An abdominal CT scan revealed a large amount of blood and fluid accumulation in Xiaoqing's pelvic and abdominal cavities. Her pulse was 102 beats/minute, her respiratory rate was 22 breaths/minute, her blood pressure was 89/54 mmHg, and her hemoglobin was 79 g/L, indicating hemorrhagic shock. During the subsequent laparoscopic surgery, doctors discovered approximately 1500 ml of blood in Xiaoqing's abdominal cavity, nearly 40% of her total blood volume. Doctors diagnosed her with a ruptured corpus luteum cyst on her right ovary. Ultimately, she underwent surgery to remove the corpus luteum cyst and suture the wound to stop the bleeding, restoring the normal morphology of her ovary.

In fact, such cases are not uncommon in clinical practice. Many couples experience severe abdominal pain, blood and fluid accumulation in the pelvis and abdomen, heavy bleeding, and even hemorrhagic shock after sexual intercourse. The cause of all this is a corpus luteum rupture. Statistics show that over 70% of corpus luteum ruptures are caused by improper sexual activity. Therefore, couples are advised to avoid excessive passion during the height of their affections.

Corpus luteum rupture is a common gynecological acute abdominal condition, most commonly affecting women of childbearing age between 20 and 40 years old. Women of childbearing age ovulate, on average, once a month, most often around 14 days before their next menstrual period. The egg resides in the ovary. After the egg is released, blood forms a clot that fills the egg's former location. This is the corpus luteum. The corpus luteum contains granulosa cells filled with yellow granules. These cells continue to grow, giving the corpus luteum its yellow appearance. This is the corpus luteum. The corpus luteum has a lifespan. Seven to eight days after the egg is released, the corpus luteum reaches its peak size, reaching a diameter of 20-30 mm and becoming richly vascularized. If the egg is not fertilized, the corpus luteum begins to shrink nine to ten days after ovulation. After the corpus luteum shrinks, menstruation occurs, and a new menstrual cycle begins. During the peak of the corpus luteum's development, if excessive sexual activity, straining during defecation, or coughing cause capillaries within the corpus luteum to rupture and bleed, increasing pressure within the corpus luteum and causing rupture, a condition known as corpus luteum rupture.

Statistics show that over 73% of corpus luteum ruptures are caused by sexual intercourse. This may be due to congestion in the female reproductive organs during intercourse, coupled with rough movements by the man, which can cause strong impact on the woman's abdomen. During this time, external forces acting on the ovaries are most direct. A small number of women, especially those taking oral anticoagulants and those with chronic pelvic inflammatory disease, may also experience spontaneous ovarian corpus luteum rupture.

Modern women have more frequent sexual intercourse, and the incidence of corpus luteum rupture has increased accordingly. Therefore, women should be aware of the diagnosis of corpus luteum rupture.

First, in terms of timing, corpus luteum rupture most often occurs on day 20-27 of the menstrual cycle, occasionally on day 1-2 of the menstrual period. Of course, for women with irregular menstrual cycles, the onset of corpus luteum rupture may be unpredictable.

Second, in terms of physical reactions, symptoms of corpus luteum rupture typically include sudden onset of lower abdominal pain during or after intercourse. Some women also experience lower abdominal pain after sudden changes in sexual position. If the corpus luteum rupture is accompanied by heavy bleeding, symptoms of hemorrhagic shock, such as weakness, dizziness, and even cold extremities, can be life-threatening.

It is important to note that some women should be wary of corpus luteum rupture if they experience sudden lower abdominal pain during strenuous exercise, straining during bowel movements, or severe coughing. In addition, there are rare cases where corpus luteum rupture occurs without apparent cause. In such cases, the lower abdominal pain is usually unilateral.

If you suspect a corpus luteum rupture, you should seek immediate medical attention in the emergency gynecology department. If you experience general fatigue and cold extremities, you should seek medical attention promptly. If an examination reveals a large amount of blood in the abdominal cavity or an ovarian rupture, emergency surgery is necessary, as this can be life-threatening. If the amount of bleeding in the abdominal cavity is minimal, conservative treatment options such as hemostasis, fluid replacement, and anti-infective measures can be used. At the same time, you should maintain bed rest and avoid strenuous exercise, forceful coughing or defecation, and emotional agitation. The condition can be largely controlled within a week, and the pelvic hemorrhage will generally resolve after a month.

https://www.african-superman.com/2025/08/11/beware-of-corpus-luteum-rupture-during-passionate-sex/

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