Ruptured Ovarian Cyst Management
Initial Assessment and Imaging
- Obtain transvaginal ultrasound to confirm cyst rupture and quantify free fluid, as recommended by the Radiology society 1
Follow-Up Management After Conservative Treatment
- Repeat ultrasound in 8-12 weeks to confirm resolution and assess for underlying pathology, as suggested by the Radiology society 1
- For hemorrhagic cysts ≤5 cm in premenopausal women, no further management is needed, according to the Radiology society 1
- For hemorrhagic cysts >5 cm but <10 cm, follow-up ultrasound in 8-12 weeks is recommended by the Radiology society 1
- Any complex cyst in postmenopausal women should be referred to a gynecologist for further evaluation, as advised by the Radiology society 1, 4