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Re: 'gush' of clear fluid after ovulation/ovarian cyst rupture From: Gerald P.Rodriguez (geraldpr@cybermesa.com) Sat Dec 30 14:46:36 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ljmidwife@aim.com: "Re: Sheehan's syndrome" Previous message: Jennifer Small: "'gush' of clear fluid after ovulation/ovarian cyst rupture" Maybe in reply to: Jennifer Small: "'gush' of clear fluid after ovulation/ovarian cyst rupture" Next in thread: Small, Jennifer: "Re: 'gush' of clear fluid after ovulation/ovarian cyst rupture" Your patient most likely is experiencing "Mittleschmerz" or "pain in the middle of cycle." This pain can be either left or right or both. The "gush" of clear fluid is the clear, low-viscosity (about the same as egg-white) cervical mucous produced in varying degree of abundance and is seen during the day or two before and after ovulation. Neither the pain or discharge has anything to do with functional ovarian cysts. Gerald P. Rodríguez, M.D., FACOG Santa Fe >----- Original Message ----- From: "Jennifer Small" <jsmall@planned.org> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Saturday, December 30, 2006 1:35 PM Subject: 'gush' of clear fluid after ovulation/ovarian cyst rupture >I have a puzzle. I have a 38 year old G4P3SAB1, natural family planning > patient who complains of the following for the last 2-3 years; > > Every other month, always on right side, at ovulation, she experiences a > very sharp rectal pain ("feels like a knife is being stabbed into my > rectum")that lasts about 1/2 hour! and then subsides to aching for 2-3 > days. Within 6-12 hours of the pain, she has a "gush" of clear, > odorless fluid from the vagina. These intermittant gushes continue for > 24-72 hours, enough to require the use of 3-4 regular tampons per day. > She describes it "like when my water broke in labor". > > Now I think she is having functional ovarian cysts, but I'm not totally > conviced because of the fluid. Any suggestions? > > Thank you so much! > Jennifer Small, MSN, WHNP > Next message: ljmidwife@aim.com: "Re: Sheehan's syndrome" Previous message: Jennifer Small: "'gush' of clear fluid after ovulation/ovarian cyst rupture" Maybe in reply to: Jennifer Small: "'gush' of clear fluid after ovulation/ovarian cyst rupture" Next in thread: Small, Jennifer: "Re: 'gush' of clear fluid after ovulation/ovarian cyst rupture"

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