Is Pelvic Effusion Equal to Pelvic Inflammatory Disease?

In life, many people think that pelvic effusion and pelvic inflammation are the same diseases, and the diagnosis of pelvic effusion appears in the routine physical examination report, which often causes patients to panic and wonder whether they need to use antibiotics to treat symptomatically. This article will detail the relationship between pelvic effusion and inflammation.

What is pelvic effusion?

The uterine and rectal fovea is the lowest position of the abdominal cavity. When there is exudation or leakage of body fluid, it is easy to gather in this position to form pelvic effusion. Therefore, we need to correct a misunderstanding: pelvic effusion is usually a clinical manifestation of different diseases, not a disease. Precisely speaking, it is an imaging description of the fluid in the pelvic cavity. Among them, ultrasound has unique advantages in diagnosing pelvic effusion: non-invasive and painless, convenient and quick observation, and high accuracy. At the same time, ultrasound can also dynamically observe the growth and decline of pelvic effusion.

There is pelvic effusion. Must it be a pelvic inflammatory disease(PID)?

Pelvic effusion can be divided into physiological and pathological pelvic flow according to its causes.

Physiological pelvic effusion is caused mainly by physiological reasons, such as a small amount of serous fluid secreted by the peritoneum (used to lubricate and reduce friction between organs) and a particular physiological period (physiological ovarian ovulation, postpartum, etc.). These effusions are not caused by disease so they can be absorbed without treatment.

Suppose the depth of fluid accumulation detected by ultrasound is more than 15-20 mm, accompanied by abdominal pain, low back pain, abnormal leucorrhea, palpitation, shortness of breath, emaciation, low fever, and other discomfort symptoms and positive signs. In that case, most of them are pathological pelvic fluid accumulation. It is necessary to determine the cause of the disease in time and give targeted treatment.

Many diseases with the following causes can cause pathological pelvic effusion:

1.When the female pelvic cavity is inflamed, it will be shown as pyometra and salpingitis. In severe cases, the fallopian tube will be deformed and even have purulent fluid exudation, which is more dangerous.

2. During pregnancy, ectopic pregnancy may occur if the fertilized eggs cannot be implanted typically. Once the symptoms of abortion occur, the fallopian tube will rupture and bleed so that the blood will accumulate in the uterus and rectum, thus forming pelvic effusion.

3. After ovulation, most female friends ignore maintenance, do strenuous exercise, or live as a couple, which leads to the corpus luteum cyst rupture. This situation may disappear within three months, but once the rupture and bleeding occur, it is likely to cause pelvic effusion.

Therefore, pelvic effusion does not necessarily mean pelvic inflammation. It may be physiological or caused by other diseases. Find out the cause, and do not take antibiotics without permission. Whether it is pelvic effusion or pelvic inflammation, patients can choose the traditional Chinese medicine Fuyan Pill for treatment.

So, can pelvic inflammation cause pelvic effusion?

Pelvic inflammation refers to infectious diseases of the female upper reproductive tract, including endometritis, salpingitis, scalping ovarian abscess, and pelvic peritonitis. According to the urgency of the disease progression, it can be divided into acute and chronic.

Acute pelvic inflammation due to the focus of congestion and edema, a large number of exudates gathered, forming an abscess. Chronic pelvic inflammation can produce pelvic effusion due to adhesion around the emphasis and obstruction of local exudate flow and absorption.

However, in the early stage of inflammation, the infected tissue has mild degeneration and edema, and the inflammatory exudation has not formed or is very small. For patients with tenderness in the uterine body and accessory area, the pelvic effusion may not be detected by B-ultrasound.

Therefore, pelvic inflammation may have pelvic effusion, but B-ultrasound shows that pelvic effusion does not mean pelvic inflammation. The diagnosis of pelvic inflammatory disease should be combined with medical history, gynecological examination, pathogen detection, and necessary auxiliary examination. Avoid indiscriminate use of antibiotics before a doctor's visit.

How can women prevent pelvic effusion?

To prevent infection, women should pay attention to menstruation, pregnancy, delivery, and puerperal hygiene. Women should avoid the misuse of antibiotics and anti-inflammatory drugs. Antibiotics, whether taken orally or injected, can inhibit lactobacillus in the vagina, disrupt the natural ecological balance of the vagina, change the microenvironment of the vagina, and the pathogenic bacteria can reproduce, eventually leading to the local onset of candidal vaginitis and then secrete inflammatory fluid, causing pelvic effusion.

Prevention focuses on sexual cleaning. In female genitals, adnexitis, pelvic inflammation infection, and sexual impurity are critical pathogenic factors. Some sexual partners ignored local hygiene before having sex and rushed to battle without cleaning. Inflammation can be confined to one site or occur in several areas at the same time, thus causing pelvic effusion in several locations simultaneously. Women should wash the vagina correctly, and the correct washing is to use clean water.

Get medical attention in time. Most people will have different symptoms after the onset of reproductive system diseases. Acute inflammation may lead to diffuse peritonitis, sepsis, septic shock, and other serious consequences. Chronic pelvic inflammation, sometimes with low fever and fatigue, some people have neurasthenia due to the long course of the disease, such as insomnia, listlessness, etc.