Patient's question:
What does it mean that I was diagnosed with chronic cervicitis degree II and cleanliness degree III during my recent physical examination? Why does this condition occur? How should it be treated? Does this disease affect most women?Additionally, the ultrasound showed pelvic effusion. What is the reason for this? What should be done?
Thank you! First follow-up question: Thank you for the answer about pelvic effusion. Then, regarding chronic cervicitis, what should be done?
Doctor's answer:
Hello, this indicates inflammation. Pelvic effusion refers to inflammatory exudate present 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 encapsulated by surrounding tissues. If left untreated, it can grow larger. 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 often associated with 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 postpartum, or taking tub baths within one month after gynecological surgery. Medical infections caused by unsanitary 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. Chronic infection foci may be due to inflammation of the ovaries or fallopian tubes in the gynecological system, or they could be caused by tuberculosis or tumors. Early treatment of PID is crucial, as delaying it can affect fertility.
To identify the causative pathogen of pelvic inflammation, special laboratory tests should be conducted, followed by symptomatic medication. If tuberculosis is suspected, anti-tuberculosis treatment should be administered. Drawing off effusion is a diagnostic or symptomatic treatment measure and should not be performed frequently. Simply draining the effusion not only fails to cure it but may also increase the amount of effusion. It is recommended to seek gynecological treatment early.