Patient's question:
These days, my lower abdomen feels a bit swollen, and I also have a sensation of heaviness or dragging down. I went to the hospital for a color Doppler ultrasound, and the results showed significant pelvic fluid accumulation. Does pelvic fluid accumulation indicate pelvic inflammatory disease?Doctor's answer:
If the amount of pelvic effusion is greater than one centimeter, it indicates a pathological condition, proving pelvic inflammation. If there is pelvic effusion but it is less than one centimeter, it is physiological, possibly due to ovulation. In such cases, it is necessary to have a follow-up ultrasound after three days of menstruation to confirm. Pelvic effusion can be treated with anti-inflammatory medication, generally requiring a continuous course of two weeks. Then, wait for menstruation to occur, and have a follow-up ultrasound three days after the period ends to see if it resolves on its own.