Some backstory: I get ovarian cysts constantly (I promise this is related). Over the last year I've probably had 5 or 6 rupture which, as you know if you've ever had this happen, is the most excruciating pain I've ever experienced. I'm talking falling down screaming kind of pain. And it's not just a one and done thing, it hangs around for about a month where I can barely walk.

But here's where the bipolar part comes in. Twice in the last year I've bounced right into a manic episode right after one bursts. It doesn't happen every time, but one ruptured again last week (all I did was bend over to grab something and BAM) and I went straight into a very intense manic episode. I know there are a ton of things that can trigger a manic episode, so I'm wondering if intense/sudden pain can be a trigger? Or maybe the influx of hormones that get released when it happens? 

I don't know, maybe I'm way off base. Could be a really unfortunate coincidence with really bad timing. I know rupturing cysts probably aren't that common, but has anyone ever experienced an episode after a lot of pain? I've been meaning to ask my psychiatrist but I keep forgetting. 

I thought I'd reach out to my fellow bipolar peeps and get your thoughts.