What is the cause of uterine rectal effusion?

The occurrence of rectouterine effusion is caused by physiological and pathological factors. Some normal women will show these symptoms during menstruation or ovulation. Of course, if it is some inflammation, it will also cause this problem.

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.

3. 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. Treatment with Chinese medicine: Chronic pelvic inflammatory disease is mostly of damp-heat type, and the treatment principle is mainly to clear away heat and dampness and promote blood circulation and remove blood stasis.

3. Physical therapy: benign warm stimulation can promote local blood circulation in the pelvic cavity, improve the nutritional status of tissues, and enhance metabolism, so as to facilitate the absorption and disappearance of inflammation. Commonly used methods include short wave, ultrashort wave, ion penetration, etc.

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, intramuscular injection once every other day, 5 to 10 times as a course of treatment, to facilitate the absorption of adhesion and inflammation. In some patients, if local or systemic allergic reactions occur, the drug should be discontinued. In some cases, antibiotics are used at the same time as dexamethasone, oral dexamethasone 0.75 mg, 3 times a day, pay attention to gradually reduce the dosage when stopping the drug.