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Sometimes there may be inter-menstrual bleeding or spotting after menstruation. Quite often, ovarian apoplexy occurs after intercourse or training in the gym, when pressure in the abdomen has increased or ovarian tissue has experienced some stress. However, rupture of ovarian tissue can occur in conjunction with other diseases. [citation needed]
Corpus luteum cysts are a normal part of the menstrual cycle. They can, however, grow to almost 10 cm (3.9 in) in diameter and have the potential to bleed into themselves or twist the ovary, causing pelvic or abdominal pain. It is possible the cyst may rupture, causing internal bleeding and pain. This pain typically disappears within a few days ...
There are four types of ovarian cysts — functional cysts, PCOS cysts, benign ovarian tumor and malignant ovarian tumor — that range from harmless to fatal.
Ovarian wall rupture: The ovaries have no openings; at ovulation the egg breaks through the ovary's wall. This may make ovulation itself painful for some women. [6] [unreliable medical source?] Fallopian tube contraction: After ovulation, the fallopian tubes contract (similar to peristalsis of the esophagus), which may cause pain in some women.
Cysts that grow abnormally large, as Smith's did, can cause "pressure or pain" — and can lead to other complications, because they can bleed or rupture, exacerbating the pain.
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A ruptured ovarian cyst is usually self-limiting, and only requires keeping an eye on the situation and pain medications for a few days, while the body heals itself. [5] Rupture of large ovarian cysts can cause bleeding inside the abdominal cavity. [5]
On occasion an ovarian cyst can rupture and give rise to internal hemorrhage. This may occur during ovulation or as a result of endometriosis. If the pregnancy test is positive, consider pregnancy related bleeding (see obstetrical hemorrhage), including miscarriage and ectopic pregnancy.