The condition causes swelling, pain or damage to the tendons of the rotator cuff. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. Discover helpful information I learnt from Sophies experience about the causes of pain after egg retrieval and how to curb it. I didn't have weight gain, pain in my leg, or any of the other concerning symptoms. This can cause weakness when moving your arm outwardly away from the body. Based on your physical characteristics and hormonal bloodwork, we will know if you are at risk for OHSS before you even get started. I always self-diagnose but then worry I'm overreacting. Has anyone else experienced this?? This chronic autoimmune disease targets joints in your body, including your shoulder. After insemination, the eggs are placed back into the incubator to allow time for fertilization to occur. Suctioning the follicular fluid with mature eggs into a test tube, Marking and labelling the specimen appropriately, Chronic pain despite using pain relieving meds. The In vitro fertilization fertility treatment could be overwhelming, but worth every effort. Follow the instructions and precautions theyll give you. The study aimed to present a case series of surgically managed patients from our clinic with hemoperitoneum caused by ovarian bleeding after TVOR, as well as to perform a comprehensive literature review in order . The cramping should subside within 2-3 days and respond well to over-the-counter pain medications. Now there are 12 new employees that we need to find space for in one office. We ended up with 6 good quality embryos. While every person is indeed different with how their body will respond to the IVF egg retrieval process, most doctors will warn patients that day 3 and 4 post-op are usually the worst. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. A few hours later, I woke up and my shoulder was hurting. Your nurses will give you a small snack and if . I had my egg collection on Wednesday and I have got really bad bloating but also pain in my chest, has anyone had this? It really helped me in my recovery. Go to the ER as everyone else has said. I just discovered them (trying to maintain milk supply after being sick) and they're so good! This last time going back to the RE we decided to move forward with the IVF after my laparoscopy. What if, however, after interviewing 45 candidates, human resources decides to hire 12 employees instead of just the one! Haha thanks so much for the update!!!!! Movement: Roll your shoulders down and back, then gently pull your left elbow across your chest as you extend your left arm. Published Mar 18, 2021. go now and please stay safe!!!! If you feel sore, feverish or unwell anytime after embryo transfer, phone the clinic immediately. I was fine in the end, but I needed a few days of watching in the hospital. Pathophysiology, treatment and prevention of ovarian hyperstimulation syndrome. This site complies with the HONcode standard for trustworthy health information: verify here. In some cases, the organs neighboring the ovary may sustain minor to serious injuries leading to pain after egg retrieval. 2005-2023Everyday Health, Inc., a Ziff Davis company. there may be strange symptoms such as clicking, grinding or tingling, or the pain may get worse at night or when you lie on your side. Normally, you should expect some bearable cramp-like abdominal pain with bloating, constipation, blood spotting and soreness around the vagina soon after due to anesthesia and the surgery itself. While a majority of women recover within two days, people are different with some experiencing post-complications. I've had stomach cramps since but feel like it's got abit worse as today's went on. On the day of the retrieval, your eggs will placed with the sperm using a process known as conventional insemination or . What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. What happens after the egg retrieval? There was no fluid buildup and it did eventually go away. It is accompanied by several risks and side effects, which can be prevented or minimized through proper preparation and taking good post-operation measures. How Does Massage Therapy Help To Find And Eliminate Knots? While there was no statistically significant difference in terms of the number of patients who needed opioid treatment within the first 24 hours between patients with and without STP, a . I only ever took Tylenol. Should I call my doctor? Lets explore possible reasons: 1. It got so intense they thought I had an ectopic pregnancy. Treatment depends on the severity of the condition. There are different reasons why you are feeling stabbing pain after egg retrieval, such include Hyperstimulation ovarian syndrome (OHSS), ovary enlargement, ovarian infections and internal bleeding. Results: The incidence of shoulder tip pain was significantly higher in the spinal anesthesia group than in the general anesthesia group (p = 0.032). Misogyny in Rap Music and What It Means for Women in Society Berkeley Political Review, TENS Unit Placement for Neck Pain: What You Need to Know, A2billing is no longer supported. Therefore, it is essential to ensure that the eggs are healthy and retrieved properly to boost the whole cycles chances of success. Youll experience some mild pain immediately, but with painkillers and rest, it goes away within three or so days. She feels privileged to be able to help fertility patients go from feeling broken and overwhelmed to feeling empowered with options about their future. After an egg retrieval you should not: Do any heavy lifting for 1-2 weeks. Everything you need to know to get started. Waiting for the doctor to call and panicking its something serious. Are you doing a fresh cycle? The whole recovery was just really tough since they retrieved 37 eggs from me. After trying all sorts of natural fertility-boosting concoctions for six years, my sister Sophie- finally agreed to try IVF. I'm not in severe pain but it does hurt. The shooting pain may be a result of OHSS, ovary/pelvic infections and enlargement of the ovaries among other causes. Injectable fertility medications are more likely to cause OHSS than is treatment with clomiphene, a medication given as a pill you take by mouth. Signs of inflammation are pain, swelling, limited movements and . Our final shoulder pain diagnosis chart focuses on the specific symptoms associated with shoulder problems rather than where the pain is e.g. Third, if you have managed water and/or electrolyte intake but still experience lower abdominal bloating, schedule a visit with your acupuncturist. The egg retrieval is an extremely safe and relatively simple procedure that averages only 15 minutes from start to finish. Symptoms can range from mild to severe and may worsen or improve over time. I've consulted with my clinic and they recommended heating pad and tylenol. over half a liter of fluid in my abdomen. Ovaries swell as fluids build up and sometimes leak, leading to deep pain. I had this after both of my retrievals. That said, remember you underwent a surgical procedure which may have post-complications. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. I couldnt get air even though I was gasping. The pain can be sharp and aggravating, usually lasting up to 3 days. I was a little overstimulated, but my biggest complaint is the severe lower back pain. Get checked out if the pain is severe. 12/15 is great!!!! She started experiencing pain in her lower abdomen before leaving the recovery room. Or, if you experience the below symptoms contact your clinic, your doctor or GP on the same day: The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. [VIDEO]. Oh goodness. Chest/L shoulder pain is also a symptom of a heart attack. Swelling peaks at 24-48 hours its doesnt magically reverse and given the large number of follicles you had there will be a lot of swelling and inflammation. I am not having trouble breathing, but it is definitely uncomfortable, and even more so when I take a deep breath. Feel the stretch in your left shoulder. Broken collarbone. However, the use of some types like Ibuprofen is highly discouraged. Localised abdominal pain when you are pregnant. To minimize the soreness in the pelvic and vaginal area, take OTC painkillers such as ibuprofen or ask your doctor to . Broken arm. If you were on birth control or estradiol for your egg retrievals, that significantly increases your risk for a clotting episode. I think it may have also cause a panick attack or something too being during the couple of minutes this was happening the worst pain I have ever felt went thru my chest and shoulders. Plan for the healthiest pregnancy possible. It can be resolved easily by taking stool softening medication (if necessary) and staying hydrated. You walk in the door and they already know who you are. Make sure they take you seriously. Is there an alternative? We can squeeze all 45 in the door, but they are scrunched in tight, it's uncomfortable, and they are literally pouring out into the hallway. She said to stagger motrin with the Norco. ), Related: IVF Dos and Donts: Your Guide to Diet, Exercise, Sex & More. Shoulder pain causes include: Avascular necrosis (osteonecrosis) (death of bone tissue due to limited blood flow) Brachial plexus injury. It will then extract the fluid from the follicle containing the developed eggs. I went to see my RE just to be on the safe side. Impact on embryo implantation. The fluid from the popped eggs leaks into the peritoneal cavity and can cause inflammation everywhere from your bladder to your lungs. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. The day after your retrieval, try to walk around a bit, make your own meals, go outside a bit, etc. Usually, symptoms start showing 4 to 5 days after the egg retrieval operation. Research shows that only 1 in 1000 women experience internal bleeding after the procedure. 1 results. I had really bad shoulder pain after my retrieval. This educational content is not medical or diagnostic advice. I love cooking, reading, and writing stories from my life. Everyone needs to listen to their own bodies though! Although cozy (and maybe with a small amount of discomfort), we are able to fit all 12 employees in to the one office, and all works out well. For severe pain, the doctor may prescribe Vicodin. Most patients feel woozy (slightly disoriented) from the anesthesia, and some will experience a sense of fullness or mild menstrual cramp-like discomfort. There are also various stool softeners in the market to aid in bowel movement. Are you worried about the stabbing pain after egg retrieval? I have alot of pain then cramps. By the next day, I had some pretty serious abdominal pain. stay active and gently move your shoulder. Have more questions about IVF? Before and after egg retrieval, a good diet is essential. It would hurt my chest to laugh. Thank you for the tip I might have to sleep sitting up tonight as again woke up early and had pain all in my chest was agony. If you suspect OHSS, A ketogenic (Keto) diet full of proteins may help. It feels more lung related than heart. Relax and take time to rest. A heating pad may be a good option to soothe your aching abdomen. Over time, this may become persistent pain. Just wish they would have warned me about laying down too much bc they made me think I NEEDED to lay down and shouldnt move that much but turns out I should have moved more and honestly wanted to haha. This, in turn, results in swollen and painful ovaries. Cup your left elbow with your right hand. Here are some common, mild symptoms you may experience after an egg retrieval: Patients often have questions about a very rare condition that can develop during the egg retrieval phase of IVF called Ovarian Hyperstimulation Syndrome, or OHSS for short. Yes I'm doing a fresh transfer on Monday. Press question mark to learn the rest of the keyboard shortcuts, F 30 | MFI 31 | ICSI #1 = CP | 1 frozen left. Symptoms of ovarian hyperstimulation syndrome. I wanted to avoid all the sugary trash of Gatorade so I drank at least one protein shake a day, a TON of coconut water, and salty Lipton soup and crackers! Post-traumatic arthritis. It may take time for you to suspect such injuries, so, Id advise you to visit a good hospital for proper diagnosis and treatment. You'll come out of anesthesia, groggy and possibly nauseated. However, there are some cases wherein the patient develops severe OHSS and complications, which may result in severe pain and may require medical attention. It's been 3.5 years since my retrieval (Jesus!) The rapid change in hormone level can cause the breast to feel tender or sore, which is similar to the feeling that some women get during PMS (premenstrual syndrome). I believe it was because of fluid/air from the retrieval. Luckily the cysts go away with time, but to avoid them affecting your fertility treatment, seek medical attention early. Since youve made it to the second stage involving egg collection, soon youll be through with the whole IVF Process. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. Minor side effects, such as pain, mild cramping, bloating, soreness in the vaginal area, and constipation, are normal and typically resolve in a few days. I had 15 eggs and they said on collection I may have mild ohss as had sickness on day of egg collection. Management of ovarian stimulation for IVF: Narrative review of evidence provided for World Health Organization guidance. 100% agree with getting to the emergency room immediately. Go to the ED. Is it normal? thanks so much lady!!! On average, it takes 7-10 days for the ovaries to return to their normal size. Complications may include: To decrease your chances of developing ovarian hyperstimulation syndrome, you'll need an individualized plan for your fertility medications. Egg retrieval involves a minor surgical procedure on ovarian follicles, with no incision or stitches. Without advertising income, we can't keep making this site awesome for you. Use of this site is subject to our terms of use and privacy policy. hbspt.cta._relativeUrls=true;hbspt.cta.load(60131, 'f7625de8-8e53-4ab8-a721-9881479b81c1', {"useNewLoader":"true","region":"na1"}); Will my doctor perform my egg retrieval? Bursitis (joint inflammation) Cervical radiculopathy. A good movie is helpful during recovery time. Pain after egg retrieval - posted in Ask the Embryologist: Good morningI had my egg retrieval last Saturday Aug 16--(3 follicles but only one egg retrieved). As your surgeon works to retrieve eggs, your ovaries enlarge. Take your temp, if you have a low grade fever (maybe 99-100 ish) it could be a clot and I would recommend you call your clinic or go to the ER. Over-the-counter pain relievers such as Tylenol will help. While in the recovery room, a nurse will carefully monitor your progress before discharging you. Aside from the above-mentioned side effects, the woman undergoing egg retrieval might also encounter the following more severe, yet less likely to occur, risks: This can occur after egg collection if the suction needle used accidentally carries bacteria from a damaged fallopian tube, the bowel, or the vagina, then transfers the bacteria into the abdomen. Please specify a reason for deleting this reply from the community. https://www.uptodate.com/contents/search. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. Youre going to be tired and possibly a little uncomfortable so grab your glass of electrolytes, fiber-rich snacks & heating pad and head to the couch or your bed for the rest of the day. I hope youre okay! I came home and slept a bit. Amazing doctors, nurses, and medical assistants. Hi haybaby! Postpone your rigorous exercise routine to a later date after youre fully recovered. If you feel pain after egg collection or shoulder-tip pain the day of egg collection. After your egg retrieval, you are carefully transported back to the recovery area where you will be monitored as you wake up. Please know that as our patient you are ALWAYS welcome to reach out to us with questions or concerns. I had my retrieval on wednesday morning & all went well. These are the most common symptoms of If you experience any of the following symptoms, reach out to your nurse or doctor: hbspt.cta._relativeUrls=true;hbspt.cta.load(60131, '39f5eeac-f522-4650-b50d-59c12549127b', {"useNewLoader":"true","region":"na1"}); During an IVF cycle, we are asking the ovaries to do something that they dont typically do: produce a lot of egg follicles, all at once. If you go through chronic prolonged pain, seek medical attention as soon as possible. Acupuncture and Chinese herbs can provide excellent relief from temporary bloating after egg retrieval. Ovarian hyperstimulation syndrome is an exaggerated response to excess hormones. Please whitelist our site to get all the best deals and offers from our partners. You should expect mild to severe constipation after egg retrieval due to the anaesthesia meds. Once the swelling & bloating went down the pain went away for me. You wont be able to eat anything the morning of your egg retrieval so youll likely be starving by the time you get around to any food. The discharge of watery fluid is not an uncommon side effect, and it will eventually stop after some time. Press question mark to learn the rest of the keyboard shortcuts, 34f / 1 ER / unexplained if / 1 ectopic / 1 tube, 33F / 2 IUIs / 2 ER / 2 FETs / Factor V, MTHFR. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Mild to moderate OHSS With mild to moderate ovarian hyperstimulation syndrome, symptoms can include: Mild to moderate abdominal pain Abdominal bloating or increased waist size Nausea Vomiting Diarrhea Tenderness in the area of your ovaries Bleeding can also continue and worsen to the point where breathing is extremely difficult and need for a transfusion. It is important to avoid strenuous activities right after the operation in order to prevent complications. You have a right to information about the whole process, including the number of retrieved oocytes. After such procedure, patients can experience shoulder pain and/or pain below the diaphragm from residual gas in the abdomen. 2016; doi: 10.1016/j.fertnstert.2016.08.048. Add some coconut water or electrolyte powder to plain water before drinking to minimize constipation which worsens abdominal pain. By drinking plenty of water, the stool will be softer, and the colon will be wet enough to allow easier passing of waste. 2 days before retrieval I did the Lupron trigger. Contact your provider right away if you develop breathing problems or pain in your legs during your fertility treatment. This infection only occurs in 0.2 percent of patients undergoing the procedure. Once youve been greeted by our front desk team, you will be taken back to our operating room, shown your private prep and recovery area (including a bed, chair, and locker), and given a gown and cozy socks to change into (we all know fun socks are one of the only perks of the whole process). Egg retrieval is a short procedure. The condition includes a sharp pain after egg retrieval in addition to other symptoms such as vomiting, bloating and diarrhea. Occasionally OHSS occurs spontaneously, not related to fertility treatments. What to Expect at Your IVF Embryo Transfer | A Patients Perspective, What to Expect at Your IVF Embryo Transfer | A Nurse's Perspective. It is a vital part of the IVF cycle. Further, quit alcohol and caffeinated drinks to avoid dehydration. This usually goes away after about a week. ER now. and omg that is so amazing and gives me so much hope!!!! How to reduce painful bloating and what items you should have on hand to help recover. i had mild anesthetic they use for egg retrieval but just pasting what i found. Hillie says her surgery took 24 minutes - "but I think most people are done in 15-20 minutes," she adds. But add in a nasty bout of constipation . I hope the Motrin helps - makes sense when she puts it that way! This is done several times for all your follicles in both of your ovaries. Before a patient leaves, she will be told how many mature eggs were collected. Dont rely on your pain meds too much. Dislocated shoulder. "In the 24-hour time period following the retrieval, it will be important for you to rest in a semi-upright position. Many women who have undergone follicular punctures say that the pain after the procedure is similar to the one during the menstrual period and can be controlled by taking regular pain medications. Talk to a doctor if the symptoms persist. Frozen shoulder. That helped with the typical pain you'd expect from a retrieval but my shoulder still hurts. OHSS may occur in women undergoing in vitro fertilization (IVF) or ovulation induction with injectable medications. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Good to know. Laxatives. The process of going back to normal is gradual and painful. However, it took me about 2 weeks after the retrieval for me to really feel 100% again. Jesus baby girl, did they do an ultrasound to see if you had fluid? We will likely plan for a Jan transfer since we need to send them off for PGT-A testing . As another person said your symptoms are also consistent with other rare but possible problems. The pressure has made it so I can't eat and breathing is tough at times. Also known as Oocyte retrieval, this is a term referring to the second stage in a type of assisted reproductive technology called In Vitro Fertilization (IVF). It went away after a couple days, if I remember correctly. During my stims, they found a polyp. The most common side effect after the retrieval is abdominal cramping, bloating, and light bleeding. Assisted reproductive technologies: In vitro fertilization & related techniques. Nelson SM. Imagine there is a job opening at a company with ONE office available for ONE new employee to sit in. Any pressure, discomfort or pain in your stomach or abdomen is actually caused by bloated ovaries and not air in your gut. While this is an exciting milestone on your IVF journey, its still anxiety-inducing for many. I hope you're starting to feel better! Ask Nurse Monica. I had fairly significant pain for several days afterwards. Why is there pain after egg retrieval? so we can get ahead of the pain. Farqhuar C, et al. An embryologist will then locate, isolate, and put the eggs in culture medium to allow them to develop further for a couple of hours before fertilization or freezing. I had my egg retrieval this morning (48 eggs!) Once the eggs is fertilized it then becomes a zygote, which develops into an embryo. This content does not have an English version. Normal Egg Retrieval Side Effects. Whole tummy area is incredibly tender and feel like I have really bad trapped wind. thanks lady I needed up going into ER and I have mild OHSS that they increased my pain meds and said I need to keep eating salty foods and drinking my electrolytes. Its rare but can happen. Injury to ovaries, blood vessels, bowel and bladder. thank you!!! Wow, that's no joke! McGraw-Hill Education; 2019. https://accessmedicine.mhmedical.com. The fashion blogger's husband, Jason Kennedy, opened up about his wife . | Dynamic Physiotherapy & Sports Injury Clinic Inc. Concerning symptoms and ones where we would definitely want to hear from you are listed above under the OHSS symptoms. Im in the same situation with the pain in right shoulder and fellow self diagnoser so hoping its not internal bleeding hahah. Thank you for taking the time to respond! To find out how many embryos, read this. Little to no side effects for the Gonal injection or Clomid. Any excruciating pain after the 10th day should be a cause for concern. While Tylenol and paracetamol are popular for alleviating pain, talk to your doctor for advice on the most suitable medication. In: Current Diagnosis & Treatment: Obstetrics & Gynecology. The day after the eggs and sperm have been mixed, they'll be checked to see how many have fertilised (approximately 70% of eggs fertilise normally). Benches/Squat Racks For Sale | Buy Benches/Squat Racks Online | Fitness Equipment Empire, Are You Listening? If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. OHSS(Ovarian hyperstimulation syndrome), If your doctor over-stimulates the ovaries using IVF fertility medication, it may put you at risk of OHSS. You truly feel like family!, Terms & Conditions So 48! I was told to go if I had any chest pain at all or difficulty breathing. Dont try to run or workout again. The following are things you can do to soothe the pain away: Like any other surgery, your body needs ample rest after egg retrieval. From my experience, this was spot on. The transfer of the embryo causes enlargement of the ovaries, so it is normal to have mild to moderate cramps afterwards. Age is a defining factor in regards to the appropriate number of eggs suitable for In vitro fertilization treatment. I had some cramping earlier in the day which has subsided. Ok, great! Fertility and Sterility. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. That way, I'm taking something every three hours. I had this happen, and I was bleeding internally from the procedure. Enter your search below and hit enter or click the search icon. Oh lord 48?!?!? The pain is worse during the night. Thank tou I really hope so this is my 4th fresh IVF and definitely the most painful. She said to keep checking my weight and if I gained anything outrageous it was definitely a sign of OHSS. Kolmisoft Blog, The Best Cryotherapy Beauty Tools To Use At Home, 2022 Physical Therapy Costs | Sessions With & Without Insurance, How to Crack Your Neck and Relieve Muscle Tension | ChiroRehab of Texas - Dallas Chiropractor, Everything you need to know before getting laser hair removal, Discover the Muscles Worked by the Dumbbell Bench Press - NEAT STRENGTH, 6 Great Iliotibial Band Stretches for ITBS - Knee Pain Explained, 7 Best Dumbbell Bicep Exercises For Bigger Arms. My name is Regie, am a mother of three beautiful kids. Bottom line. Today am filling lower back pain on the right and the right . . Congratulations, and good luck on your embryo transfer if that's what's next for you! If in doubt, get it checked out. try exercises for shoulder pain - do them for 6 to 8 weeks to stop pain returning. 1 Source. Lets talk about the biggest side effects of an egg retrieval procedure. With minimal pain relieving medication, it clears naturally. 2023 Illume FertilityAll Rights Reserved. This content does not have an Arabic version. Staying hydrated can also help resolve the side effect of constipation. However, dont be surprised if after your egg retrieval you dont feel totally back to normal until your first period, which generally occurs 10 days after retrieval. And make sure you are following your OHSS diet. About 1 in 10 patients undergoing IVF develop mild OHSS symptoms, while only around 1 in 100 need to be hospitalized due to severe symptoms. When the ovaries are punctured to remove eggs, they ooze bloody fluid for a. Pain Level: 2-3 After retrieval, viable eggs are then placed into an incubator and then fertilized with sperm that same day. , Go to ER shoulder pain is a bad sign!! Life is hectic, but I learned a LOT through my long journey as a mother. Let them know about your recent procedure and that you were on hormones like estrogen. Youve made it through some of the hardest parts of the process. Egg retrieval is a minor operation wherein the eggs are sucked from the ovaries of a woman either as part of the IVF cycle or for egg freezing. Egg retrieval does not cause gas despite you having the same symptoms. It's probably rare but you should also have them rule out a pulmonary embolism while you're there. If you also notice excessive bloating and constipation, call your doctor. familyweal.com is a participant of Amazon Associates Program. Pain medications might be administered at this time as needed. Aside from pain, patients may also experience mild cramping, bloating, soreness in the vaginal area, and constipation. Advertisement. Be proud of yourself! On the second day, I took a percocet and that helped. Wow 37 Oh I'm glad you was ok, I'm going back tomorrow for transfer and I'm going to get them to check me over aswell, it was really bad this morning but has eased through the day. Abdominal bloating or increased waist size, Rapid weight gain more than 2.2 pounds (1 kilogram) in 24 hours, Polycystic ovary syndrome a common reproductive disorder that causes irregular menstrual periods, excess hair growth and unusual appearance of the ovaries on ultrasound examination, High or steeply increasing level of estradiol (estrogen) before an, Fluid collection in the abdomen and sometimes the chest, Electrolyte disturbances (sodium, potassium, others), Blood clots in large vessels, usually in the legs, Rupture of a cyst in an ovary, which can lead to serious bleeding, Pregnancy loss from miscarriage or termination because of complications.
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