How Long Does Abdominal Pain Last After Corpus Luteum Rupture?

Corpus luteum rupture can cause significant abdominal pain, and the duration of this pain varies from person to person. It largely depends on factors such as the size of the rupture, the rate of bleeding from the ovary, and the total amount of blood accumulated. In severe cases, where a large amount of blood—such as over 800ml—accumulates rapidly in the pelvic cavity, the pain tends to be constant and progressively worsens as bleeding continues. This intense pain is often accompanied by signs of shock, including dizziness, rapid heartbeat, and fainting. Without surgical intervention, the discomfort typically does not subside on its own.

In such critical situations, emergency surgery is usually necessary to stop the bleeding and alleviate the pain. Doctors are likely to recommend immediate surgical treatment when there is clear evidence of heavy internal bleeding, especially if an ultrasound confirms significant fluid accumulation and the patient is experiencing intense pain. Delaying surgery could lead to life-threatening complications, including severe hypovolemic shock due to continued blood loss.

On the other hand, some patients may experience a slower rate of bleeding. In these cases, symptoms like mild or intermittent lower abdominal pain might not appear until two to three days after intercourse or physical activity that triggered the rupture. The discomfort may be subtle, with only slight tenderness noticed in the lower abdomen. Upon examination, doctors may find a moderate amount of pelvic fluid, but the volume can vary between individuals.

If conservative treatments are effective and the body absorbs the fluid quickly, the pain may resolve within a short period. However, if bleeding continues at a slow pace and the response to non-surgical management is poor, the abdominal pain may persist for an extended time. As the accumulated blood increases, the pain often becomes more consistent, and eventually, surgical intervention may be required to provide relief and prevent further complications.