What is the meaning of inflammatory changes in the appendix with pelvic effusion?

Patient's question:

Irregular menstruation, small amount

Doctor's answer:

Bilateral adnexal inflammatory changes with pelvic effusion indicate that your pelvic inflammation has a significant impact and requires timely treatment. The heterogeneous echo of the uterus could be due to poor postpartum recovery, long-term inflammatory stimulation, or a tendency towards adenomyosis. A color Doppler ultrasound is needed for differential diagnosis. Wishing you good health.