Patient's question:
What does it mean that I was diagnosed with chronic cervical inflammation 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 I do?
Thank you! First follow-up question: Thank you for the answer about pelvic effusion. Now, regarding chronic cervical inflammation, could you please provide information on that?
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 endometrium and gradually forms a cystic mass as it is surrounded by surrounding tissues. If left untreated, it can grow over time. 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.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 a bath within one month after gynecological surgery. Medical infections caused by unsterilized 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 in the gynecological system, such as the ovaries or fallopian tubes, or may be caused by tuberculosis or tumors. Early treatment of PID is crucial, as delayed treatment can affect fertility.
To identify the causative pathogen of PID, 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.