Patient's question:
What causes fluid accumulation in the pelvis? How can it be treated to be completely cured? Is this condition serious? Is it related to vaginitis?Doctor's answer:
Hello: The ultrasound examination revealed a fluid-filled area on the left side of the uterus, indicating pelvic effusion. This is not a serious condition, so there is 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 exuded from swollen cells of the endometrium and gradually forms a cystic mass when surrounded by surrounding tissues. If left untreated, it can gradually 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.In addition to the normal pelvic effusion in women due to physiological characteristics, pathological pelvic effusion is mostly caused by pelvic inflammatory disease (PID) or endometriosis. The causes of PID are often related to poor hygiene habits, such as sexual activity during menstruation or postpartum within one month, or taking a bath after gynecological surgery within one month. Medical infections caused by unsterilized induced abortion or miscarriage 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 due to inflammation of 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 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.
Aspiration of effusion is a means of examination or symptomatic treatment and should not be performed frequently.
Because simple aspiration of effusion not only does not cure pelvic effusion but may also increase the amount of effusion.