Outpatient clinics often encounter such patients:
A 36-year-old married woman with a son and dull pain in her lower abdomen for two days showed a small amount of uterine effusion by B-ultrasound.
66-year-old female, menopause for more than 10 years, vaginal bleeding and watery secretion for 3 days, no abdominal pain, ultrasound showed echo of IUD at cervical internal orifice, moderate effusion in uterine cavity;
A 25-year-old woman, 52 days after assisted reproductive embryo transfer, had no vaginal bleeding and color Doppler ultrasound showed a small amount of effusion in the uterine cavity.
The [uterine cavity effusion] on the ultrasound list makes many female compatriots sad and toss and turn at night, including adolescent girls with painful expressions and unbearable abdominal pain. Mothers-to-be who are uneasy, helpless and worried about the safety of their babies; Young and middle-aged women with dull pain in lower abdomen and leucorrhea with peculiar smell; For the elderly women with blood and purulent secretions in the vagina after menopause, there are still some people who do not suffer from what discomfort, but uterine cavity effusion is found by ultrasound during routine physical examination.
Is what uterine effusion? Is uterine effusion serious or not? How to treat uterine cavity effusion? Let’s answer these doubts one by one.
Is uterine effusion what?
Uterine cavity effusion, to put it bluntly, means that there is liquid in the uterine cavity, but usually there is no liquid in the uterine cavity (except amniotic fluid during pregnancy, amniotic fluid is wrapped in amniotic membrane and exists in the uterine cavity).
The uterus is an open organ that is connected to the vagina through the cervical orifice. Liquid will flow away through the cervical orifice and will not accumulate in the uterine cavity.
Of course, occasionally there are still some other conditions that may also lead to uterine effusion, such as:
At the end of menstruation or menstruation, if ultrasound examination at this time, it is possible to find a small amount of uterine cavity effusion, with or without lower abdominal distension. This kind of situation mostly occurs in women with poor uterine position, especially the posterior uterus or uterine flexion, due to poor menstrual blood flow.
One week after abortion, before and after puerperium, there is a small amount of effusion in the uterine cavity is also normal. Because the injury of endometrium bleeding to repair requires a certain period of time, if ultrasound indicates that the amount of effusion in the uterine cavity is within 1 cm, generally no massive hemorrhage, can not be treated, half lying position, more activities will naturally flow out or absorb.
This article focuses on the problem of uterine effusion during pregnancy.
A small amount of uterine effusion during pregnancy is more common in women who have IVF. During the embryo transfer cycle, uterine effusion is found during ultrasound examination. There are usually three reasons for this kind of women to have uterine effusion:
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Tubal effusion is the main cause of uterine effusion in such women.
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The use of ovulation induction drugs, especially after injection of chorionic gonadotropin (hCG) into women who are IVF, can stimulate cervical gland dilatation to cause cervical canal obstruction and abnormal development of endometrium, which can eventually lead to uterine cavity effusion.
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A large amount of hormones during the treatment of IVF will stimulate the ovary, resulting in increased capillary permeability and easier exudation of body fluids into the uterine cavity, leading to the occurrence of uterine cavity effusion.
Many scholars believe that the uterine cavity effusion caused by the first kind of situation has toxic effect on embryos, affects embryo development and increases abortion rate. The latter two are uterine cavity effusion caused by ovarian high reaction. The effusion composition is close to physiological body fluid and has no toxicity on endometrium. It will be absorbed by itself.
In addition, a small amount of uterine effusion can also be found during ultrasound examination during pregnancy, with or without a small amount of vaginal bleeding. This kind of situation is generally a small amount of bleeding during embryo implantation into endometrium, which can be closely observed first and will be absorbed naturally.
Is everything else abnormal?
Yes, others will doubt whether it is caused by physical what problems, such as:
- Uterine bleeding; Endometritis; Adhesion and blockage of cervical canal caused by various tumors; Genital malformation; Influence of IUD.
These are the five main causes of uterine effusion. Different ages will lead to different primary considerations.
- Adolescent women are mostly caused by genital tract malformation, such as cervical malformation, vaginal septum, hymen atresia, etc. Women of childbearing age are mainly acute and chronic endometritis, cervical injury and adhesion after uterine cavity operation, cervical allergy and cell edema caused by intrauterine devices. Postmenopausal women mainly suffer from uterine cavity and cervical atrophy, adhesion, tumor and cervical cancer caused by radiotherapy. Pregnant women mostly suffer from threatened abortion or placental marginal sinus hemorrhage. Assisted reproductive women are mostly caused by ovarian hyperstimulation syndrome and tubal effusion.
According to these clues, combined with the patient’s age, medical history, other examinations and ultrasound results, gynecologists will investigate one by one to determine the cause of uterine effusion and carry out targeted treatment.
Is it not serious to find uterine effusion?
For normal uterine cavity effusion, most of them do not need to worry or treat, but for abnormal ones, it is necessary to find out the cause to determine whether it is serious.
For example, uterine effusion caused by endometrial tumors and cervical tumors should be paid great attention to.
However, the amount of uterine effusion has nothing to do with the benign or malignant tumor. Don’t be frightened by the large amount of effusion on the examination report.
How to treat pathological uterine cavity effusion?
It is estimated that everyone guessed, yes, we must first find the cause of the disease and then treat it.
- Reproductive tract malformation requires surgical treatment. Anti-inflammatory treatment is required due to inflammation. Women in Sheung Wan should take out the IUD first; Cervical adhesion can be separated and expanded by probe first, and then cervical and uterine secretions can be taken and sent to bacterial culture and drug sensitivity test. In order to prevent the cervical canal from being blocked again, menopausal women can place a rubber drainage tube in the cervical canal for drainage, and flush the uterine cavity with antibiotic solution daily until the outflow liquid is clear. Suspected tumors are feasible for cervical cytology, hysteroscopy and diagnostic curettage. Patients with confirmed tumors need surgical treatment.