Ovarian apoplexy

A ruptured follicle forms a temporary cyst - a corpus luteum - which produces hormones to continue the cycle and mature the uterine lining.

Other possible causes of ovarian rupture include abdominal trauma, excessive physical stress, vigorous sexual intercourse, horseback riding, etc.

In a general blood test, a marked decrease in hemoglobin levels can be seen (in the anemic and mixed forms of ovarian apoplexy).

Pelvic ultrasound reveals in the affected ovary a large corpus luteum cyst with signs of hemorrhage in it and/or free fluid (blood) in the abdominal cavity.

In the case of pain without signs of intra-abdominal bleeding, conservative therapy may be initiated, which includes bed rest, antispasmodics, and physiotherapy.

Such steps include avoiding risk factors or beginning a regimen of oral contraceptives to control ovarian activity.

This image depicts a set of ovaries, one of which is normally functioning (left), and healthy, whilst the other one has apoplexy, or the hemorrhaging of an organ. The ovary on the right's surface has been breached, and is bleeding. It has been cut off from the body's supply of nutrients and necrosis has set in. Apoplexy can also happen in the brain and the stomach.