Ruptured Ovarian Cyst Treatment Options
There are a lot of factors which determine the treatment you receive for a ruptured ovarian cyst. The condition of the patient while she is taken to the hospital, the extent of damage caused by the rupture, other complications associated with the cystic rupture etc .
If you are in a serious condition the primary concern of the medical team would be to stabilize your condition. As soon as you reach the hospital doctors will assess your airway, breathing and circulation and may start intravenous treatment if needed. In the case of very unstable patients, the first diagnostic treatment will include a culdocentesis, to determine the type and extent of fluid in your abdominal cavity.
You will be put on antibiotics whether there have been complications or not. You may be treated with stronger antibiotics such as Gentamycin or its variants in the short term. This drug has a narrow therapeutic window and treatment with this drug will not be prolonged. You may also get a broad-spectrum penicillin variant along with a drug such as Metronidazole, which acts against anaerobic bacteria and protozoa. A cephalosporin drug such as Cefotetan may also be included in the treatment. This targets gram positive cocci bacteria and gram negative rod bacteria.
The doctor may induce an anovulatory state in pre-menopausal women, to prevent ovulation. Oral contraceptive medication is used to achieve this condition. This medication also aids in reducing the stimulation of the ovaries, which in turn reduces the risk of further cysts.
Ruptured ovarian cysts are often intensively painful and your doctor will help in reducing the pain. If you are on any other medication, that also will be taken into account before administering analgesic medication. Since, preventing infection is the primary concern; doctors may change your pain medication as your antibiotic load changes. For acute pain, a higher dose analgesic such as Fentanyl or a barbiturate such as Vicodin will be started. As far as mild to moderate pain is concerned, a lower dose codeine derivative such as Tylenol is recommended. In certain situations, newer analgesics such as Ketorolac may be useful as therapeutic agents.
After stabilizing your condition, your doctor would prefer to continue tests to comprehend your condition accurately. Both manual and ultrasound techniques are used to conduct regular abdominal examinations. A laparoscopic or surgical exploration is undertaken to either diagnose or treat your ruptured ovarian cyst. In case of a hemorrhagic cyst, surgical management is indispensable.
Post operative care is very much needed if your treatment includes a surgery. Your doctor will instruct you regarding the things that you have to do, like regular foot and leg exercises to prevent blood clots in case you are bed bound. Certain activities such as use of tampons and sexual intercourse are banned until your medical team is satisfied with your healing process following the surgery.
A number of outpatient appointments will be fixed for continuous feed back once you leave the hospital. Further ultrasonography may be conducted if the need arises. You may be asked to consult your gynecologist periodically to rule out any underlying malignancy. Your doctor will apprise you how your condition might have affected your fertility.