Luteal cyst
Hello doctor, I experienced severe abdominal pain after sexual intercourse and went to the emergency room for an ultrasound, which diagnosed a mild hemorrhage in the corpus luteum (my period is also approaching).
The doctor has prescribed me medication for bleeding and pain relief to take for 1-3 days.
Is it normal to have occasional mild cramping in the lower abdomen (intermittent)?
Ting Ting, 20~29 year old female. Ask Date: 2016/11/28
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, I apologize for being unable to diagnose based on the described symptoms.
It should still be possible; if you continue to feel unwell, I recommend seeing a gynecologist for an examination.
Wishing you good health.
Reply Date: 2016/11/28
More Info
Experiencing mild pain after a diagnosis of a corpus luteum cyst, especially following sexual intercourse, can be concerning. However, it is important to understand the nature of ovarian cysts and the typical symptoms associated with them.
A corpus luteum cyst forms after an egg is released from the ovary during ovulation. After the egg is released, the follicle transforms into the corpus luteum, which produces hormones necessary for maintaining a potential pregnancy. If pregnancy does not occur, the corpus luteum typically dissolves. However, sometimes it can fill with fluid or blood, leading to a corpus luteum cyst. These cysts are usually benign and often resolve on their own without treatment.
In your case, the ultrasound indicated mild bleeding associated with the corpus luteum cyst, which can happen. The pain you are experiencing, particularly after sexual activity, could be attributed to a few factors:
1. Cyst Size and Location: If the cyst is larger or located in a position that causes pressure on surrounding structures, it may lead to discomfort, especially during activities that involve movement or pressure in the pelvic area, such as sexual intercourse.
2. Hormonal Changes: The hormonal fluctuations associated with your menstrual cycle can also contribute to pelvic discomfort. As your period approaches, the body undergoes various changes that can lead to cramping and pain.
3. Irritation or Inflammation: The presence of a cyst can sometimes irritate the surrounding tissues, leading to mild pain or discomfort. If there was any bleeding, even if mild, it could also contribute to transient pain.
4. Post-Intercourse Discomfort: Sexual activity can sometimes lead to temporary discomfort, especially if there is any underlying condition such as a cyst or pelvic inflammatory disease.
Given that you have been prescribed medication for pain and to manage any bleeding, it is crucial to follow your doctor's instructions. Mild, intermittent pain after the diagnosis of a corpus luteum cyst can be normal, especially in the context of your menstrual cycle and the recent diagnosis. However, if the pain worsens, becomes persistent, or is accompanied by other symptoms such as fever, heavy bleeding, or severe discomfort, it is essential to seek medical attention promptly.
In summary, while mild pain after a diagnosis of a corpus luteum cyst can be a normal occurrence, it is important to monitor your symptoms closely. If you have any concerns or if the pain does not improve, do not hesitate to reach out to your healthcare provider for further evaluation. They may recommend additional imaging or tests to ensure that there are no complications or other underlying issues that need to be addressed. Always prioritize open communication with your healthcare provider regarding any changes in your symptoms or concerns you may have.
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