Thanks for asking at Healthcare Magic. I read your question and I understand your concern. Ovarian cystic rupture are managed conservatively by Pain killer like Advil or narcotic analgesic. taking plenty of water like 8-12 glasses of water. Doing serial imaging, ultrasound and examination if the bleeding still persist or patient become hemodynamically unstable or serious at the start then surgery is indicated. Three types of surgery are done, starting from simple suturing, cautery, wedge resection. Oophorectomy or salphingoophorectomy. If you were managed conservatively successfully you have to take oral contraceptives if it was functional cyst. Once the acute resolved workup should be done to differentiate between functional cysts, benign or malignant. Hope it helps best. Don t forget to rate this answer and close the discussion at Healthcare Magic. Take your best care. Regards Dr Ejaz