Patient's question:
All symptoms: Ultrasound description: The uterus is retroverted. The uterine body has three diameters of 4.74.84.8 CM, with regular contours and smooth boundaries. The uterine muscle layer shows uniform echoes, with an endometrial thickness of 1.6 CM, centrally located. The cervical canal shows an anechoic area, approximately 0.40.2 CM in size. Both ovaries are visible. The left ovary shows a cystic anechoic area, approximately 2.71.9 CM in size, with poor tension, thick and rough walls, and poor sound transmission. Fine dense punctate strong echoes are visible. CDFI: Surrounding flow is visible in a ring-like pattern. The Pouch of Douglas has a fluid depth of about 2.5 CM, with good sound transmission. Ultrasound findings: No obvious abnormalities in uterine size and shape. Cervical nabothian cyst. Cystic anechoic area in the left ovary, considered a corpus luteum hematoma. Pouch of Douglas.Doctor's answer:
Analysis of the condition: Pleural effusion can be either physiological or pathological. Pathological effusion is primarily caused by pelvic inflammation, while physiological effusion is mainly observed during the menstrual period and ovulation period. If there are no symptoms of pelvic inflammation such as fever, abdominal pain, lower back pain, or purulent leukorrhea, it is likely physiological effusion and does not require any treatment. Nabothian cysts are a manifestation of chronic cervicitis, primarily caused by long-term inflammatory stimulation. Vaginitis is also caused by infection. Pituitary microadenoma can lead to hyperprolactinemia. Elevated prolactin can inhibit ovulation, resulting in menstrual disorders and infertility.Suggestions: It is recommended to undergo a cervical cell smear test. If it only indicates inflammation, the Nabothian cysts do not require treatment. It is also recommended to have a six-panel sex hormone test. If elevated prolactin is detected, surgical treatment for the pituitary microadenoma is necessary. After surgery, when prolactin returns to normal, it may be possible to conceive successfully.