What causes corpus luteum rupture?
Sep 13, 2024
Source: Cainiu Health
Dr. Zhang Lu
Introduction
Luteal phase defect refers to insufficient endocrine function of the corpus luteum formed after ovulation in the ovary, leading to inadequate secretion of progesterone. This results in insufficient secretory transformation of the endometrium, causing ovulatory dysfunctional uterine bleeding and creating an unfavorable environment for embryo implantation, which may lead to infertility or habitual abortion. It is a relatively common gynecological condition among women of reproductive age, and its exact cause has not yet been fully elucidated.
Generally, corpus luteum rupture refers to the phenomenon in which the corpus luteum formed after ovulation during a woman's menstrual cycle breaks and bleeds under certain influencing factors. This condition may be caused by intense physical activity, abdominal trauma, luteal phase deficiency, abnormal coagulation mechanisms, pelvic inflammatory disease, or other reasons. If the above conditions occur, it is recommended to seek timely medical treatment. Specific analyses are as follows:
1. Intense Physical Activity
During strenuous exercise, a sudden increase in intra-abdominal pressure may lead to corpus luteum rupture. Special attention should be paid to avoiding high-intensity sports and heavy physical labor during the luteal phase, while also enhancing overall immunity.
2. Abdominal Trauma
External compression on the ovaries or blunt impact to the abdomen can increase intra-abdominal pressure, triggering corpus luteum rupture, often accompanied by symptoms such as abdominal pain and vomiting. Treatment may include medications such as Yunnan Baiyao Capsules, Etamsylate Injection, and Cefuroxime Axetil Tablets, as directed by a physician.
3. Luteal Phase Deficiency
Luteal phase deficiency can result from various factors, including poor ovarian development and hormonal fluctuations. When excessive fluid accumulates within the corpus luteum, a luteal cyst may form. Because luteal cysts are located on the surface of the ovary and may experience increased tension, they are prone to rupture. Symptoms may also include prolonged menstruation and menorrhagia. Treatment options under professional medical guidance may include progesterone, vitamin E tablets, and Wuji Baifeng Pills.
4. Abnormal Coagulation Mechanism
Abnormal coagulation is typically caused by a deficiency in clotting factors. Pre-existing blood disorders or long-term anticoagulant therapy can impair normal blood clotting function, increasing the risk of bleeding from corpus luteum rupture. Additional symptoms may include pallor and general fatigue. Under medical supervision, treatments may include Tranexamic Acid Injection, Aminobenzoic Acid Tablets, and Dicoumarol Tablets.
5. Pelvic Inflammatory Disease (PID)
PID is caused by pathogenic infections or unhealthy lifestyle habits. When inflammation occurs in the pelvic cavity, adhesions between pelvic organs may develop, potentially restricting fallopian tube mobility and contributing to corpus luteum rupture. Other symptoms may include difficulty urinating and urinary frequency. It is recommended to follow medical advice for treatment with medications such as Cefixime Tablets, Azithromycin Tablets, and Metronidazole Tablets.
In daily life, adequate rest and warmth should be maintained, strenuous activities avoided, and emotional well-being preserved to promote recovery.
