Patient's question:
Detailed medical condition and consultation purpose: During this year's physical examination, transvaginal ultrasound revealed: 23mm deep 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—too much, and my underwear gets dirty. After a hospital examination, the vaginal discharge test results were normal.
Second follow-up question: I suddenly realized 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 disappears naturally, requiring no 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. Those caused by acute or chronic pelvic inflammatory disease often accompany lower abdominal pain (unilateral or bilateral), low back and sacral 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 or irritating foods.