Patient's question:
Re-examination, yesterday at school for tutoring again today for a follow-up ultrasound: 【Uterus】The uterus is of normal size, with regular shape, and the internal is still relatively uniform. Left uterine artery PI 2.23, RI 0.78. 【Ovaries】Both ovaries have regular shapes with relatively clear boundaries. A free anechoic area is observed in the uterosacral pouch, measuring 3054mm. MRI findings: 1. The uterus and both ovaries show no obvious lesions. 2. Pelvic effusion. What kind of assistance is needed: Because it is a child who has just turned 18 and still has final exams, the effusion has not decreased after 3 months of treatment, and there is great concern about how to treat it. In addition to this prescription of Kangfu Xiaoyan (Should the medication be stopped during the menstrual period?), Sanjie Tongzhen pills were also prescribed.Doctor's answer:
Generally, pelvic effusion is divided into two types:1. Physiological pelvic effusion often occurs after menopause or in early pregnancy and can usually disappear naturally without treatment.
2. Most pelvic effusions are caused by inflammation, specifically due to chronic pelvic inflammatory exudation. A small number may also be caused by conditions such as ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cysts, or ovarian cancer. Those caused by acute or chronic pelvic inflammation are often accompanied by lower abdominal pain (unilateral or bilateral), lumbosacral pain, or a history of induced or medication-induced abortion.
The specific cause of the effusion is that inflammatory serous exudation cannot be metabolized by the body and gradually accumulates within the body. It is recommended to seek medical examination and treatment at a formal hospital to avoid delaying the condition.