Patient's question:
Sudden severe lower abdominal pain, with persistent dragging and fullness sensation. Admitted for treatment and discharged on January 3rd, still experiencing dragging and fullness sensation, slight lower abdominal pain, gradually developing nausea and vomiting again. Today, there is bleeding from below, the blood is bright red, without abdominal pain, slight dizziness and weakness, with a temperature of 36.6°C. Previously, during the luteal phase, the temperature was between 36.8°C and 37.2°C. What could be the cause? Is there a good method? What kind of help is needed: How to handle a luteal cyst with bleeding?Doctor's answer:
Normal corpus luteum is a cystic structure, which can make the ovary slightly smaller. If the cystic corpus luteum persists or grows, or if the corpus luteum hematoma contains a large amount of blood, which is then calcified, it can lead to corpus luteum cyst. Since the cyst continuously secretes progesterone, it often causes delayed menstruation. If the cyst ruptures, it can cause abdominal pain and vaginal bleeding again, which is very similar to the rupture of ectopic pregnancy. Corpus luteum cysts have a tendency to spontaneously atrophy and usually cause no symptoms. In clinical diagnosis, there are also a very small number of cases that disappear on their own. However, once the cyst ruptures, it can lead to internal bleeding or acute abdomen, so it is essential to seek timely treatment.