Most women have "pelvic effusions", beware of the worse the treatment!

I believe that many sisters have heard the term "pelvic effusion" during the physical examination, and many "professionals" have heard that you have "pelvic effusion", which is quite positive -

Pelvic effusion equals pelvic inflammatory disease

Not treating it can be a big problem!

Pelvic effusions indicate a possible tumor

You need to check it out!

There is a risk that the pelvic effusion will not drain out

Come to my platoon!

I would like to say that this is all alarmist!!!

Is pelvic effusion a disease???

Pelvic effusion is a symptom and is not a diagnosis of disease.

To put it simply, pelvic effusion means that some pelvic exudative fluid accumulates in the rectal depression (or technical term Douglas's fossa). These fluids can be divided into physiological and pathological according to pathological factors, and can be divided into acute and chronic according to the course of the disease.

The formation of pelvic effusion is actually the same as "water flowing low". Because the uterine rectum is the lowest, when there is a fluid effusion in the pelvis, of course it flows here.

But pelvic effusion is only a phenomenon, and the reason behind it is the key to treatment or non-treatment.

The cause of physiological pelvic effusion is generally menstrual or ovulation, and there is a small amount of fluid in the pelvic cavity, which may be a "menstrual pool" or a "follicle fluid", and there are generally no symptoms of discomfort. In addition to this, people with constipation may also have small amounts of intestinal fluid oozing into the pelvic cavity.

There are many gynecological diseases that cause pathological pelvic effusions, such as pelvic inflammatory disease, ectopic pregnancy, luteal rupture, pelvic tuberculosis, endometriosis, etc. However, it should be noted that these diseases may cause more pelvic fluid accumulation leading to a feeling of falling, pain on one or both sides of the lower abdomen, and increased vaginal discharge.

Do pelvic effusions have to be "lined up"?

Of course not!

Physical examination to do ultrasound or CT and other found that there is a pelvic effusion, we must first judge whether this is physiological or pathological, need to be combined with clinical manifestations to judge.

Many people have no feeling of abdominal pain at all, and if they only find pelvic effusion through ultrasound, they are diagnosed with pelvic inflammatory disease! Such an operation would be reckless! If you use medicine indiscriminately, beware of getting worse and worse!

At this time, it is necessary to avoid the menstrual period or ovulation period and then do a review, if the pelvic effusion magically disappears, then we can judge this as a "physiological pelvic effusion" and do not need treatment.

Pathological pelvic effusions are associated with these gynecological disorders

For pathological pelvic effusions, in addition to pelvic inflammatory disease, there are many hidden reasons behind it, which require symptomatic treatment!

01

Pelvic inflammatory disease

Refers to a group of diseases caused by infections of the upper genital tract in women, mainly endometritis, salpingitis, tubal ovarian abscesses and pelvic peritonitis, which may cause an increase in exudate and cause effusions to accumulate in the pelvic cavity. Acute pelvic inflammatory disease, if not treated thoroughly, may turn into chronic pelvic inflammatory disease. The treatment purpose of pelvic inflammatory disease is to actively control the primary disease, anti-inflammatory and analgesic, and mainly to treat drugs and physical therapy.

Metronidazole works well for pelvic effusions caused by anaerobic bacteria, and if symptoms are severe, intravenous infusion may be an option. If it is a chronic pelvic effusion, oral medication can be selected, combined with physical therapy, as well as combination therapy such as hot compresses of Chinese medicine and Chinese medicine enemas.

02

Acute abdomen such as ectopic pregnancy and luteal rupture

Often presents with acute lower abdominal pain with a corresponding history, such as menopause, irregular vaginal bleeding, positive urine hCG, or definitive imaging. This type of acute abdomen often requires emergency hospitalization surgery, and acute pelvic effusions may be accompanied by pelvic intraperitoneal bleeding, and if not treated in time, the amount of bleeding increases, and may be complicated by shock and even life-threatening.

03

There is a clear primary disease

Ovarian tumors, endometriosis, pelvic tuberculosis, etc. require aggressive treatment of the underlying disease, with the option of medication, physical therapy, or other treatment. When severe pelvic effusions may be accompanied by shock, surgery may be an option.

04

Chronic recurrence

If there is a pelvic effusion in the past, chronic pelvic effusion may occur again after treatment; or lower abdominal pain, accompanied by high fever, headache, bleeding, shock and other accompanying symptoms, must be timely medical treatment, active treatment.

In addition, patients with pelvic effusions should have a balanced diet, suitable for eating light and digestible, vitamin C-rich foods, and should also drink more water to avoid cold and irritating foods.

For the prevention of pelvic effusion, the most important thing is to avoid the primary disease, maintain personal hygiene, enhance autoimmunity, and properly wash the vulva.

Prevention of pelvic effusions small TIPS

1. Pay attention to personal hygiene: women should pay attention to menstruation, before and after intercourse, pregnancy, childbirth and puerperium to prevent infection.

2. Develop good pubic cleaning habits: avoid the frequent use of liquid medicine to clean the vagina, so that it is easy to destroy the acid-base environment of the vagina and cause dysbacteriosis and lead to infection. Wash the vulva with warm water and water, and should be done one person and one basin, do not mix with other people.

3. Enhance the body's immunity, exercise regularly, and work and rest regularly.

Written by Specialist

Gu Yu, Deputy Chief Physician.

Specialty: Diagnosis and treatment of various reproductive endocrine diseases, including menstrual abnormalities, PCOS, infertility, and various gynecological tumors including endometriosis, uterine fibroids and gynecological inflammation.

Editor: Li Miaoran