Ruptured ovarian cyst

Risks

• Most likely in reproductive age, but can be postmenopausal
• A/w ovulation (decreased risk on COCP pill, still possible on progesterone, increased with ovulation induction)
• Vaginal intercourse
• Right ovary more common (rectosigmoid protective)

Management

• Generally conservative - observation
• Intervention if:
  • Unstable
  • Ongoing/heavy blood loss
  • Infectious signs
  • Findings suggestive of malignancy
• Whether managed conservatively or surgery, cyst should be followed to resolution +/- elective cystectomy