Is there fluid accumulation in the uterine rectal pouch a pelvic inflammatory disease?

Rectal pouch is a relatively common female disease, so many women currently have this disease. Therefore, many women want to know whether fluid accumulation in the rectal pouch is pelvic inflammatory disease? If they want to understand it specifically and then improve it through targeted treatment, then let's take a look at the detailed answer to this question below.

We need to first know what the "rectal pouch" is. The rectal pouch is a peritoneal depression between the rectum and uterus formed when the peritoneum wraps around the anterior wall of the rectum and goes down to the posterior fornix of the vagina, and then turns upward to cover the cervix and the posterior wall of the uterus. It is the lowest point of the abdominal cavity and has a very small capacity, generally 2-3 ml. If fluid accumulates in the rectouterine pouch, it is called rectouterine pouch effusion, which is usually detected through B-ultrasound examination.

After some women have an ultrasound examination, the report they get may say "rectal pouch fluid" or "pelvic effusion". If you show the report to the doctor, the doctor will generally reply: rectal pouch fluid means there is fluid in your pelvis, and pelvic effusion is pelvic inflammatory disease. Is this really the case? There are two types of rectouterine effusion, one is pathological and the other is physiological. Let us first understand it below.

The physiological accumulation of fluid in the rectouterine pouch will not exceed 20-30 ml at most. It is generally a normal phenomenon and does not require immediate medical treatment. A small amount of fluid can be absorbed by the peritoneum on its own. If you are worried, you can go for a re-examination in about 1-2 months. Because physiological rectouterine pouch fluid is likely to be secreted by the normal abdominal cavity to defend against bacterial invasion, it may also be follicular fluid after female ovulation, or it may be that the woman is menstruating and a small amount of menstrual blood has flowed back, or it may be that the intestines are abnormal and cause a small amount of intestinal fluid to leak out, leading to an increase in peritoneal fluid. Therefore, when you first discover that there is fluid accumulation in your rectouterine pouch, you should first confirm whether you have just passed the day of ovulation, whether your menstruation has just started or has just ended, whether you often have dull pain in the lower abdomen and want to defecate, and whether you will no longer have abdominal pain after defecation.

Pathological rectouterine pouch fluid accumulation is always more than 100 ml. Among the various causes of fluid accumulation, tuberculous peritonitis is the most obvious cause of pelvic fluid accumulation. A large amount of ascites can be detected in patients during B-ultrasound examination. However, it should be noted that infertile women who are undergoing ovulation induction treatment will also have more pelvic fluid accumulation during the medication period, and may even develop ascites. Therefore, if it is pathological rectouterine fossa fluid accumulation, further examination by a doctor is needed, and then the appropriate treatment is required.

Through the above detailed understanding, you have understood whether fluid accumulation in the rectouterine pouch is pelvic inflammatory disease? On this issue, experts have given clear suggestions. This situation should be judged according to different situations. If the fluid accumulation is too little, this is a normal phenomenon. If it is too much, you should consider improving it through meticulous treatment.