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IUD Shifting? Ovarian Cyst?

Hi Ladies,

I've had my paragard for nearly a year with absolutely no problems until last night. My SO and I rarely have time for sexy time during our busy weeks, so last night we had quick, rough sex after a week without any sexual contact. I noticed that when he first entered me, there was a weird pressure-type feeling. Then, about 5 min afterwards, I got a HUGE piercing pain (to the right side of my uterus area) that spread to my guts and rectum. I was completely unable to move, had chills, and was light headed. The pain was so intense that I crawled into bed and fell asleep. I woke up two hours afterwards with the same stomach pains, but my cramps had subsided considerably to less-than-menstrual-cramp level. The only time that it really hurt in my uterine area was when I went to the bathroom. My past period was on time but "strange" in that it was just spotting, which is not normal for me (usually it's like opening the flood gates! Yikes!) so I took 2 pregnancy tests 1.5 and 2 weeks after the weird period, and both are negative. I think this sufficiently rules out ectopic.

Fast forward to today: I have tender breasts, the same urinary pain, pain with bowel movements... etc. These are ALL symptoms that match ovarian cyst rupture. However, I have not ruled out the possiblity of my IUD shifting. What do you think? Have any of you ladies had to deal with cysts/rupturing cysts? If I were in more pain I would head over to the ER but at the moment I feel like that's sort of overkill. I'm taking pain meds which manages my pain, and my stomach cramps are reduced to almost nothing. Thoughts? Advice? I'm so worried.



( 5 comments — Leave a comment )
Nov. 14th, 2009 07:38 pm (UTC)
I have a tendency for troublesome functional cysts, and this sounds like one rupturing to me! Having an IUD 'shift' without signs of expulsion is really unlikely, and the symptoms you describe are very like a cyst anyway.

If you are worried, you can get it looked at in a pelvic exam/ultrasound, but there isn't much they can do about it at this stage. So I'd keep an eye on things and just look after yourself!

The one thing is that if the pain gets really severe or if you get a fever, go to a doctor or the ER, ASAP. Sometimes cysts rupturing cause problems. It sounds like you're well out of the danger zone on this though :)

Nov. 14th, 2009 07:40 pm (UTC)
I just re-read your post and I'm even more convinced that it was a cyst, especially with the detail of your last period being so light. Cysts often affect bleeding patterns, especially if they are causing anovulation. Sounds like you had an anovulatory cycle because of the cyst, a light period as a result, and then it's just ruptured. I'd give it a cycle to recover and you'll be fine :)

Good luck
Nov. 14th, 2009 07:40 pm (UTC)
(and the obvious PS that I'm no doctor so if you disagree please don't pay me any mind and go see your doctor!!)
Nov. 15th, 2009 05:15 pm (UTC)
Thank you so much, I'm glad to have your opinion. I check with my mom (who's a doc) and she pretty much thinks it was a cyst.

Can you tell me... what happens in my body when they rupture? This one must have been minor, because I didn't have any pain whatsoever before it ruptured. Does some fluid leak into my body? Does it bleed into my body? If so, how does my body deal with it? What would make some cysts require surgery and others just some rest? It's totally understandable if you don't have answers to these questions, I'll be asking my gyn around Thanksgiving. Just wondered if you knew!

Again, many thanks for quelling my thoughts.
Nov. 16th, 2009 10:05 am (UTC)
From my own experiences, what usually happens is that the fluid that used to be inside the cyst spills out, and that's what causes the pain and then fatigue while your body cleans it up. When they are really big your body has trouble doing this on its own, which is why sometimes they need surgery--but you'd be in continuous pain if this was the case, probably with a fever. Some smaller cysts also drain themselves and go down without rupturing painfully too.

The last time I was seeing a doctor for a problemmatic cyst he told me that very occasionally a cyst gets 'involved' with a blood vessel and then when it bursts it can cause internal bleeding. But he said this is pretty rare.

This all applies to functional cysts only, btw. There are other kinds of cysts, they are much more rare and all of which require more proactive treatment I think.

Good luck :)
( 5 comments — Leave a comment )

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