Is 1.3 cm of pelvic fluid serious?

Pelvic effusion can be divided into two types: physiological effusion and pathological effusion. A small amount of effusion is generally a physiological disease, and the body can gradually absorb the effusion, but if it is pathological effusion, symptomatic treatment needs to be considered. However, the patient has no idea of ​​the amount of fluid accumulated. So, is 1.3cm of pelvic fluid serious? Let’s take a look below.

If the pelvic effusion is 1.3 cm, you should consider whether you have pelvic inflammatory disease. The exudation of inflammation causes a large amount of fluid to accumulate in the pelvis, which is often accompanied by abdominal pain, increased vaginal discharge, and even fever, pelvic mass, etc. In this case, you need to do a gynecological examination and B-ultrasound examination to rule out other pelvic conditions.

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.

treat

Physiological pelvic effusion does not require special treatment, and a small amount of pelvic effusion can be absorbed on its own. If it is pelvic inflammatory disease or tumor effusion, the amount of fluid will be more than 100 ml, and targeted treatment is required according to the cause.

1. General treatment

Relieve patients' mental concerns, enhance their confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance.

2. Medication

If it is caused by inflammation, active anti-infection treatment should be given; if it is caused by a tumor, chemotherapy drugs should be used in combination with surgical treatment.

3. Surgery

Patients with lumps, hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment; patients with small foci of infection and recurrent inflammation should also undergo laparoscopic exploration. The principle of surgery is to completely cure the disease and avoid leaving any residual lesions. For young women, ovarian function should be preserved as much as possible. The effect of single therapy on chronic pelvic inflammatory disease is poor, so comprehensive treatment is appropriate.