What causes ovarian corpus luteum rupture?

I believe that many people do not care much about the problem of ovarian corpus luteum rupture. In fact, it is also a kind of gynecological disease. Some are caused by spontaneous rupture, and some may be caused by external forces, such as running, coughing hard, or rough sexual behavior.

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 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.

Second, it is the result of external forces

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.

Treatment

The treatment principles are basically the same as those for ectopic pregnancy, and there are two methods: conservative and surgical. However, since the chance of recurrent bleeding is smaller, once the condition stabilizes, conservative treatment is more likely to be successful under close observation. If the diagnosis of this disease is confirmed by laparoscopy, conservative treatment will be more confident. The surgical 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 autotransfused to save blood.