First, what is pelvic effusion
Pelvic effusion is an inflammatory exudate in pelvic cavity, which can occur after endometrial inflammation. The slightly viscous liquid oozing from swollen cells of endometrial tissue is gradually formed by surrounding tissues.
Second, the common signs of pelvic effusion
1, feeling of falling, pain in lower abdomen and lumbosacral region.
The main symptoms are falling sensation, pain on one or both sides of the lower abdomen, scar adhesion caused by chronic inflammation and pelvic congestion, which will lead to swelling of the lower abdomen, pain and lumbosacral pain. It is often more serious after fatigue, sexual intercourse and menstruation.
2. The resistance drops
The systemic symptoms of pelvic effusion are not obvious, and sometimes there may be low fever and fatigue. For those with a long course of disease, some patients may have neurasthenia symptoms, such as listlessness, general fatigue, insomnia and so on. When the patient's resistance is poor, it is easy to have acute or subacute attacks.
3, menstrual disorders
Because patients with pelvic blood stasis may have increased menstrual flow; When ovarian function is impaired, menstrual disorders may occur; Adhesion and obstruction of fallopian tubes can lead to female infertility.
4. hairless
Infertility is the most common symptom of pelvic effusion. If a female friend suffers from inflammation and causes tubal blockage, infertility will occur. General clinical examination will find that the position of the patient's uterus moves backward, restricting activities or causing adhesion.
5, abdominal pain
If a female friend suffers from pelvic effusion, there will be symptoms such as chronic lateral adhesion and pelvic bleeding, and some will also have symptoms such as abdominal pain, swelling pain and falling pain, especially after fatigue or sexual life. The symptoms of pain will get worse.
Third, the causes of pelvic effusion
Pelvic effusion is an inflammatory exudate in pelvic cavity, which can occur after endometrial inflammation. The slightly viscous liquid oozing from swollen cells of endometrial tissue is gradually formed by surrounding tissues. If left untreated, you can grow up slowly. It's too big for the medicine to go away. It needs surgery.
1, infection after gynecological operation
When female friends do some operations, such as artificial operation, IUD operation, salpingography, etc. If the disinfection during operation is not very strict, it is easy to cause postoperative infection in women.
2. Inflammation spreads to neighboring organs.
Some female friends will suffer from appendicitis or peritonitis, and the female reproductive organs are nearby. If inflammation is not treated in time, it will easily lead to diffusion and eventually lead to pelvic inflammation in women.
3, do not pay attention to hygiene during menstruation.
When a female friend has menstrual cramps, the endometrium will fall off, which will open the blood sinus in the uterine cavity and cause a solidified blood clot, which is very suitable for the growth of bacteria. Therefore, if female friends do not pay attention to personal hygiene during menstrual cramps, or do not use standard sanitary napkins, toilet paper, etc. Or having sex during menstruation will provide a good opportunity for bacterial growth and infection, which will lead to female pelvic inflammatory disease.
4. Postpartum and post-abortion infection: Female friends are very weak and have low resistance and immunity because of a lot of physical injuries after postpartum and post-abortion. At this time, the cervical opening of women is also in a state of expansion. At this time, if personal hygiene is not paid attention to, all bacteria in women's private parts and cervix may continue to rise, causing female pelvic infection. ...
Four, the type of pelvic effusion
According to the generation of pelvic effusion, we divide pelvic effusion into physiological pelvic effusion and pathological pelvic effusion. Then let's take a look at the types of pelvic effusion ~
1, physiological pelvic effusion
Physiological pelvic effusion refers to pure physiological pelvic effusion without external causes. For example, during menstruation, a small amount of menstrual blood is not discharged and remains at the lowest point of pelvic cavity and abdominal cavity; For example, during ovulation, some ovarian secretions are discharged into the pelvic cavity through the fallopian tube, forming pelvic effusion. Physiological pelvic effusion is a normal physiological phenomenon in women. If a woman has pelvic effusion, her fallopian tubes are clear.
2. Pathological pelvic effusion
Pathological pelvic effusion is generally caused by inflammation, such as endometritis or adnexitis and pelvic inflammatory disease. Inflammatory stimulation leads to excessive exudate and remains in the pelvic cavity. Pelvic effusion will accumulate over time and gradually increase, making treatment more difficult and expensive. Pathological pelvic effusion is related to menstrual hygiene, sexual hygiene and personal medical history. Gynecological inflammation is likely to cause pelvic effusion if it is not cured.
Five, the harm of pelvic effusion
1, hormone imbalance: It is the most common cause of uterine bleeding, especially for young girls and menopausal women. Anovulatory bleeding caused by hormonal imbalance, menstrual disorder at menarche or near menopause. In addition, it will also cause the infinite growth of the endometrium, making it grow to the thickness of the endometrium that the uterus itself can't bear, resulting in breakthrough bleeding. Therefore, the initial menstrual flow is often small and dark brown, which will evolve into a large amount of bleeding with the increase of time.
2, coagulation difficulties: for example, people who lack platelets or leukemia will be unable to stop bleeding due to coagulation dysfunction after menstrual cramps, forming a considerable amount of menstrual flow.
3, thyroid problems: if the thyroid function is too low or too high, it will cause ovarian dysfunction, and menstrual disorders have occurred.
4, poor liver function: poor liver function will slow down the secretion of female sex hormones, causing endometrial hyperplasia, causing abnormal bleeding.
5. Pregnancy: During pregnancy, abnormal bleeding may occur due to problems caused by implantation or endometrial support. At this time, we should be on guard against premature delivery or miscarriage.
Six, how to treat pelvic effusion
1, general treatment
Relieve patients' worries, enhance their confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve their body resistance.
2, Chinese medicine treatment
Chronic pelvic inflammatory disease is mostly damp-heat type, and the treatment is mainly to clear heat and promote diuresis. Mainly promoting blood circulation and removing blood stasis, the prescription is: Salvia Miltiorrhiza 18g, Paeonia Rubra 15g, Radix Aucklandiae 12g, Semen Persicae 9g, Flos Lonicerae 30g, Herba Taraxaci 30g, Poria 12g, Cortex Moutan 9g and Radix Rehmanniae 9g. When the pain is severe, add 9g of Rhizoma Corydalis. Some patients are of cold coagulation and qi stagnation type, and the treatment principle is to warm meridians to dispel cold, promote qi circulation and promote blood circulation. Guizhi Fuling decoction is commonly used. Codonopsis pilosula 15g, Atractylodes macrocephala 9g and Astragalus membranaceus 15g are added for patients with qi deficiency.
Step 3: physical therapy
Warm benign stimulation can promote pelvic local blood circulation. Improve the nutritional status and metabolism of tissues, so as to facilitate the absorption and regression of inflammation. Commonly used are short wave, ultrashort wave, iontophoresis (penicillin, streptomycin and other drugs can be added) and wax therapy.
4. Surgical therapy
Surgical treatment is feasible for masses such as hydrosalpinx or tubal ovarian cyst. Authors who have small infected lesions and repeatedly cause inflammation should also be treated surgically. The operation is based on the principle of complete cure. In order to avoid the recurrence of residual lesions, unilateral appendectomy or total hysterectomy plus bilateral appendectomy is performed. Young women should try to preserve ovarian function. Single therapy for chronic pelvic inflammatory disease is not effective, so comprehensive therapy should be adopted.
The effects of pelvic effusion on menstruation are often female hormone imbalance, coagulation difficulties, thyroid problems, poor liver function, premature delivery or abortion. Therefore, women must pay attention to pelvic effusion conditioning. Usually, we should consciously adjust our daily habits, eating habits and rest habits, and pay more attention to exercise.