Patient's question:
I want to know the causes of pelvic effusion and how to investigate them, including which items? Are they performed simultaneously or using the exclusion method, respectively? Approximately how many items are there?Doctor's answer:
Hello: Pelvic effusion refers to the presence of inflammatory exudate in the pelvic cavity. It can occur after endometritis, where slightly viscous fluid leaks from swollen cells of the endometrial tissue and gradually forms a cystic mass as it is surrounded by surrounding tissues. If left untreated, it can grow over time. If it becomes too large, medication cannot eliminate it, and surgery may be required to remove it. Pelvic effusion can be completely cured, but effective treatment must be based on identifying the causative pathogen.Apart from the normal pelvic effusion in women due to physiological characteristics, pathological pelvic effusion is mostly caused by pelvic inflammatory disease (PID) or endometriosis. The causes of PID are often related to poor hygiene habits, such as sexual activity during menstruation or within one month after childbirth, or taking a bath after gynecological surgery within one month. Medical infections caused by unsterilized artificial abortion or induced abortion can also lead to pelvic effusion. For effusion caused by pelvic inflammation, posterior fornix aspiration should be performed to determine the nature of the fluid. If there are chronic infection foci, they may be due to inflammation of the gynecological system, such as the ovaries or fallopian tubes, or they may be caused by tuberculosis or tumors. Early treatment of PID is crucial, as delaying it can affect fertility.
To identify the causative pathogen of PID, special laboratory tests should be conducted, followed by symptomatic medication. If tuberculosis is suspected, anti-tuberculosis treatment should be administered. Drawing out effusion is a means of examination or symptomatic treatment and should not be done frequently. Simply draining the effusion not only does not cure pelvic effusion but may also lead to an increase in effusion.