Patient's question:
My pelvic effusion always comes back after treatment, and it never gets better even when treated. Moreover, my fallopian tubes are also blocked. I pay great attention to hygiene, so why is this happening? Recently, my lower abdomen has been hurting very badly. What medicine is effective?Doctor's answer:
Hello: Yes, the ultrasound shows a fluid-filled area on the left side of the uterus, indicating pelvic effusion. This is not a serious condition, so there's no need to be anxious. Pelvic effusion refers to inflammatory exudate in the pelvic cavity, which can occur after endometrial inflammation. The slightly viscous fluid is secreted by swollen cells in the endometrium and gradually forms a cystic mass as it is surrounded by surrounding tissues. If left untreated, it can grow larger. If it becomes too large, medication cannot eliminate it, and surgery may be required. Pelvic effusion can be completely cured, but effective treatment must be based on identifying the causative pathogen.In addition to the normal pelvic effusion in women due to physiological characteristics, pathological pelvic effusion is mostly related to pelvic inflammatory disease or endometriosis. The causes of pelvic inflammatory disease are often related to poor hygiene habits, such as sexual activity during menstruation or postpartum within a month, or taking a bath after gynecological surgery within a month. Medical infections caused by unsafe artificial abortion or induced abortion can also lead to pelvic effusion. For effusion caused by pelvic inflammation, posterior fornix aspiration is recommended to determine the nature of the fluid. Chronic infection foci may be caused by inflammation in the gynecological system, such as the ovaries or fallopian tubes, or may be due to tuberculosis or tumors. Early treatment of pelvic inflammatory disease is crucial, as delaying it can affect fertility.