What causes progesterone breakdown?

Corpus luteum rupture is an uncommon symptom that usually occurs in women. There are two main reasons for corpus luteum rupture. One is automatic rupture, which is related to vascular corpus luteum insufficiency. Another reason is external force. If a woman engages in strenuous exercise, which causes increased intra-abdominal pressure, the corpus luteum will also rupture. Next, I will introduce to you the causes of corpus luteum rupture and other related knowledge!

1. Causes

1. Automatic rupture

Normally there is a small amount of bleeding in the corpus luteum, but if there is too much bleeding, it may increase the pressure in the corpus luteum and cause spontaneous corpus luteum rupture. Some people believe that during the period of luteinization, vascular dysfunction occurs, which makes capillary bleeding in the corpus luteum prone to occur, leading to corpus luteum rupture.

2. External force

If the lower abdomen is hit, or if you jump, run, cough hard or defecate violently, the pressure in the abdominal cavity will suddenly increase, which can cause the mature corpus luteum to rupture. In addition, during sexual intercourse, the female reproductive organs expand and become congested, the tension in the corpus luteum increases, and the man's rough movements cause a strong impact on the woman's lower abdomen, which can also lead to rupture of the corpus luteum.

2. Clinical manifestations

The onset is sudden, with severe pain on one side of the lower abdomen, which becomes continuous pain after a short time and may gradually ease or worsen again. Generally there is no vaginal bleeding or bleeding as much as menstruation (external bleeding). Severe internal bleeding may cause shock.

3. Inspection

1. The patient has no history of amenorrhea, and the onset of the disease often occurs between two menstrual periods or before menstruation, and after sexual intercourse.

2. Abdominal examination shows obvious tenderness and rebound tenderness. If there is a lot of internal bleeding, there will be mobile dullness on percussion.

3. Gynecological examination showed that the uterus was of normal size, the posterior fornix was tender, and a mass with unclear boundaries and tenderness could be felt in the adnexa.

4. Routine blood examination: white blood cell count is normal or slightly higher, red blood cell count and hemoglobin are decreased.

5. Puncture of the posterior vaginal fornix can extract non-coagulated blood.

6. Perform gynecological B-ultrasound and laparoscopy if necessary.

IV. Treatment

The treatment principles are basically the same as those for ectopic pregnancy, and there are two methods: conservative and surgical.

1. Conservative treatment

Some corpus luteum cysts rupture without much bleeding and the rupture can close on its own after conservative treatment. If the diagnosis of this disease is confirmed by laparoscopy, conservative treatment is performed. The cure is when the abdominal pain and fluid accumulation disappear.

2. Surgery

The onset is acute, the clinical symptoms are severe, there is heavy internal bleeding or ectopic pregnancy, and early surgery can reduce blood loss. The method is laparotomy to stop bleeding, and the ruptured corpus luteum often needs to be removed and then sutured. During the operation, accumulated blood is removed and fresh internal bleeding can be autologously transfused.