How much pelvic fluid is considered to be within the range of a disease?

Patient's question:

Mainly pelvic effusion, pelvic inflammatory disease, occasional lower abdominal pain, took medication for three months, abnormal vaginal discharge, sometimes white, recently yellow.

Doctor's answer:

In clinical diagnosis, pelvic effusion is divided into physiological and pathological types. If it is detected through careful ultrasound examination during the menstrual period and ovulation period, and there are no discomfort symptoms, no special treatment is needed. Follow-up reexamination can be conducted later. If the effusion volume is relatively large and accompanied by abdominal pain and lower back discomfort, it should be considered as pelvic inflammation. If the symptoms are significant, intravenous antibiotics should be administered for anti-inflammatory treatment, while taking traditional Chinese medicine for promoting blood circulation and resolving blood stasis. Additionally, local physical therapy using microwave treatment should be combined. After the course of treatment, ultrasound and gynecological examinations should be conducted for follow-up. For patients with severe pelvic effusion, timely symptomatic treatment and appropriate medication are necessary. Otherwise, it may lead to recurrent pelvic effusion. Additionally, patients should maintain a positive mood to avoid exacerbating the condition.

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