Does corpus luteum hematoma require surgery?

Corpus luteum hematoma occurs when the egg layer ruptures during normal ovulation, causing bleeding, and more blood is stored in the egg or the luteal duct to form an abscess. The diameter of a normal corpus luteum is about 15mm, which then changes into a corpus albicans and disappears naturally during the follicular phase of the next cycle. Does corpus luteum hematoma require surgery? Let’s discuss the interpretation below.

Corpus luteum hematoma often occurs during the ovulation period and is caused by capillary rupture and bleeding during the ovulation period. It can cause severe abdominal pain and vaginal bleeding. It can be diagnosed through laparoscopy, color ultrasound examination and gynecological examination. For medication treatment, hospitalization and observation can be considered. Medication treatment can be combined with clinical manifestations and combined with hemostatic drugs for treatment. If there is inflammation, antiviral drugs can be used for treatment. Please follow the doctor's instructions for actual medication. It can be treated conservatively. Small abscesses can be absorbed naturally. If the abscess grows again, surgical treatment can be considered. The actual treatment plan depends on the doctor. Get more rest, avoid strenuous activities, keep the vagina clean, avoid eating spicy and irritating foods, avoid having sex and taking baths to prevent bacterial infection, and seek regular follow-up visits.

If there is a lot of bleeding in the corpus luteum, it will cause corpus luteum hematoma, or corpus luteum capillary rupture, and exudate corpus luteum. Corpus luteum hematoma is more common on one side, usually with a diameter of 40mm, occasionally reaching 100mm. After the corpus luteum hematoma is absorbed, it can cause corpus luteum cyst. When a large abscess ruptures, abdominal capillary rupture, severe abdominal pain, a small amount of vaginal bleeding and peritoneal irritation may occur, which is difficult to distinguish from ectopic pregnancy. Now it can be treated with anti-inflammatory drugs, drugs to promote abscess absorption, etc., which can generally be absorbed. If severe abdominal pain and peritoneal irritation occur, surgery should be performed in time.

Daily medical care: timely medical treatment, close observation of the condition, and regular follow-up visits.