The primary concern of the doctor treating ruptured ovarian cyst is to stabilize the patient, arrest the spreading of infection and provide relief for pain. While treating very unstable patients, it becomes imperative to determine the type and extent of fluid that has escaped into the abdomen for which culdocentesis is often preferred by doctors and healthcare professionals.
The next course of action for the attending physician consists of assessing the patient's airway, breathing and circulation (for emergency patients) followed by commencing intravenous treatment procedure. To start with, the patient may be given stronger narrow-spectrum antibiotics like Gentamycine or its variant. But this may soon be replaced by broad-spectrum penicillin or drugs like Metronidazole that has far reaching effect on anaerobic bacteria and protozoa. If necessary, treatment may include administration of Cefotetan, a cephalosporin drug that addresses both gram-positive and gram-negative bacteria as added precautionary measure.
The next course of treatment for ruptured ovarian cyst would consist of administering oral contraceptives to inhibit ovulation at that stage because that will not only reduce stimulation to the ovaries but also halt further growth of cysts in the ovary . However, this is a temporary measure which can be discontinued later.
As to the question of managing pain the usual practice is to start with stronger doses that are subsequently reduced to milder sedatives to keep the patient mentally balanced. To achieve this, doctors prefer starting with higher dose of Fentanyl or Vicodin that is followed by Tylenol or similar sedatives to take care of any residual pain.
The saddest part is that, all these treatments just aim to manage the rupture, but the cyst may occur again, and it can rupture again. So the best thing to do is ensure that the cysts do not appear in the first place. This can only be achieved by treating the root causes, and only holistic remedies are able to do this. Thus, you should always turn to holistic remedies.