Can bowel movements be passed with a ruptured corpus luteum?

Corpus luteum rupture is a relatively common acute abdominal condition in gynecology, while "straining during bowel movement" refers to defecation. Generally speaking, after a mild corpus luteum rupture, patients can still defecate normally, as the two conditions are not directly related. However, in cases of severe corpus luteum rupture causing a compressive effect, bowel movements may be affected, although this scenario is rare. The details are as follows:

1. Mild corpus luteum rupture: This is primarily a gynecological issue that typically causes acute abdominal pain and vaginal bleeding, but rarely affects bowel movements directly. Therefore, in general, patients with mild corpus luteum rupture can usually defecate normally if there are no other complications. If difficulty with bowel movements does occur, other potential causes such as constipation, hemorrhoids, or proctitis should be promptly ruled out.

2. Severe corpus luteum rupture: In more serious cases, significant bleeding and acute abdominal pain can lead to intraperitoneal hemorrhage. When the accumulated blood reaches a certain volume, it may form a hematoma. If left untreated, this hematoma could compress the rectum and surrounding anal area, resulting in a sensation of pressure or rectal fullness. Patients might feel the urge to defecate but be unable to pass stool normally. Immediate treatment to stop bleeding and reduce inflammation is necessary to relieve discomfort. Medications such as tranexamic acid tablets, etamsylate tablets, cefixime capsules, or cefuroxime axetil tablets may be used as directed by a physician.

Corpus luteum rupture carries significant risks; substantial bleeding may lead to anemia or even shock. Therefore, any abnormal symptoms should prompt immediate medical attention and treatment under a doctor's guidance. Additionally, adequate rest is essential, and strenuous physical activity should be avoided until full recovery.