Patient's question:
Ultrasound shows endometrial polyps and Douglas pouch effusion. A liquid dark area about 2.13 cm deep is visible in the Douglas pouch. Is it serious? Does it require hysteroscopy? Currently, an IUD is in place.Doctor's answer:
Analysis of the Condition: Hello: Endometrial polyps are a common gynecological disease. Generally, they are asymptomatic. When the polyps are larger, symptoms such as irregular vaginal bleeding and prolonged menstruation may occur. Pelvic effusion is often secondary to chronic pelvic inflammation, with symptoms including lower back and sacral discomfort, abdominal pain, etc. You have been diagnosed with endometrial polyps and pelvic inflammation, so you need to actively treat the condition.Suggestions: I recommend that you undergo hysteroscopy surgery to remove the polyps for pathological examination to further determine the nature of the lesion. Additionally, you should receive intravenous penicillin and levofloxacin. During this period, pay attention to rest and keeping warm, maintain cleanliness and dryness of the external genitalia, practice good menstrual hygiene, avoid unsafe sex and exposure to cold, and have regular follow-up examinations. I hope my answer helps you!
Doctor's Inquiry: