What symptoms may appear in women with pelvic effusion?

Patient's question:

Female, 42 years old, experiencing pain in the lower abdomen, discomfort in the waist, and a cool sensation in the lower abdomen. She has been treated for symptoms of pelvic inflammatory disease for two months without improvement. She wants to ask, what symptoms can appear in women with pelvic fluid accumulation?

Doctor's answer:

1. The main symptoms are a sense of downward sinking, pain in one or both sides of the lower abdomen, and chronic inflammation causing scar adhesions and pelvic congestion, which can lead to a heavy, distended lower abdomen, pain, and lower back/ischialgia pain. It often worsens after exertion, sexual intercourse, or around the menstrual period.
2. Irregular menstruation: Due to pelvic congestion, menstruation may become excessively frequent; if ovarian function is affected, menstruation may become irregular; and if fallopian tube adhesions or blockages occur, it may lead to female infertility.

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