If it has already ruptured once, I would definitely think she should have it out and not take any chances. When I was a freshman in college (of course, this was many, many years ago), mine ruptured and I was in the hospital 7 weeks and almost died. It took a long time for me to recuperate. I missed the balance of the semester and couldn't return to school until the 3rd semester, so I would definitely not take any chances. As I said, this was many years ago and things have improved tremendously today.