Reasons - There are many reasons as to why a woman’s ovarian cyst may burst (rupture); however, the most common ones are due to infections, bleeding, or in certain cases provoked by the root cause of the cyst. First signs that a rupture may have taken place is when a woman begins to experience a severe pain that usually radicates from the lower area of the abdomen, and across to the area of the pelvis.
Pain - The intensity of pain a woman may experience will much depend upon what happens next; together with the reasons as to why it decided to burst in the first place. However, in general the pain will be of a more severe type opposed to any other type (usually unbearable), and where an immediate trip to the nearest hospital would be highly recommended for adequate treatment.
Cause – The intense pain is caused by the irritation to the peritoneum (the peritoneal cavity’s lining) by both the blood and cyst contents that are suddenly released. Also, a cyst will usually have a large content of prostaglandins (a hormone-like substance found in bodily tissues that is produced due to trauma, and may affect blood pressure, metabolism and hypernym [smooth muscle activity]).
Provocation - Prostaglandins provoke even more pain (both directly and indirectly) at the time of the rupture, due in part to causing the presence of an inflammation within the same area. However, this type of rupture is in sharp contrast to those usually experienced by women when a regular follicle releases its egg whilst under a normal menstrual pattern, and where it is normal for no pain to be experienced.
Difference - The principle difference between the two types of rupture is that a follicle rupture is usually very small, whereas an ovarian cyst rupture is usually a lot bigger (between 5 – 10 cm in diameter is normal) and which causes heavy bleeding due to the high number of blood vessels within the same area. Although, this type of cyst rupture generally only happens in extreme cases.
Conclusion - Under most circumstances, ovarian cysts either tend to go away on their own, or with the aid of specific treatment, and therefore should not be a major concern to a suffer; however, if a rupture was to occur (although not life-threatening) medical advise should be sought at the earliest possible instance, as a heavy blood-loss could lead to certain serious consequences for the woman involved (it is always best to be safe rather than sorry).