What is progesterone breakdown?

Corpus luteum rupture is one of the common gynecological acute abdominal diseases, which often occurs in young women aged 14 to 30 years old. It is also called the "youth killer" by many people. So what is the cause of corpus luteum rupture? Let us take a look at the relevant situation below.

Causes of Corpus Luteum Rupture

1. Fully automatic splitting

Under normal circumstances, the yellow body bleeds, but if the bleeding is too much, it may increase the pressure of the yellow body and cause spontaneous rupture. Many people believe that during the luteinization period, blood vessels do not function properly, which can easily lead to capillary bleeding in the corpus luteum and cause corpus luteum rupture.

2. Caused by external force

When the lower abdomen is hit, as well as when you jump, run, cough hard or defecate vigorously, the pressure in the abdomen suddenly increases, which can promote the decomposition of the corpus luteum. In addition, during sexual intercourse, the female reproductive organs expand and swell, the tension in the corpus luteum increases, and the man's movements are rough, and the woman's lower abdomen is subjected to severe impact, which can also cause corpus luteum rupture.

In short, if pregnant women experience sudden severe lower abdominal pain within a week after the mid-to-late menstrual period, they should consider the possibility of corpus luteum rupture and immediately ask a gynecologist for expert consultation and appropriate solutions.

3. Other reasons

Except for abdominal pain, corpus luteum rupture mostly occurs in the second half of the menstrual cycle, and there are usually no symptoms of delayed menstruation and vaginal bleeding. The key evidence for the diagnosis of capillary rupture is also through vaginal posterior fornix or abdominal puncture. Pregnancy tests are usually negative. Therefore, if a gynecological patient with acute abdomen due to capillary rupture does not have symptoms of amenorrhea or bleeding, and the pregnancy test is negative, the possibility of ovarian corpus luteum rupture should be considered. Laparoscopic examination can show the corpus luteum and rupture of the ovary, sometimes with specific bleeding, and the fallopian tubes on both sides are normal. The treatment standards are basically the same as those for ectopic pregnancy, including traditional and surgical treatments. However, since the chance of recurrent bleeding is small, once the condition stabilizes, conservative treatment is likely to be successful under close observation. If the disease is confirmed by laparoscopy, conservative treatment will be more confident.

Symptoms of Corpus Luteum Rupture

1. The degree of abdominal pain in the patient's clinical symptoms will also be quite different. Its development process is basically the same as that of abdominal pain in ectopic pregnancy. However, in bilateral tubal abortion, abdominal pain may occur several times due to repeated bleeding, while in ovarian corpus luteum rupture, it can slowly coagulate and activate blood circulation after one bleeding, and the chance of recurrence is less.

2. Sudden lower abdominal pain in the first half of the menstrual period, tenderness and rebound pain in the lower abdomen, dull pain in the posterior fornix during gynecological examination, cervical shaking pain, and a lump in the adnexal area on one side with pain when pressed. Ultrasound can reveal pelvic effusion and adnexal masses, and blood drawn out by posterior fornix puncture has no coagulation function. Its clinical symptoms, clinical features and B-ultrasound results are similar to those of ectopic pregnancy, especially the increased menstrual cycle. When urine HCG is weakly positive, it is easy to misdiagnose it as ectopic pregnancy, increasing the chances of surgical treatment.

3. In addition to abdominal pain, most ovarian corpus luteum rupture occurs in the second half of the menstrual cycle, and there are generally no symptoms of delayed menstruation or vaginal bleeding. The key evidence for the diagnosis of capillary rupture is also through vaginal posterior fornix or abdominal puncture. Pregnancy tests are usually negative. Therefore, if a gynecological patient with acute abdomen due to capillary rupture does not have symptoms of amenorrhea or bleeding, and the pregnancy test is negative, the possibility of ovarian corpus luteum rupture should be considered. Laparoscopic examination can show the corpus luteum and rupture of the ovary, sometimes with specific bleeding, and the fallopian tubes on both sides are normal.