Postpartum pelvic effusion is caused by bacterial infection and other factors. It is actually the presence of inflammatory exudate in the pelvic cavity, which can occur in pelvic inflammatory adnexitis or endometriosis.

What is pelvic effusion?

Postpartum pelvic effusion is actually the presence of inflammatory exudates in the pelvic cavity. The triggering factors are bacterial infections, etc., which can occur in pelvic inflammatory disease and adnexitis. Or endometriosis. Pelvic effusion is divided into two types, including physiological pelvic effusion and pathological pelvic effusion. Postpartum mothers are found to have pelvic effusion. The main reasons are:

1. Physiological pelvic effusion, because the pelvic cavity is the lowest part of the abdominal cavity in the body, and when there is exudation or leakage, it will be drained to Pelvic cavity, thus forming pelvic effusion. Some normal women will have a small amount of blood accumulate in the pelvic cavity during menstruation or ovulation, forming pelvic effusion. Such pelvic effusion is sometimes a good thing, as it proves that the woman's fallopian tubes are unobstructed. , there is leakage from the fallopian tube. If the fimbriae end is unobstructed, a small amount of leakage will reach the pelvic cavity, thus forming pelvic effusion.

If the fallopian tube is not smooth, it will cause fallopian tube effusion and fallopian tube thickening. Such pelvic effusion generally contains less fluid and will be absorbed gradually, so there is no need to be afraid. Generally no treatment is required.

2. Pathological pelvic effusion. Clinically, pelvic effusion in most women is caused by inflammation. It is the presence of inflammatory exudate in the pelvic cavity. If not treated, it can slowly grow. . If it's too big, it won't be easily removed by the drug and surgery will be required. Pathological gynecological pelvic effusion is mostly caused by pelvic inflammatory disease, adnexitis or endometriosis. The causes of pelvic inflammatory disease and adnexitis are mostly related to patients' poor hygiene habits, such as having sex during menstruation and within one month after childbirth, taking baths within one month after gynecological surgery, etc.

Iatrogenic infections caused by improper disinfection of artificial abortion and induced labor can also cause pelvic effusion. If there are chronic infection lesions, it may be caused by pelvic effusion caused by inflammation in the gynecological system such as the ovaries and fallopian tubes. It may also be caused by tuberculosis or tumors. In a few cases, it may be caused by ruptured ectopic pregnancy, ruptured corpus luteum, pelvic abscess, chocolate cyst, and ovarian cancer. .

3. Pelvic effusion is rarely caused by tuberculosis.

What causes pelvic effusion

The main reason for pelvic effusion in postpartum mothers is that the body has not recovered safely after delivery. If you do not pay attention to care, you will be easily infected with the virus. . The causes of pelvic effusion are:

1. Not paying attention to hygiene during menstruation

During menstruation, the endometrium will fall off and the blood sinus inside the uterine cavity will appear open. , and there will be small blood clots, etc., which is very suitable for the growth of bacteria. If you do not pay attention to personal hygiene during menstruation, use unclean sanitary napkins, toilet paper, etc., or have sex during menstruation, it will provide a good opportunity for bacterial growth and infection, causing pelvic inflammatory disease in women.

2. Spread of inflammation in adjacent organs

When suffering from appendicitis or peritoneal inflammation, women are prone to pelvic inflammatory disease. When you suffer from vaginitis or cervicitis, the inflammation can lead to infection, eventually leading to pelvic inflammatory disease.

3. Postpartum and post-abortion infection

After childbirth and induced abortion, the body is weak and the immune system is low. At this time, the cervix is ??in a state of expansion. If personal hygiene is not paid attention to, the vaginal Bacteria in the cervix and cervix may also ascend and cause pelvic infections in women.

4. Infection after gynecological surgery

Artificial abortion surgery, ring insertion (removal) surgery, fallopian tube angiography (fluid drainage), etc., if the disinfection during the operation is not strict, it is easy to Infection after surgery. If you do not pay attention to personal hygiene after surgery, do not follow the doctor's instructions for recovery treatment, have sex too early after treatment, etc., it will cause bacterial growth and lead to pelvic infection in women.

Symptoms of pelvic effusion

1. Falling feeling, pain in the lower abdomen and lumbosacral region

The main symptoms are a falling feeling on one or both sides of the lower abdomen Pain, scar adhesion and pelvic congestion caused by chronic inflammation lead to lower abdominal distension, pain and lumbosacral soreness. It is often more severe after exertion, sexual intercourse, and before and after menstruation.

2. Decreased resistance

The systemic symptoms of pelvic effusion are often not obvious, and sometimes there may be low-grade fever and fatigue. If the disease lasts for a long time, some patients may have symptoms of neurasthenia, such as lack of energy, general discomfort, insomnia, etc. When patients have poor resistance, they are prone to acute or subacute attacks.

3. Menstrual disorders

Patients with pelvic blood stasis may have increased menstruation; when ovarian function is damaged, menstrual disorders may occur; when fallopian tube adhesions and obstructions occur, female infertility may occur.

4. Infertility

Infertility is the most common symptom of pelvic effusion. If the fallopian tubes are blocked due to pelvic inflammatory disease, infertility will occur. During clinical examination, it was found that the patient The position of the uterus is tilted backward, the movement of the uterus is restricted, or adhesions occur.

Examination of pelvic effusion

1. Ultrasound examination

It is 85% accurate in identifying masses or abscesses caused by adhesion of fallopian tubes, ovaries and intestinal tubes sex. Generally used to diagnose more severe pelvic inflammatory disease.

2. Direct smear of secretions

It is a common method to diagnose acute pelvic inflammatory disease. It can take samples of vaginal, cervical secretions, or urethral secretions and do direct thin-layer smear. The slices were dried and stained with methylene blue or Gram to detect gonococci, but the detection rate of cervical gonococci was only 67%.

3. Laparoscopy

It is used for the clear diagnosis and differential diagnosis of acute pelvic inflammatory disease. It can also make a preliminary determination of the degree of pelvic inflammatory disease. Laparoscopy can diagnose pelvic inflammatory disease. Or treat patients with suspected pelvic inflammatory disease and other acute abdomen.

4. Pathogen culture

The average sensitivity is 89.5% and the specificity is 98.4%. It is widely used clinically.

5. Routine blood test, routine urine test, and erythrocyte sedimentation rate

Provide the basis for targeted treatment of acute pelvic inflammatory disease. These examinations can basically minimize the misdiagnosis rate of acute pelvic inflammatory disease. .

Treatment methods for pelvic effusion

1. General treatment

Relieve the patient’s mental concerns, enhance confidence in treatment, increase nutrition, exercise, and pay attention to work and rest Combined to improve the body's resistance.

2. Physical therapy

Warm benign stimulation can promote local blood circulation in the pelvis. Improve the nutritional status of tissues and increase metabolism to facilitate the absorption and resolution of inflammation.

3. Drug treatment

Use anti-inflammatory drugs or hormone drugs for symptomatic treatment.

4. Surgical treatment

Masses such as hydrosalpinx or fallopian tube ovarian cysts can be treated surgically; those with small infection foci and repeated inflammation are also suitable for laparoscopic surgical exploration. Surgery is based on the principle of complete cure to avoid residual lesions. For young women, ovarian function should be preserved as much as possible. Monotherapy for chronic pelvic inflammatory disease is less effective, and comprehensive treatment is appropriate.

What medicine is good for pelvic effusion

1. There are two types of pelvic effusion: physiological and pathological. The pelvic cavity is the lowest part of the abdominal cavity in the body, and any fluid may flow here. There will be follicular fluid during the ovulation period, and the pelvic cavity is congested before menstruation. Some healthy women may have a small amount of blood accumulate in the pelvic cavity during ovulation or menstruation, forming a pelvic cavity. Pelvic effusion, such effusion is generally physiological and most can disappear on its own.

2. If pelvic effusion is accompanied by symptoms such as abdominal pain, backache, lower abdominal distension and pain, backache, excessive leucorrhea, tenderness in the uterus and appendages during gynecological examination, and congestion in the cervix, etc. It should be considered to be caused by inflammation, and such effusion is pathological.

3. If a woman goes to see a doctor because of stomach pain, and the B-ultrasound shows fluid accumulation, this can be clearly diagnosed as acute pelvic inflammatory disease. If acute pelvic inflammatory disease is not actively treated, it may develop into chronic pelvic inflammatory disease, which may cause infertility, ectopic pregnancy, etc. in the future. For pathological pelvic effusion, α-chymotrypsin 5mg or hyaluronidase 1500U should be administered intramuscularly during anti-inflammatory treatment, once every other day, with 5 to 10 times as a course of treatment to facilitate the absorption of adhesions and inflammation. Individual patients should stop taking the drug if they experience local or systemic allergic reactions. In some cases, antibiotics and dexamethasone are used simultaneously, and dexamethasone is taken orally 0.75 mg three times a day. Special attention should be paid to the gradual tapering when discontinuing dexamethasone.

4. Generally speaking, simple medication is not effective in treating pelvic effusion, and the course of treatment is long. Therefore, physical therapy should be combined with drug treatment.

(1) Generally, Western medicine is mainly based on anti-inflammatory drugs. It is mainly used to treat pelvic inflammatory disease. At the same time, α-chymotrypsin 5mg or hyaluronidase 1500U is used for intramuscular injection, once every other day, with 5 to 10 times as a course of treatment to facilitate the absorption of adhesions and inflammation. In some cases, antibiotics and dexamethasone can be used at the same time. Dexamethasone is taken orally 0.75 mg three times a day. When stopping the drug, pay attention to gradually reducing the dose.

(2) Pelvic inflammation patch, a good remedy for external application of traditional Chinese medicine, is a good choice for treating pelvic effusion. Pelvic effusion is mostly caused by chronic pelvic inflammatory disease. Traditional Chinese medicine has a very good effect in treating chronic diseases. It has a high cure rate, no recurrence, and treats both the symptoms and root causes. Pelvic effusion can be treated by taking Jingangteng syrup, Fule granules, Fuke Qianjin tablets, Fuyankang, etc.

Does pelvic effusion affect pregnancy?

1. Pelvic effusion is caused by the accumulation of inflammatory secretions from chronic pelvic inflammatory disease into the uterine and rectal lacunae. Sometimes there may be low fever, and it is easy to Feeling tired, lack of energy, general discomfort, insomnia, etc. Scars, adhesions, and pelvic congestion caused by chronic inflammation can cause lower abdominal distension, pain, and lumbar soreness. It often worsens after exertion, after sexual intercourse, during defecation, and before and after menstruation. Due to pelvic blood stasis, patients may experience increased menstruation and leucorrhea; menstrual disorders may occur when ovarian function is damaged; fallopian tube obstruction may cause infertility.

2. Can you get pregnant with pelvic effusion? Pelvic effusion depends on the cause. Physiological pelvic effusion mostly occurs after women ovulate or during early pregnancy, and most of them can disappear naturally. This A small amount of pelvic effusion does not affect pregnancy or the fetus. Pathological gynecological pelvic effusion is mostly caused by pelvic inflammatory disease, adnexitis or endometriosis. Clinically, pelvic effusion in most women is caused by inflammation, which is the presence of inflammatory exudate in the pelvic cavity. If left untreated, it can slowly grow. If it is too large, the drug will not be easily eliminated. If active symptomatic treatment is given, the pelvic effusion will disappear quickly. Pregnancy will not be affected even after the pelvic effusion disappears. In addition to normal pelvic effusion in women due to their physiological characteristics, pathological pelvic effusion is mostly due to pelvic inflammatory disease or endometriosis.

The causes of pelvic inflammatory disease are mostly related to patients' poor hygiene habits, such as having sex during menstruation, having sex within one month after delivery, taking baths within one month after surgery, etc. Iatrogenic infections caused by lax disinfection in artificial abortion and induced labor can also cause pelvic effusion. For fluid accumulation caused by pelvic inflammation, it is best to undergo posterior fornix puncture examination to identify the nature of the fluid. If there are chronic infection lesions, it may be inflammation of the system such as the ovaries and fallopian tubes, or it may be caused by tuberculosis or tumors. Pelvic inflammatory disease should be treated early, as long-term delay will affect fertility.

3. Pelvic effusion mostly occurs in lower parts of the pelvic cavity such as the uterus and rectum. To achieve effective treatment, it is wisest to first identify the cause of effusion. Female friends must receive timely treatment to avoid pain.

How to prevent pelvic effusion

1. Prepare well before gynecological surgery, pay attention to keeping the vulva clean, avoid sexual intercourse three days before surgery, and pay attention to vulva and vaginal cleanliness after surgery , wash the vulva with warm water, replace perineal pads and underwear promptly, and prohibit sexual intercourse within 2 to 3 weeks after surgery.

2. Suffering from acute internal genital inflammation and adnexitis: Pelvic inflammatory disease must be completely cured to prevent it from becoming chronic. This causes water accumulation and fluid accumulation.

3. Sexual life. Women should pay attention to not having sex during menstruation. They should not have sex when they suffer from pelvic effusion. Female patients have lower abdominal distension, pain and lumbosacral effusion. Symptoms of soreness.

4. Prevent the abuse of antibiotics and anti-inflammatory drugs. Antibiotics, whether taken orally or by injection, will inhibit the lactobacilli in the vagina, disturb the natural ecological balance of the vagina, and change the vaginal microenvironment. Pathogenic bacterial pathogens may multiply and eventually lead to local candida vaginitis, secreting inflammatory fluid. This causes pelvic effusion.