Patient's question:
On April 23rd, an abortion was performed. MRI showed fluid in the uterosacral pouch, with a depth of about 2.0 cm. On May 1st, a follow-up examination detected a 1.8 cm echo-free dark area in the uterosacral fossa. Antibiotics were prescribed for 7 days. On May 9th, a follow-up ultrasound still showed a 1.7 cm echo-free dark area. What should I do?Doctor's answer:
Pelvic fluid in gynecology is divided into physiological and pathological types. Physiological pelvic fluid often occurs in women after menopause or in early pregnancy and usually disappears naturally, requiring no treatment. In most women, pelvic fluid is caused by inflammation, resulting from inflammatory exudates in the pelvic area. Pathological pelvic fluid in gynecology is often caused by pelvic inflammatory disease, adnexitis, or endometriosis. The causes of pelvic inflammatory disease and adnexitis are often related to poor hygiene habits, such as sexual activity during menstruation or within two weeks postpartum, or taking a bath within two weeks after gynecological surgery.