What Is a Hemorrhagic Ovarian Cyst?
A hemorrhagic cyst is formed when any tiny blood vessel present on the wall of an ovarian cyst gets ruptured. Blood and debris fills up the cyst cavity, forming a hemorrhagic cyst.
What Are Ovarian Cysts?
Ovary is a part of female reproductive system. It produces and stores eggs, the female gametes to be precise.
Each month, one of the egg matures and grows up. It is bound inside a sac or follicle during its maturation phase. After it has grown to its full size, it approaches the boundary of the ovary to ultimately be released inside the fallopian tube. The sac containing it is left behind and dissolves on its own.
There are two kinds of ovarian cysts.
If any of the follicle/ sac containing the egg does not release it in the end, it forms a follicular cyst. This is a fluid filled sac in side the ovary, still containing the egg.
Corpus Luteal Cyst
Routinely, the follicle containing the egg releases it after full maturation into the tube, and itself gets dissolved. Sometimes, the sac, after release of egg, does not get dissolved. It stays in the ovary like a fluid filled sac. This is called a corpus luteal cyst.
Such cysts are lined by thin blood vessels.
Out of the two, hemorrhage in commoner inside the corpus luteal cyst, since it is lined inside by many tiny blood vessels, that may potentially rupture.
Ovarian cysts occur commonly in women during her reproductive age. They may be symptom less. So, you may not notice their presence.
Many of them regress on their own with time to disappear. No medical intervention is required.
Ovarian Cyst And Pregnancy
You may have an ovarian cyst and get pregnant.
Since you are pregnant, doctor can’t manipulate or operate the cyst at this moment. You have to move on now with your pregnancy and the cyst together, very carefully.
Usually, such cysts don’t interfere with pregnancy. There are chances that it stays as such or even regress with time.
However, sometimes such cysts may complicate. So, you and your doctor need to monitor it closely.
- A hemorrhagic cyst may rupture, leaking out blood inside the pelvic cavity. This may be accompanied by acute pain lower down. This condition is a medical emergency, to be rushed to the ER immediately.
- Such cysts may give you frequent painful episodes due to stretching of the ovarian wall.
- May get infected. Infection has chances of spreading to other pelvic organs too. So, antibiotic treatment is mandatory.
- May cause a crampy pain, suggesting that it is slowly leaking out, such a situation may lead to preterm labor.
- It may twist. This is another very painful condition. The patient needs to be taken to the hospital immediately.
In all above conditions, medical intervention would be required.
You have to be watchful for any of the above events. For that, monitor the cyst closely by U/S. Also, if you feel any pain, leaking blood from down there, or cramps, report to your doctor immediately.
Management During Pregnancy
- Let the strategy be such that you complete your pregnancy weeks as many as possible without disturbing the cyst. For that, you need to take a lot of bed rest.
- Do not lift any heavy object or strain yourself at work. This would stretch the ligaments and musculature of the pelvic area, giving chances for the cyst wall to break or twist.
- Keep a close eye on the cyst. This is done by regular follow ups with ultrasound monitoring. If you get any alarming symptom, report to your doctor immediately.