What is the normal amount of pelvic fluid? How to treat it?

Pelvic effusion is caused by the accumulation of blood in the pelvic cavity of women during menstruation or ovulation. It is harmless to the body within the normal range. So how much pelvic effusion is considered normal? How to treat abnormal pelvic effusion?

What is the normal amount of pelvic fluid?

1. Physiological pelvic effusion is less than 10 mm. During menstruation and the days just after menstruation, some menstrual blood may flow back along the fallopian tube to the pelvic cavity, and ultrasound will show a small amount of effusion. After ovulation, follicular fluid may flow into the pelvic cavity. The amount is usually very small, and a slightly larger amount can be seen under ultrasound. These two conditions generally do not affect the body, will disappear on their own and do not require treatment.

2. For pathological pelvic effusion, it will generally exceed 10mm, and the pelvic effusion is more serious at this time. Most pelvic effusions are caused by inflammation, that is, by exudate from chronic pelvic inflammation. We should pay attention to pathological pelvic effusion, and timely treatment is very important.

How to treat abnormal pelvic fluid accumulation?

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, and the treatment should focus on promoting blood circulation and removing blood stasis.

The specific Chinese medicine treatment prescription is salvia miltiorrhiza 18g, red peony root 15g, costusroot 12g, peach kernel 9g, honeysuckle 30g, dandelion 30g, poria 12g, moutan bark 9g, and raw rehmannia glutinosa 9g. If the pain is severe, add 9g of Corydalis yanhusuo. Some patients are of the cold stagnation and qi stagnation type, and the treatment principle is to warm the meridians and dispel the cold, promote qi and activate blood circulation. Guizhi Fuling Decoction is often used with modifications. For those with qi deficiency, add 15g of Codonopsis pilosula, 9g of Atractylodes macrocephala, and 15g of Astragalus membranaceus.

3. Physical therapy

The benign stimulation of warmth can promote local blood circulation in the pelvic cavity. Improve the nutritional status of tissues and enhance metabolism to facilitate the absorption and disappearance of inflammation. Commonly used physical therapies include shortwave, ultrashort wave, iontophoresis, wax therapy, 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, 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, 0.75 mg of dexamethasone is taken orally 3 times a day, and the dose should be gradually reduced when the drug is discontinued.

5. Surgical treatment

Patients with lumps such as hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment. 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.