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Re: 'gush' of clear fluid after ovulation/ovarian cyst rupture From: Small, Jennifer (JSmall@planned.org) Sat Dec 30 14:57:30 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: ABOG Board Recertification Time" Previous message: ljmidwife@aim.com: "Re: Sheehan's syndrome" Maybe in reply to: Jennifer Small: "'gush' of clear fluid after ovulation/ovarian cyst rupture" Thank you! I have always associated functional ovarian cysts with the luteal phase vs. ovulation and was mostly puzzled by the amount of fluid. So she most likely is just an extreme case of cervical mucus production...very good! Thanks Jennifer Small, MSN, WHNP Licensed Staff Trainer Planned Parenthood of San Diego and Riverside Counties email: jsmall@planned.org <mailto:jsmall@planned.org> Phone: (619) 881-4523 Fax: (619) 291-0959 Cell: (619) 921-4097 ________________________________ From: ob-gyn-l@obgyn.net on behalf of Gerald P.Rodriguez -- ________________________________ Sent: Sat 12/30/2006 1:46 PM To: Multiple recipients of list OB-GYN-L Subject: 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 > This e-mail is for the sole use of the intended recipient(s) and contains information belonging to Planned Parenthood of San Diego and Riverside Counties, which is confidential and/or legally privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking of any action in reliance on the contents of this e-mail information is strictly prohibited. If you have received this e-mail in error, please immediately notify the sender by reply e-mail and destroy all copies of the original message. Next message: DoctorJoe@aol.com: "Re: ABOG Board Recertification Time" Previous message: ljmidwife@aim.com: "Re: Sheehan's syndrome" Maybe in reply to: Jennifer Small: "'gush' of clear fluid after ovulation/ovarian cyst rupture"

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