Author: Sister Sa (attending doctor of obstetrics and gynecology)
While helping you popularize health knowledge, Sister Sa found out that there are quite a lot of ignorant reasons for breaking up. I posted “Break Up, Who Calls Your Nipples Inverted” a few days ago, It’s from the real experience of a girl.
There are inverted nipples here, and a few days ago came a “Break up, I’m afraid your corpus luteum ruptured and can’t have a baby!!“
Source: The True Story of the Doctor
I read too many reasons for this, and Sister Sa couldn’t get angry anymore, because if I followed this way, I would probably be so angry that I would die early.
Although I’m not angry, I still have to write the article, so that it will be convenient for you to throw the article on each other’s face in the future!
The rupture of the corpus luteum was really impressive to Sister Sa, because my cousin once jumped rope frantically in order to lose weight, and she burst the corpus luteum cyst on the ovary at night. The car was pulled over and an operation was done.
First, what is corpus luteum cyst rupture?
Before that, let’s talk about what a corpus luteum is.
After ovulation, the follicle wall collapses, and the blood vessels and connective tissue in the follicle extend into the granulosa cell layer. Under the action of luteinizing hormone, these granulosa cells continue to increase, The vacuolation, accumulation of yellow lipids, and the formation of a yellow structure is the corpus luteum.
Normal corpus luteum can make the ovary slightly enlarged. If the cystic corpus luteum persists or grows, it is easy to have a large amount of fluid in the corpus luteum cavity. When the diameter of the corpus luteum exceeds When it is more than 3cm, we call it ovarian corpus luteum cyst.
A more accurate term for a ruptured corpus luteum would be “ruptured ovarian corpus luteum cyst.” Ovarian corpus luteum cyst is a type of physiological cyst, but not only physiological cysts, such as follicular cysts or corpus luteum cysts, will rupture, pathological cysts such as endometriotic cysts, benign or malignant cystic elements may rupture .
During a normal menstrual cycle, the physiological rupture of small follicular cysts that occur with each ovulatory menstrual cycle typically causes no symptoms or only mild midmenstrual pain, also known as Pain or ovulation pain.
Image source: Zhanku Hailuo
Ovarian cyst rupture, which results in outflow of cyst fluid or cyst bleeding, may irritate the peritoneal cavity, causing abdominal pain, vaginal bleeding, intra-abdominal bleeding, and in severe cases, can cause very similar to rupture of an ectopic pregnancy The acute abdomen may cause shock or even life-threatening in a short period of time.
Ovarian cyst rupture is common in women of childbearing age[1], and in a case series of 70 women with a ruptured corpus luteum, the mean age of these patients was 27 years[2] .
Currently, the incidence of ruptured ovarian cysts is uncertain, but some data suggest that 4 percent of women will be hospitalized for ovarian cysts by age 65 [1].
In England and Wales, the proportion of women hospitalized for ovarian cysts in the national population was 67/100,000 over a 2-year period in the 1980s; the rate was slightly higher in the United States at 131/100,000 100,000[3].
Second, what happens when it breaks?
It may not show much, a small ruptured ovarian cyst may have no symptoms, or it may be mild discomfort, just rest.
Unfortunately, as soon as there is a performance, it will be a big performance, causing sudden unilateral lower abdominal pain. The typical manifestation is sudden local severe pain in the lower abdomen, which often occurs after intercourse or strenuous exercise[4].
Image source: Zhanku Hailuo
Pain from a ruptured ovarian cyst is usually unilateral lower abdominal pain. Pain is usually characterized by local sharp pain.
Pain may be moderate or severe in intensity and may worsen soon after the onset. The onset of pain is sudden and often begins with strenuous physical activity, such as exercising or having sex.
In the case of heavy bleeding, there will be shoulder pain or epigastric pain due to blood oozing under the diaphragm. When sitting, the pain may be aggravated due to the stimulation of the psoas muscle, and even lead to Hemorrhagic shock and death.
3. What should I do if it is broken??
Simple rupture can be managed with observation, analgesics, and rest, but for severe symptoms, consider persistent bleeding or In the case of hemodynamic instability, surgery is required.
In surgical treatment, laparoscopy is the preferred method because it causes fewer complications than traditional laparotomy, and ruptures benign ovarian cysts. In addition, non-menopausal women basically prefer cystectomy, which preserves normal ovarian tissue rather than removing the ovaries [5].
Image source: Zhanku Hailuo
So, because I experienced a “rupture of the corpus luteum”, I was worried that the other party would not be able to conceive and have children because of this, and for the man who quickly chose to break up, Sister Sa just wanted to say:
Score, score now! It’s not that you don’t want people, it’s that they should dump you!
Such a man is too ignorant. It would be too lucky for a woman to divide it earlier. Shouldn’t it be saved for Labor Day? !
After all, the rupture of the corpus luteum is a thing. The symptoms are mild and you can feel a little pain. If it is serious, it is possible to suffer from severe bleeding and shock. At the juncture of life and death, do not talk about distress or care, but only think about a man like “can you have children in the future”, can you really rest assured to spend a lifetime with him in the future?
Let’s not say anything else, before giving birth to a baby, if there is an emergency, I need to cut the uterus and ovaries. If this is true, will I have to get a divorce after leaving the hospital? already? Sister Sa once said that childbirth should be a right that women can choose instead of having to perform an obligation. At that time, someone replied in the background:
You women have the right to choose to have children, and our men also have the right to choose a fertile wife!
Is there anything wrong with that?
No problem, honestly, of course!
There is always a time when everyone agrees on a goal. As long as both parties in the marriage feel that there is no problem, then go for fertility!
People need to survive and reproduce. This is instinct, and it is understandable. Fertility is an important part of the consideration when looking for a partner, but if fertility is given the first priority, it is beyond all other considerations. So what’s the difference between humans and animals?
Life is alive, fertility is not the only factor that determines a person’s life and happiness, even if you now meet a person who is worried that you will not be able to have children because of a little trouble, and Hurry up to say goodbye to your ex-boyfriend, it doesn’t mean that your life will be dark from now on.
This experience only means that you left the wrong person, and more should be believed: The next man will be better. There are always so many things that we can cherish and love. Sister Sa has also seen many DINK partners who are still happy. Although they have no children, love enriches their emotions in another form.
There are also many strong women who, after suffering from diseases and other problems, still live colorful lives and find their own happiness with their own charm, even though they cannot bear children by themselves. Sister Sa has always believed that the value of a woman should never be determined by the function of her uterus and ovaries.
Those who try to judge your worth based on this are not worth caring about!
References:
[1] Bottomley C , Bourne T . Diagnosis and management of ovarian cyst accidents[J]. Best Practice & Research Clinical Obstetrics & Gynaecology, 2009, 23(5):711-724.
[2] Raziel A , Ron-El R , Pansky M , et al. Current management of ruptured corpus luteum[J]. European Journal of Obstetrics & Gynecology & Reproductive Biology, 1993, 50 (1):77-81.
[3] Westhoff C , Clark CJG . Benign ovarian cysts in England and Wales and in the United States[J]. British Journal of Obstetrics and Gynaecology, 1992, 99(4):329 -332.
[4] UP TO DATE: Evaluation and Management of Ruptured Ovarian Cysts
[5] Teng SW , Tseng JY , Chang CK , et al. Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum.[J]. Journal of the American Associationof Gynecologic Laparoscopists, 2003, 10(4):474-477.
* This article is reproduced with the authorization of the WeChat public account Doctor Girl Zhengzhuan.