How serious is pelvic inflammatory disease?

Pelvic inflammatory effusion, also known as pelvic effusion, is a very common gynecological disease. In fact, pelvic effusion can be divided into two types: physiological and pathological. If the effusion is relatively small, there is no problem and no special treatment is required. However, if the effusion is relatively large, treatment is required. So, how serious is pelvic inflammatory effusion? Let’s take a look below.

According to clinical data, if the pelvic effusion is less than 1 cm, it is mostly physiological pelvic effusion; if the pelvic effusion exceeds 1 cm, it is mostly pathological pelvic effusion. Pathological pelvic effusion is relatively serious and patients must take it seriously.

Pelvic effusion refers to the presence of inflammatory exudate in the pelvic cavity. According to the cause of the effusion, it can be divided into physiological pelvic effusion and pathological pelvic effusion. Physiological pelvic effusion refers to the phenomenon that a small amount of blood accumulates in the pelvic cavity of women during menstruation or ovulation; while pathological pelvic effusion is clinically caused by inflammation in most women, which is the presence of inflammatory exudate in the pelvic cavity.

The main cause of pelvic inflammatory effusion

1. Causes of physiological pelvic effusion

Some normal women will have a small amount of pelvic fluid during menstruation or ovulation. This is because the pelvic cavity is anatomically located at the lowest part of the abdominal cavity. When there is a small amount of exudate, transudate or ruptured bleeding in the pelvic and abdominal organs, the fluid will first accumulate in the pelvic cavity, thus forming pelvic effusion. For example, during menstruation, a small amount of menstrual blood can flow back into the pelvic cavity, causing pelvic effusion; the accumulation of follicular fluid in the pelvic cavity during ovulation in the middle of the menstrual period can also cause pelvic effusion; for patients with constipation, abnormal intestinal peristalsis can cause a small amount of intestinal fluid to leak out, leading to pelvic effusion.

2. Causes of pathological pelvic effusion

(1) Not paying attention to hygiene during menstruation When menstruation comes, the endometrium will fall off, the blood sinuses inside the uterine cavity will be open, and small blood clots will be present, 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 sexual intercourse during menstruation, it provides a good opportunity for bacteria to grow and infect, causing pelvic inflammatory disease in women.

(2) When inflammation of adjacent organs spreads to women with appendicitis or peritoneal inflammation, they are more likely to develop pelvic inflammation. When suffering from vaginitis and cervicitis, the inflammation will spread upward and eventually lead to pelvic inflammatory disease.

(3) Postpartum and post-abortion infection After childbirth and artificial abortion, the body is weak and the immune system is low. At this time, the cervix is ​​in a dilated state. If personal hygiene is not paid attention to, the bacteria in the vagina and cervix may ascend and cause female pelvic infection.

(4) Infection after gynecological surgery: artificial abortion, IUD insertion (removal), salpingography (hydration), etc. If the disinfection during the operation is not strict, it is easy to get infection after the operation. If you do not pay attention to personal hygiene after surgery, do not follow the doctor's instructions for recovery treatment, or have sexual intercourse too early after treatment, it will cause bacteria to grow and lead to pelvic infection in women.

(5) Other ovarian and fallopian tube tumors, liver and kidney diseases can cause pelvic effusion accompanied by ascites and even pleural effusion. Ectopic pregnancy and corpus luteum rupture can cause bloody pelvic effusion. In tuberculous pelvic inflammatory disease, the surface of the peritoneum and pelvic organs are covered with miliary tuberculosis lesions, and a large amount of exudate accumulates in the pelvic cavity.