What are the signs of a ruptured ovarian cyst?

A ruptured ovarian cyst can lead to acute symptoms due to the release of fluid and, in some cases, blood into the peritoneal cavity. The hallmark sign of a ruptured ovarian cyst is sudden and severe pelvic pain, which may occur abruptly and can be quite debilitating. This intense pain often happens on one side of the lower abdomen, depending on which ovary contained the cyst.

In addition to severe pain, a ruptured cyst can cause internal bleeding, particularly if a blood vessel is involved. This bleeding can lead to additional symptoms such as changes in blood pressure, fainting, or signs of shock if significant bleeding occurs.

Thus, the combination of sudden severe pelvic pain and the potential for internal bleeding are critical indicators of this condition, distinguishing it from other possible causes of pelvic discomfort or other abdominal symptoms.