Do you know the causes and main symptoms of 'ovarian bleeding'?

 

Ovaries, which are an important part of the body for making babies, can sometimes bleed. That's ovarian bleeding. Symptoms of ovarian bleeding vary from mild cases that do not require a visit to the hospital to severe cases that require surgery. This time, I will explain about such ovarian bleeding. It also discusses causes, effects on pregnancy, treatment methods, and prognosis, so if you are struggling with the same symptoms, please refer to it.

Symptoms and causes of ovarian bleeding

There are two types of ovarian bleeding:

• follicular hemorrhage
• hemorrhagic corpus luteum

Inside the ovary are a collection of somatic cells that surround the egg called a follicle. The follicle is essential for pregnancy because it plays a role in the growth and ovulation of the egg. The condition in which the follicle is torn and bleeding is called follicular hemorrhage, and the hemorrhagic corpus luteum follicle is torn and bleeding from the corpus luteum containing blood.

Please let us know the symptoms of ovarian bleeding.

The main symptoms are bleeding and lower abdominal pain. There is persistent pain, and when it becomes severe, symptoms such as worsening of lower abdominal pain, nausea or diarrhea may appear. Caution is needed because symptoms similar to those of an ectopic pregnancy occur.

I was told it could be in shock...

If you bleed too much, your blood pressure may drop and you may go into a state of shock. If you experience bleeding or lower abdominal pain before this condition, see a doctor immediately.

I want to know what causes ovarian bleeding.

There are three main causes of ovarian bleeding:

• exogenous
• endogenous
• idiopathic

In order from the above, exogenous causes refer to external stimuli such as the effects of diseases such as egg collection, ovarian surgery, and endometriosis for the purpose of infertility treatment. Intrinsic refers to stimuli in the body, such as blood clotting abnormalities or effects by drugs such as anticoagulants. Finally, although idiopathic, the causes of idiopathicity involve ovarian functions and mechanisms. Ovarian bleeding is a symptom that can occur in anyone during the menstrual cycle even without extrinsic or intrinsic causes. Among them, the rate of occurrence in the luteal phase is very high, accounting for 90%. The luteal phase is the period immediately after ovulation and refers to the end of the menstrual cycle. This can result in a corpus luteum containing blood called a hemorrhagic corpus luteum. Ovarian bleeding is the result of rupture of this corpus luteum by an external stimulus such as sexual activity. As such, ovarian bleeding is a symptom that is more likely to occur in women.

Does age have anything to do with it?

The ovum inevitably decreases as we get older. A condition in which there are no eggs in both ovaries is called menopause. As mentioned earlier, ovarian bleeding is a symptom of tearing of the follicle or corpus luteum. When the number of eggs reaches zero at menopause, of course, the follicle also disappears, so ovarian bleeding does not occur. So, the question is, how old are you when you reach menopause? There are individual differences in the age at which menopause enters, some people reach their 40s, and others in their 60s. Therefore, it is good to consider that people who have not yet reached menopause have a good chance of developing ovarian bleeding. It can be said that it has to do with whether or not a person is undergoing menopause rather than a relationship with age.

Ovarian bleeding test and treatment

One thing to watch out for when you have ovarian bleeding is the possibility of an ectopic pregnancy. An ectopic pregnancy refers to the implantation of a fertilized egg in a place other than the uterus. Because the characteristics of this ectopic pregnancy are bleeding and lower abdominal vomiting, it is similar to ovarian bleeding, so symptoms alone cannot make a proper diagnosis. So, the first thing that is done is a pregnancy test. Knowing whether you are pregnant can also help determine ovarian bleeding and ectopic pregnancy. If you are diagnosed with ovarian bleeding at that time, the test is done with an echo to see if there is any stagnant blood, and if the blood is aspirated, the test is complete.

Why are you checking to see if you are pregnant?

As mentioned earlier, ectopic pregnancy and ovarian bleeding have many similar symptoms. However, testing and treatment after a pregnancy test are completely different. Ectopic pregnancies have many deaths due to delay in treatment or detection. Therefore, early detection and early treatment are required. Ovarian bleeding is also life-threatening in the case of massive bleeding, but pregnancy confirmation is necessary for any symptoms to be properly tested and treated.

Please tell me how to treat ovarian bleeding.

Treatment varies depending on the amount of bleeding. If there is not much bleeding, there are many cases of spontaneous healing, so follow-up is observed, but since it can cause anemia, most cases are hospitalized. If it is a small amount, hospitalization for about a week is sufficient, but tests are performed regularly during this hospitalization period. It is necessary to check and determine the amount of bleeding and the state of anemia during a blood test or an echo test. If there is a lot of bleeding, surgery and hemostasis are done. There are two possible surgical options:

• open surgery
• laparoscopic surgery

Laparotomy, as the name suggests, is an operation that opens the abdomen. In laparoscopic surgery, laparoscopy refers to an endoscope, and refers to a method of performing surgery while viewing an intra-abdominal image through an endoscope inserted through an incision in the abdomen. There are two methods for hemostasis, these are the following two.

• Cauterization hemostasis by electric females, etc.
• Resection of some ovaries

In some cases of ovarian resection, it is performed after confirming whether you wish to become pregnant in the future.

Prognosis and precautions for ovarian bleeding

Can it cause rebleeding?

Although I mentioned earlier that ovarian bleeding can happen to women who have not reached menopause, the percentage of people who actually do have ovarian bleeding is not very high. This means that ovarian bleeding itself is rare.

Therefore, while it cannot be said that there is absolutely no chance of rebleeding, it seldom happens.

Does causing ovarian bleeding affect pregnancy?

The egg is essential for pregnancy. There are many patients who have anxiety about pregnancy because of bleeding from the ovaries that are producing such eggs. In conclusion, ovarian bleeding does not affect pregnancy or childbirth. Conversely, ovulation is occurring normally because it is caused by ovulation.

Please tell me what can be done to prevent recurrence.

As mentioned above, recurrence of ovarian bleeding is extremely rare. But that doesn't mean that no one has relapsed, so many people are anxious. Ovarian bleeding is caused by ovulation and does not occur in people who have gone through menopause. Therefore, the method of stopping ovulation becomes effective as prevention. So, the question is what can a non-menopausal person do to stop ovulation? There are medicines as a way to stop ovulation. Most commonly used drugs are low-dose pills or progesterone drugs. In particular, low-dose pills are known as birth control pills, which can also be used to prevent ovarian bleeding due to the characteristics of low-dose pills. Low-dose pills increase the levels of follicle hormones and progesterone, bringing your body closer to the time of pregnancy, tricking your brain into thinking you're pregnant, and stopping ovulation. If you are not planning to become pregnant and want to prevent recurrence of ovarian bleeding, consider low-dose pills.

Ovarian bleeding has little effect on pregnancy or childbirth, but heavy bleeding can make it more severe, such as shock. If there is any amount of bleeding before menstruation and even a small amount of bleeding appears to be accompanied by pain in the lower abdomen, consult a hospital as soon as possible. In some cases, it may be an ectopic pregnancy. In the case of an ectopic pregnancy, early detection and early treatment are important, so it is important to take that possibility into account. You can't be vigilant even if it doesn't affect your pregnancy, so if you feel any abnormality in your condition, not just ovarian bleeding, contact the hospital.

organize

This time, I explained about ovarian bleeding. Ovarian hemorrhage is caused by follicles or hemorrhagic corpus luteum follicles, which are caused by ovulation. An ectopic pregnancy has symptoms similar to ovarian bleeding. Ectopic pregnancy requires early detection and early treatment, and since the test method and treatment are different from ovarian bleeding, it is necessary to conduct a pregnancy test first. Pregnancy testing is important because life-related aggravation can be prevented with proper testing and treatment. Although recurrence of ovarian bleeding is rare, the use of drugs that stop ovulation, such as low-dose pills, is effective as a preventive method. Since low-dose pills can be prescribed by many gynecologists, prophylaxis in this way is one way to avoid ovarian bleeding. Let's protect our own health with proper self-care.