Patient's question:
Detailed medical condition and consultation purpose: During this year's physical examination, transvaginal ultrasound revealed: 23mm of fluid accumulation in the posterior cul-de-sac. Ultrasound diagnosis: pelvic effusion. Is this a gynecological disease?First follow-up question: I would like to ask again if I have pelvic inflammatory disease (PID), why was it not detected during the gynecological examination. In my case, is the PID severe? I feel that my vaginal discharge has been abnormal lately—excessive in amount, and my underwear is always dirty. However, after testing the discharge at the hospital, the results were normal.
Second follow-up question: I suddenly remembered that before the ultrasound, I had sexual intercourse with my husband. Could this have caused the pelvic effusion?
Doctor's answer:
Hello: You have pelvic inflammatory disease, and you should take medication promptly. Wishing you a speedy recovery!Pelvic effusion can be divided into two types:
1. Physiological pelvic effusion often occurs after ovulation or in early pregnancy and usually resolves naturally without treatment.
2. Most pelvic effusions are caused by inflammation, resulting from exudation due to chronic pelvic inflammatory disease. A few cases may be due to conditions such as ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cysts, or ovarian cancer.
Pelvic effusion caused by acute or chronic pelvic inflammatory disease often accompanies 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 serous exudation caused by inflammation cannot be absorbed by the body and gradually accumulates internally.
It is recommended that you follow the guidance of your treating physician, actively receive symptomatic treatment based on examination results. Pay attention to menstrual hygiene and sexual hygiene, and avoid spicy and irritating foods.