that is, the corpus luteum.

Normal corpus luteum can make the ovaries slightly enlarged, if the cystic corpus luteum continues to exist or grow, it is easy to have a large amount of fluid in the luteal cavity, when the diameter of the lutein cavity exceeds 3cm or more, we call it ovarian luteal cyst.

A more accurate term for luteal rupture would be "rupture of an ovarian luteal cyst". Ovarian corpus luteal cysts are a type of physiological cyst, but not only physiological cysts, such as follicular cysts or luteal cysts, rupture, pathological cysts such as endometriosis cysts, benign or malignant cyst components, may rupture.

In a normal menstrual cycle, the physiological rupture of a small follicle cyst that occurs during each ovulatory menstrual cycle generally does not cause symptoms, or only mild mid-menstrual pain, which is also called intermenstrual pain or ovulation pain.

Her corpus luteum rupture was suspected of infertility, and the obstetrician-gynecologist advised: Break up quickly

Image source: Stand Cool Helo

The rupture of the ovarian cyst leads to the outflow of cyst fluid or cyst bleeding, which may stimulate the peritoneal cavity, causing abdominal pain, vaginal bleeding, intra-abdominal bleeding, and in severe cases, acute abdomen that is very similar to the rupture of ectopic pregnancy, which may cause shock in a short period of time and even endanger life.

Rupture of ovarian cysts is more common in women of childbearing age [1], and a case series of studies including 70 women with ruptured luteal bodies found that the average age of these patients was 27 years [2].

At present, we are not sure about the incidence of ovarian cyst rupture, and some data suggest that 4% of women have been hospitalized for ovarian cysts by the age of 65 [1].

During the two years of the 1980s in England and Wales, 67/100,000 women were hospitalized for ovarian cysts in the national population; in the United States, the proportion was slightly higher at 131/100,000[3].

Second, what are the performances of the rupture?

There may be no performance, and the rupture of a relatively small ovarian cyst may have no symptoms, or it may be a little mild discomfort, just take a break.

In bad luck, a manifestation is a big performance, causing sudden unilateral pain in the lower abdomen. Typically presents with sudden, localized severe pain in the lower abdomen, often following intercourse or strenuous exercise [4].

Her corpus luteum rupture was suspected of infertility, and the obstetrician-gynecologist advised: Break up quickly

The pain caused by ruptured ovarian cysts is usually unilateral pain in the lower abdomen. Pain is usually characterized by local sharpness.

The intensity of the pain may be moderate or severe and may worsen soon after the attack. Pain attacks are sudden and often begin during strenuous physical activity such as exercise and sexual intercourse.

In the case of more bleeding, shoulder pain or epigastric pain may occur due to blood oozing from the diaphragm, and pain may be exacerbated by psoas muscle stimulation when sitting, and even lead to hemorrhagic shock and death.

Third, how to deal with it when it is broken?

If it is a simple rupture, it can be treated with observation, analgesic drugs, and rest, but surgery is required for severe symptoms, considering the presence of persistent bleeding or hemodynamic instability.

Laparoscopy is the preferred surgical modality in surgical treatment because it is less fraught with complications than traditional laparotomy, and cystectomy is generally preferred for women with benign ovarian cyst ruptures and no menopause, which preserves normal ovarian tissue rather than removing the ovaries [5].

Her corpus luteum rupture was suspected of infertility, and the obstetrician-gynecologist advised: Break up quickly

Therefore, because of experiencing a "luteal rupture", I am worried that the other party will not be able to get pregnant and have a child because of this, and hurry to choose the man who breaks up, Sajie only wants to say:

Divide it, hurry up! It's not that you don't want people, but you should dump you by the girls!

Such a man is too ignorant, and it is too lucky to divide it early, is it too lucky to be a woman, and is it not necessary to keep it for Labor Day?!

After all, the yellow body rupture of this thing, the symptoms can be slightly painful, serious, in case of a big bleeding shock and small life, it is possible, and in their girlfriend experienced this life and death juncture, not to say that the heartache does not talk about care, but only want to consider "can you still have children in the future" such a man, can you really rest assured that you can live with him for a lifetime?

If nothing else, before really having a child, if there is any emergency, you need to cut a uterine ovaries, if this is real, is it necessary to divorce when you are discharged from the hospital? Sajie once said that childbearing should be a woman's right to choose rather than have to fulfill her obligations, and someone in the background replied at that time:

You women have the right to choose to procreate, and we men also have the right to choose to find a wife who can have children!

Is there something wrong with that?

No problem, to be honest, of course!

When everyone always has a goal to agree, as long as both parties to the marriage feel that there is no problem, then run to procreate!

It is instinctive that people need to survive and reproduce, and there is nothing wrong with it, and fertility is an important part of considering when looking for a partner, but if fertility is put first, beyond all other considerations, then what is the difference between humans and animals?

Life in the world, childbirth is not the whole factor that determines a person's life and happiness, even if you now meet an ex-boyfriend who is worried that you will not be able to have children because of a little wind and grass, and hurry to say goodbye to you, it does not mean that your life is dark from now on.

This experience only means that you have left the wrong person, and what you should believe more is that the next man will be better. There are always so many things that we can cherish and love, and Sister Sa has also seen many Dink but still happy partners, although there are no children, love makes their emotions full in another form.

There are also many strong women, after encountering problems such as diseases, although they can not give birth on their own, they still live a colorful life, and still find their happiness with their charm. Sajie has always believed that a woman's value should never be determined by the function of her uterus and ovaries.

Those who try to judge your value in this way are not worth caring about!

bibliography:

[1] Bottomley C , Bourne T . Diagnosis and management of ovarian cyst accidents[J]. Best Practice & Research Clinical Obstetrics & Gynaecology, 2009, 23(5):711-724.

[2] Raziel A , Ron-El R , Pansky M , et al. Current management of ruptured corpus luteum[J]. European Journal of Obstetrics & Gynecology & Reproductive Biology, 1993, 50(1):77-81.

[3] Westhoff C , Clark C J G . Benign ovarian cysts in England and Wales and in the United States[J]. British Journal of Obstetrics and Gynaecology, 1992, 99(4):329-332.

[4] UP TO DATE: Evaluation and management of ovarian cyst rupture

[5] Teng S W , Tseng J Y , Chang C K , et al. Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum. [J]. Journal of the American Association of Gynecologic Laparoscopists, 2003, 10(4):474-477.

* This article is reprinted with permission from the WeChat public account Doctor Girl Zhengchuan.

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