Complex hemorrhagic ovarian cyst is developed when one of the small blood vessels present in the wall of a cyst breaks. Blood found in the vessel then spills into the cyst’s body causing it to swell. This stretching of ovary causes pain and can further complicate the situation by stopping blood flow.

Symptoms of complex hemorrhagic ovarian cyst

An ovarian cyst is therefore a sac that gets filled with fluid either inside the ovary or on it. There are several signs and symptoms which can indicate the occurrence of a complex hemorrhagic ovarian cyst. Let’s look at some of them in detail:

Symptoms of Complex Hemorrhagic Ovarian Cyst

Normally a cyst does not show any signs. If a sign occurs it is most commonly a complaint of pain in the lower part of the abdomen. The pain is generally because of large cyst.  But a pain can also be due to rupture, bleeding, blood supply to the ovary interrupted, and torsion of the cyst.

The pain of a big cyst is accompanied with heavy sensation, while the pain of rupture or torsion is a sudden, severe and sharp sensation. A large cyst can also press the bladder and increase urination frequency.  The following are some of the common symptoms:

  • If there is bloating or heavy swelling in the abdomen then this may be a sign or symptom of complex hemorrhagic ovarian cyst formation.
  • Another common sign of complex hemorrhagic ovarian cyst is sharp pain during bowel movements.
  • If there is pain in the pelvis or the pelvic region either during or after the beginning of a menstrual period, then this may be another symptom of complex hemorrhagic ovarian cyst.
  • Pain during sex or intercourse is also an indication to this problem.
  • Another possible sign is pelvic pain during any kind of movement. This pelvic pain is dull and constant.
  • The pelvic pain is accompanied with nausea and vomiting.
  • In some of the cysts, bleeding or spotting is also common.

Diagnosis of Complex Hemorrhagic Ovarian Cyst

  • CT scan and MRI – Magnetic resonance test (MRI) or computerized tomography (CT) is helpful in identifying presence of any blood due to rupture of cyst in the abdominal cavity. These tests cannot detect a mass as an ovarian cyst.
  • Ultrasound test- cysts are generally diagnosed during a pelvic examination as there are asymptomatic. An ultrasound is the basic and primary imaging test dome to diagnose a complex hemorrhagic ovarian cyst. It also shows the location, size, make up and shape of the cyst.
  • Other laboratory tests – these include hormone levels, pregnancy tests, and cancer antigen 125 (ca-125) tests. A urinary test should be conducted on all women of childbearing age.