What causes cervical effusion?

Having some fluid accumulation in the uterine cavity is a normal physiological phenomenon for women, but if it is pathological fluid accumulation, it will seriously affect women's physical health, so it should be paid special attention to. If you find that there is fluid accumulation in your body, you need to seek medical treatment in time to avoid causing a series of diseases and recover your health as soon as possible.

1. Causes of uterine fluid accumulation

According to experts, most women have a little fluid accumulation, which is physiological. Pathological fluid accumulation is usually more. Generally speaking, endometritis, cervical adhesions, blockage, uterine bleeding, genital malformations, etc. can cause uterine fluid accumulation. The nature of intrauterine fluid effusion can be understood and determined through intrauterine drainage to determine the specific situation. Curettage can be performed if necessary. After the diagnosis is confirmed, actively follow the doctor's orders for treatment.

There are two types of effusion: physiological effusion and pathological effusion. Physiological effusion often occurs after ovulation or in early pregnancy and can disappear naturally without treatment. What is the cause of uterine fluid accumulation? But most of the effusion is caused by inflammation, that is, caused by chronic pelvic inflammatory exudation. A few cases are caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst, and ovarian cancer.

Knowing the causes of intrauterine fluid effusion, we also need to understand the symptoms of intrauterine fluid effusion to prevent the occurrence of this disease.

1. The main symptom is lower abdominal pain, which may be accompanied by systemic symptoms, fever, and increased white blood cell count.

2. Intrauterine pyometra that gradually forms due to chronic endometritis may have no obvious symptoms.

3. Gynecological examination shows that the uterus is enlarged, soft and tender. The parametrial connective tissue may be significantly thickened, and there may be an inflammatory mass in the adnexal area.

2. Specific reasons

1. The most common cause is inflammation of the fallopian tube or pelvic peritoneum. When the fallopian tubes become inflamed due to gonococcal infection, tuberculosis infection, chlamydia infection, mycoplasma infection or other bacterial infection, the epithelial tissue of the fallopian tube endometrium can be destroyed, causing the fallopian tube to be blocked. The inflammation can destroy the fallopian tube mucosa and form scars, causing narrowing or blockage of the tube lumen. Sperm and egg cannot meet in the channel, causing infertility.

2. Endometriosis in the fallopian tubes can cause blockage of the fallopian tubes.

3. Some pathogenic bacteria such as Staphylococcus, Streptococcus or Gonorrhea spread to the fallopian tubes or pelvic cavity through the vagina, cervix and uterus, causing pelvic peritonitis and serious systemic infection.

4. Secondary infection caused by miscarriage, delivery, pelvic surgery and appendicitis can also lead to fallopian tube obstruction and infertility.

3. Physiological effusion

It often occurs after ovulation or in early pregnancy and usually disappears naturally without the need for treatment. But most uterine effusions are caused by inflammation, that is, by exudate from chronic pelvic inflammation. A few cases are caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst, and ovarian cancer. Those caused by acute or chronic pelvic inflammatory disease are often accompanied by lower abdominal pain (bilateral or unilateral), lumbar pain, and a history of surgical or medical abortion. The specific reason for the effusion is that the serous exudate caused by inflammation cannot be absorbed by the body and slowly accumulates in the body. Pelvic effusion often occurs in lower parts of the pelvic cavity, such as the rectouterine pouch. Treating uterine effusion is actually treating pelvic inflammatory disease.

At present, many doctors adopt the method of puncturing the posterior fornix to extract the accumulated fluid for treatment, which is very unscientific, because simply extracting the accumulated fluid will not only fail to cure the pelvic effusion, but will also increase the amount of fluid accumulated. Clinically, although everyone knows that the cause of pathological effusion is pelvic inflammation, and the treatment is also targeted at pelvic inflammatory disease, the large-scale use of antibiotics or other drugs has not had an obvious therapeutic effect. The main reason is that pelvic inflammatory disease causes adhesion of local connective tissue in the pelvis, making it difficult for drugs to reach the local lesion. At the same time, pelvic inflammatory disease does not necessarily lead to the detection of specific pathogens, so the use of antibiotics is not particularly targeted and the efficacy is difficult to guarantee.

IV. Hazards

1. Uterine effusion leads to infertility: If uterine effusion is not properly treated, it can be very harmful and can easily lead to pelvic adhesions, fallopian tube blockage, etc., leading to infertility. If you usually have lower abdominal pain, lumbosacral pain, increased vaginal discharge, lower abdominal tenderness and cord-like thickening during gynecological examination, etc., chronic pelvic inflammatory disease is considered and active treatment is needed to prevent worsening inflammation and increased fluid accumulation.

2. Uterine effusion causes pelvic inflammation: Most uterine effusions are caused by inflammation, that is, caused by exudation from chronic pelvic inflammation. A few cases are caused by ectopic pregnancy rupture, corpus luteum rupture, pelvic abscess, chocolate cyst, and ovarian cancer. It is best to perform a posterior fornix puncture examination to identify the nature of the fluid caused by pelvic inflammation.

3. Uterine effusion affects fertility: If there are chronic infection lesions, it may be an inflammation of the gynecological system such as the ovaries and fallopian tubes, or it may be caused by tuberculosis or tumors. It can easily lead to pelvic adhesions, fallopian tube blockage, etc., which will affect fertility if left unchecked for a long time.