Pelvic fluid

Introduction to pelvic fluid Pelvic effusion is the presence of inflammatory exudate in the pelvic cavity, which can occur after pelvic inflammatory disease or endometriosis (pathological). According to pathological factors, it can be divided into physiological pelvic effusion and pathological pelvic effusion. Physiological pelvic fluid is not a bad thing for women, and pathological pelvic fluid is a great hazard. Once a woman has such fluid, she should go to the hospital in time for symptomatic treatment. The main symptoms are feeling of falling sensation, pain on one side or both sides of the lower abdomen, scar adhesion caused by chronic inflammation, and pelvic congestion, which can cause lower abdomen bulge, pain, and lumbosacral pain. Often tired, after sexual intercourse, before and after menstruation is more serious. General treatment relieves the patient's ideological concerns, enhances the confidence of treatment, increases nutrition, exercises the body, pays attention to the combination of work and rest, and improves the body's resistance. basic knowledge The proportion of illness: 0.013% Susceptible people: women Mode of infection: non-infectious Complications: infertility Chronic pelvic inflammatory disease

Cause of pelvic fluid

Menstrual period does not pay attention to hygiene (15%):

Female friends in the menstrual cramps, the endometrium will fall off, so that the internal sinusoids of the uterine cavity is open, and there will be coagulated blood clots, etc., which is very suitable for the breeding of bacteria. Therefore, if female friends do not pay attention to their personal hygiene when menstruating, or do not use sanitary napkins, toilet paper, etc., or have sex during menstruation, they provide good breeding and infection for bacteria. The opportunity to cause a situation of female pelvic inflammatory disease.

Adjacent organ inflammation spread (26%):

Some female friends will suffer from appendicitis or inflammation of the peritoneum, and the female reproductive organs are nearby. If the inflammation is not treated in time, it will easily spread and eventually lead to inflammation in the pelvic area of women. Some female friends suffer from chronic cervix inflammation, which causes blood circulation through the lymph, and eventually causes inflammation of the connective tissue in the pelvic area of women.

Postpartum, post-abortion infection (25%):

After the female friends in production and abortion, because the body suffered a lot of damage, the body is very weak, the body's resistance and immunity are relatively low, and at this time the female's cervix is also in an expanding state. At this time, if you do not pay attention to your personal hygiene, then all the bacteria in the vagina and cervix may continue to rise and cause infection in the female pelvic cavity.

Post-gynecological infection (15%):

When female friends perform some operations such as artificial surgery, ring surgery, fallopian tube angiography, etc., if the disinfection during the operation is not very strict, it is easy to cause female infection after surgery. And if women do not pay attention to personal hygiene after surgery, do not resume treatment according to the doctor's sputum, too early sexual life after treatment, etc., will lead to the continuous growth of bacteria and lead to female pelvic infection, causing female pelvic cavity The occurrence of inflammation. Therefore, female friends must pay attention to personal hygiene during surgery to avoid infection.

Pelvic fluid prevention

1. Women should pay attention to hygiene during menstruation, pregnancy, childbirth and puerperium to prevent infection.

2. Women prevent the abuse of antibiotics and anti-inflammatory drugs. Antibiotics, whether oral or injection, inhibit the lactobacilli in the vagina, disturb the natural ecological balance of the vagina, change the microenvironment of the vagina, and cause pathogenic bacterial pathogens to multiply, eventually leading to local candidal vaginitis episodes, which in turn An inflammatory fluid causes pelvic fluid.

3, prevention is important in the cleaning of the house. In female genital inflammation, attachment inflammation, pelvic inflammatory disease, unclean sex is an important cause of disease. Because some sexual partners are so excited before the sexual intercourse, they ignore the local hygiene and rush into battle without cleaning. Inflammation can be limited to one site, or several sites can occur at the same time, causing pelvic effusion at the same time in several sites.

4, women should wash the vagina correctly. Some women often use medicated lotion to clean the vagina in order to maintain hygiene. This is easy to destroy the acid and alkali environment of the vagina, but it is easy to get infected with candida vaginitis. The correct flushing is to rinse with clean water.

5. Seek medical attention in time. After the onset of reproductive system diseases, most people will have different symptoms. Acute inflammation may cause serious consequences such as diffuse peritonitis, sepsis and septic shock, chronic pelvic inflammatory disease. Sometimes there are low fever and susceptibility to fatigue. Some patients have symptoms of neurasthenia due to long course of disease, such as insomnia, lack of energy, and general discomfort. Lower abdomen bulge, pain and soreness in the lumbosacral region, often worsened after exertion, after sexual intercourse, before and after menstruation. Due to chronic inflammation, pelvic congestion, menorrhagia, ovarian dysfunction, menstrual disorders, tubal adhesions can cause infertility.

6, if the accidental pregnancy, to do a good preoperative preparation for gynecological surgery. Pay attention to keep the vulva clean, avoid sexual intercourse three days before surgery; pay attention to vulva and vaginal cleansing after surgery, wash the vulva with warm water, replace the perineal pad and underwear in time, and prohibit sexual intercourse within 2 to 3 weeks.

7, suffering from acute genital inflammation, annex inflammation. Pelvic inflammatory disease should be completely cured to prevent chronic changes. This causes water to accumulate and build up fluid.

8, pay attention to gynecological examination.

9, exercise, enhance physical fitness, increase nutrition, pay attention to work and rest, improve the body's resistance.

A: Hygiene attention: Women especially need to pay attention to the health of women during the menstrual period and during the delivery period of pregnancy, in order to prevent the birth of reproductive organs.

2: Do not abuse drugs: Abuse of antibiotics and anti-inflammatory drugs will cause the presence and accumulation of a large number of hormones in the female body, so that the occurrence of lesions causes the production of pelvic fluid.

Three: cleansing of the house: Many women have caused inflammation of the reproductive organs because of the uncleanness of the house, and they are the most common.

Four: vaginal washing, excessive vaginal washing will cause a lot of damage to the beneficial bacteria in the vagina, making women vaginal infertility.

Pelvic effusion complications Complications infertility chronic pelvic inflammatory disease

1. If the pelvic effusion is not properly treated, its harmfulness is large, which may lead to pelvic adhesions, blockage of the fallopian tubes, etc., leading to infertility. Such as normal lower abdominal pain, lumbosacral pain, increased vaginal discharge, gynecological examination of lower abdomen tenderness, strip-like thickening, etc., considering chronic pelvic inflammatory disease, the need for active treatment to prevent increased inflammation, increased fluid volume.

2. Most pelvic fluids are caused by inflammation, which is caused by chronic pelvic inflammatory exudation. There are also a small number of ruptures due to ectopic pregnancy, corpus luteum rupture, pelvic abscess, chocolate cysts, and ovarian cancer. The effusion caused by pelvic inflammatory disease is best for post-Qianlong puncture examination to identify the nature of the liquid.

3, if there is a chronic infection, it may be inflammation of the gynecological system such as ovary, fallopian tube, may also be caused by tuberculosis or tumor. Pelvic inflammatory disease should be treated early, and prolonged exposure will affect fertility.

Symptoms of pelvic fluids Common symptoms Lower abdominal pain, backache, lower back pain, lower leucorrhea, increased menstrual flow, more dysmenorrhea

1, falling feeling, lower abdomen, lumbosacral pain

The main symptoms are feeling of falling sensation, pain on one side or both sides of the lower abdomen, scar adhesion caused by chronic inflammation, and pelvic congestion, which can cause lower abdomen bulge, pain, and lumbosacral pain. Often tired, after sexual intercourse, before and after menstruation is more serious.

2, the decline in resistance

The systemic symptoms of pelvic fluid are not obvious, and sometimes there may be low fever and fatigue. In patients with longer course of disease, some patients may have symptoms of neurasthenia, such as lack of energy, general discomfort, and insomnia. When patients have poor resistance, they are prone to acute or subacute attacks.

3, menstrual disorders

Due to pelvic congestion, menstruation may increase; ovarian dysfunction may have menstrual disorders; when tubal adhesions are blocked, it may cause female infertility.

4, infertility

Infertility is the most common symptom of pelvic fluid. If a female friend suffers from inflammation and the fallopian tube is blocked, infertility will occur. Generally, when clinical examination, the patient's uterus position is backward. The activity caused a limit, or a sticking occurred.

5, abdominal pain

If a female friend suffers from pelvic fluid, there will be symptoms such as chronic adhesions, pelvic bleeding, and some symptoms such as abdominal pain, pain, and pain, especially after fatigue or sexual life. The symptoms of pain increase.

Pelvic effusion check

1. Ultrasound examination : mainly refers to B-type or gray-scale ultrasound scanning and radiography, which has an accuracy of 85% for identifying masses or abscesses formed by adhesion between the fallopian tubes, ovaries and intestinal ducts. Because mild or moderate pelvic inflammatory disease is difficult to show characteristics in B-mode ultrasound images, it is generally used to diagnose more severe pelvic inflammatory disease.

Second, the direct smear of secretions: is a common method for the diagnosis of acute pelvic inflammatory disease, generally in the vagina, cervical secretions, or urethral secretions sampling, do a direct thin smear, dried with methylene blue or gram dyed, However, the detection rate of cervical gonococcal is only 67%.

Third, laparoscopy: for the diagnosis and differential diagnosis of acute pelvic inflammatory disease, can also be a preliminary judgment of the degree of pelvic inflammatory disease, laparoscopic examination can be performed in patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdomen.

Fourth, pathogen culture: the average sensitivity is 89.5%, with a specificity of 98.4%, more clinical use.

Five, blood routine, urine routine, erythrocyte sedimentation: blood routine white blood cell examination for the diagnosis of inflammation is meaningful, trichomonas vaginitis, mucopurulent cervicitis, pelvic inflammatory disease more white blood cells, and bacterial vaginosis and vulvovaginal silk Yeast disease has fewer white blood cells. These are all methods for acute pelvic inflammatory disease. These tests can basically reduce the rate of misdiagnosis of acute pelvic inflammatory disease to a minimum. Sometimes, the diagnosis of acute pelvic inflammatory disease in women requires some necessary examinations by their male partners. Conducive to the diagnosis of acute pelvic inflammatory disease.

Diagnosis and differentiation of pelvic fluid

diagnosis

The location of pelvic effusion occurs in the lower part of the pelvic cavity such as the uterus rectal sag. The effective examination method commonly used in gynecology is B-ultrasound, which can accurately judge the amount of effusion.

It can be combined with medical history, symptoms and physical symptoms to determine whether it is normal effusion or abnormal effusion. If the diagnosis is abnormal, it is necessary to clarify the cause of effusion, and it is the key to remove the cause.

The effusion is a Western medicine examination or symptomatic treatment, and should not be done frequently. Because the simple effusion will not cure the pelvic fluid, it will also increase the effusion.

Differential diagnosis

Pelvic effusion needs to be distinguished from the following diseases:

1, pelvic feeling

The main symptom of pelvic weight is increased vaginal discharge. The color and amount of leucorrhea vary depending on the pathogen. The vaginal discharge can be viscous or amine, sometimes with bloodshot or a small amount of blood, or with contact bleeding. It can also manifest as a sudden onset of severe pelvic pain, with a pelvic mass suggesting a serious, potentially pathological condition. An incarcerated uterus can cause acute pelvic pain in early pregnancy, often accompanied by uterine posterior tilt and pelvic adhesions. Acute growth or degeneration of uterine fibroids can also cause acute pain.

2, pelvic abscess

Most of the pelvic abscesses were not treated in time by acute pelvic connective tissue inflammation, and suppuration caused by pelvic abscess. This abscess can be confined to one or both sides of the uterus, and pus flows into the deep pelvic cavity.

3, pelvic blood stasis

Pelvic congestion syndrome (also known as pelvic septicemia) is a special condition caused by chronic pelvic venous stasis and is one of the main causes of chronic pelvic pain in gynecology. It is more common in women aged 30-50 years. Chinese medicine does not have this name. According to its clinical manifestations, it can be classified into abdominal pain, dysmenorrhea, and lowering. The pathogenesis is mainly blood stasis and dysfunction.

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