Does corpus luteum rupture affect fertility?

For women of childbearing age, a corpus luteum will appear after ovulation. Once it ruptures, it will cause bleeding. Corpus luteum rupture is more common in unmarried girls and girls with dysmenorrhea. So, does corpus luteum rupture affect fertility? If there is a strong impact in the late stage of menstruation, it is easy to cause the corpus luteum to rupture. Whether it will affect the rest depends on the situation of the corpus luteum rupture and whether it affects the ovarian function itself.

Generally speaking, corpus luteum rupture itself does not prevent future conception. Only when the corpus luteum ruptures, severe abdominal bleeding occurs, and pelvic inflammatory disease occurs, may fertility be affected. Alternatively, female infertility may occur if the doctor performs the operation improperly or fails to provide effective anti-inflammatory treatment after the operation, resulting in fallopian tube adhesions or other inflammation that leads to infertility.

The misdiagnosis rate of corpus luteum rupture is currently high. Once the corpus luteum ruptures, the changes vary from person to person, and the clinical manifestations also vary greatly. Some people only experience sudden mild abdominal pain, and the ruptured capillaries heal on their own, and the small amount of blood that flows out is also absorbed on its own. Some patients experience severe abdominal pain, and the blood vessels in the corpus luteum are subsequently damaged, causing blood to flow into the abdominal cavity. In severe cases, hemorrhagic shock may occur. Therefore, it is easy to be confused with acute appendicitis and ectopic pregnancy. The most important thing for a correct diagnosis is to carefully inquire about the menstrual history and combine it with clinical manifestations and examinations for a comprehensive analysis.

Causes of corpus luteum rupture

1. Rupture on its own. During the vascular proliferation period of the normal corpus luteum, bleeding occurs in the corpus luteum cavity, and sometimes the blood can fill the entire corpus luteum cavity. At this time, the corpus luteum appears as a large hemorrhagic structure, or called a hematogenous body. The hematogenous body of the corpus luteum continues to expand, and the internal pressure increases to a certain level, and rupture may occur. Holding urine and excessive emotional stress can also be triggers of corpus luteum rupture.

2. Caused by sexual intercourse. During sexual intercourse, the female reproductive organs expand and become engorged. When reaching orgasm, the muscles of the reproductive organs contract, and the tension in the corpus luteum increases. In addition, the man's movements are rough, and the woman's lower abdomen is subjected to a strong impact, which can cause the corpus luteum to rupture. Even if you are not married, as long as you have sexual experience, you should consider the possibility of corpus luteum rupture. You cannot assume that unmarried women will not suffer from this disease. Therefore, when a woman experiences lower abdominal pain after sexual intercourse, she must not be careless.

3. Simple impact on the abdomen. Any sudden external impact, such as severe falls, violent jumps, rapid running, etc., will cause a sudden increase in abdominal pressure. During the late ovulation period, the corpus luteum is in a "swelling" period, which may lead to corpus luteum rupture. Some people may also cough. Coughing is one of the most common symptoms of respiratory diseases. It is a protective nerve reflex. Coughing produces an expiratory impact action, which can expel foreign objects or secretions in the respiratory tract from the body. The disease occurs when defecating, vomiting, etc.