What is the cause of uterine rectal effusion?

There are many types of gynecological diseases. You may be unfamiliar with the disease of rectouterine effusion, which is actually a subsequent infection caused by repeated attacks of pelvic inflammatory disease and adnexitis. The causes of pelvic inflammatory disease and adnexitis are mostly related to the patient's lack of personal hygiene, especially during menstruation, after miscarriage, and within one month after delivery. The chance of infection with gynecological inflammation will be greatly increased, and it can also lead to uterine rectal fossa fluid accumulation.

Causes of uterine rectal effusion

1. Physiological uterine rectal effusion

Because the pelvic cavity is the lowest part of the abdominal cavity in the whole body, when there is exudate or leaked fluid, it will be drained into the pelvic cavity, thus forming a rectouterine fossa effusion. Some normal women will have a small amount of blood accumulated in the pelvic cavity during menstruation or ovulation, forming a rectouterine fossa effusion. Such rectouterine fossa effusion is sometimes a good thing, which proves that the woman's fallopian tube is unobstructed. If the fallopian tube has exudate, if the umbrella end is unobstructed, a small amount of exudate will flow into the pelvic cavity, thus forming a rectouterine fossa effusion. If the fallopian tube is not unobstructed, it will cause hydrosalpinx and fallopian tube thickening. The amount of fluid in this type of rectouterine fossa accumulation is usually small and will be gradually absorbed, so there is no need to be afraid. Generally, no treatment is required.

2. Pathological uterine rectal effusion

Clinically, most women's ureterorectal effusion is caused by inflammation, such as pelvic inflammatory disease or adnexitis or endometriosis.

The causes of pelvic inflammatory disease and adnexitis are often related to the patient's bad hygiene habits. For example, having sexual intercourse during menstruation or within one month after childbirth, taking a bath within one month after gynecological surgery, etc.; iatrogenic infection caused by improper disinfection during artificial abortion or induced labor can also cause uterine rectal effusion; there are chronic infection lesions, which may be inflammation in the gynecological system such as the ovaries and fallopian tubes and pelvic cavity, causing uterine rectal effusion; it may also be caused by tuberculosis or tumors; in a few cases, uterine rectal effusion can be caused by ruptured ectopic pregnancy, corpus luteum rupture, pelvic abscess, chocolate cyst, ovarian cancer, etc.

Clinical treatment of uterine rectal effusion

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. Traditional Chinese medicine treatment

Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is to clear away heat and dampness. Mainly focus on promoting blood circulation and removing blood stasis.

3. Physical therapy

Warming can provide benign stimulation to the patient, promote local blood circulation in the pelvis, and improve the nutritional status of the patient's tissues.

4. Other drug treatments

When using anti-inflammatory drugs, you can also use 5 mg of α-chymotrypsin or 1500 U of hyaluronidase at the same time, injected intramuscularly once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. The medication should be discontinued if local or systemic allergic reactions occur in individual patients. In some cases, antibiotics are used simultaneously with dexamethasone, with 0.75 g of dexamethasone taken orally 3 times a day, and the dose should be gradually reduced when the drug is discontinued.

5. Surgical treatment

Masses such as hydrosalpinx or tubo-ovarian cysts can be treated surgically. Patients with small foci of infection and recurrent inflammation are also suitable for surgical treatment. The principle of surgery is complete cure to avoid recurrence of residual lesions. Unilateral oophorectomy or radical hysterectomy plus bilateral oophorectomy is performed. For young women, ovarian function should be preserved as much as possible. The effect of single therapy for chronic pelvic inflammatory disease is poor, and comprehensive treatment is appropriate.