Amniotic and retrouterine fluid during pregnancy. Presence of fluid in the retrouterine space

In some cases, during an ultrasound examination, a specialist detects fluid in the retrouterine space. Normally it shouldn't exist. How dangerous and serious is this? Your gynecologist should provide a decision on this issue. There is no need to worry prematurely - in some cases, treatment is not even required. But it is necessary to consult with specialists.

Where does free fluid come from in the pelvic cavity?

It is a generally accepted opinion that normally there should be no free fluid in any form in the retrouterine space. But, nevertheless, during ovulation, when the dominant follicle ruptures, there is a possibility that the liquid contents will enter the peritoneum. In this case, accumulation of substance behind the uterus may occur. The amount of free fluid in this situation is extremely small. Good specialist can easily distinguish such a case. Which, by the way, is considered an indicator of accomplished ovulation. Soon the fluid will disappear (dissolve or be resorbed).

Fluid in the retrouterine space and gynecological diseases

With this disease, endometrial cells grow in any part of the pelvis. These cells are also involved in menstruation, which means they can cause free fluid to accumulate behind the uterus. But other diseases can affect a similar process. For example, diseased organs secrete an exudative substance. If there are diseases of the pelvic organs (including reproductive organs), it is possible that the presence of free fluid will be diagnosed. Often such a symptom manifests itself in the presence of acute endometritis, as well as in the period after an abortion. Other reasons why fluid appears in the retrouterine space are ovarian rupture (anoplexy) or its cysts, purulent salpingitis. Also, a similar symptom can result from microperforation (small tear) of the endometriosis cyst, due to which its contents leak out. Fluid in the abdominal cavity (ascites) can accumulate due to malignant tumors, diffuse peritonitis, liver diseases, renal or heart failure, pelvioperitonitis and other diseases.

Fluid in the retrouterine space and ectopic pregnancy

One of obvious signs An ectopic pregnancy, when the fertilized egg is attached to the fallopian tube, is the presence of free fluid. In this case, the fluid is blood that flows from the damaged organ. The fertilized egg may be found outside the uterus. The fallopian tube may become deformed or ruptured. With other bleeding in the abdominal cavity, the presence of free fluid can also be diagnosed.

How does a normal state differ from a pathology?

First of all, the presence accompanying symptoms, which occur in the presence of a corresponding pathology. But some diseases occur in a latent form. Therefore, if the ultrasound specialist believes that there may be an abnormality, you should consult your doctor and undergo the necessary examinations. remember, that timely treatment extremely important.

Free liquid in abdominal cavity women, behind the uterus, is often detected on ultrasound. If there is little fluid, its presence is not considered a pathology. Often fluid accumulates after menstruation or during ovulation. But in some cases, fluid behind the uterus on ultrasound data should be a cause for concern.

Causes of fluid accumulation behind the uterus

Fluid may end up in the cavity behind the uterus and be visualized on ultrasound for a variety of reasons. Some of them are natural and do not pose a health hazard. But normally there should be no fluid behind the uterus or in its cervix, so if it appears on an ultrasound, you should definitely consult a specialist.

What does fluid behind the uterus mean on an ultrasound?

The presence of fluid behind the uterus in sufficient quantity to be displayed on an ultrasound may indicate internal bleeding or inflammatory processes. In the first case, blood will accumulate in the abdominal cavity, in the second - exudative fluid. A small amount of fluid behind the uterus is considered normal; if an ultrasound shows a significant amount, this may indicate serious diseases of the uterus or other pelvic organs.

Causes of fluid accumulation

Sometimes fluid behind the uterus appears due to an ectopic pregnancy; in this case, an ultrasound does not detect a fertilized egg in the uterine cavity. However, the patient's pregnancy test will show positive result.

Also, fluid in the cavity behind the uterus is diagnosed on ultrasound due to endometriosis. The disease is characterized by the growth of endometrial tissue outside the uterus. Endometrial cells bleed during menstruation, which causes blood to appear in the abdominal cavity.

In addition, fluid behind the uterus is detected on ultrasound with purulent salpingitis, endometritis, rupture of the ovary or its cyst. A large volume of fluid indicates more serious diseases, such as malignant tumors ovaries and a number of other pathologies (heart or renal failure, cirrhosis of the liver), as well as about abundant internal bleeding for injuries in the abdominal area.

Fluid behind the uterus during ovulation

When breaking dominant follicle its contents enter the retroperitoneal space. In this case, the specialist may detect some fluid around the uterus on the ultrasound image. Soon after ovulation it will resolve without treatment or health consequences..

Fluid behind the uterus with inflammation

Sometimes inflammatory processes cause the appearance exudative fluid in the abdominal cavity and behind the uterus, ultrasound can reliably diagnose it. As a rule, this occurs due to rupture of the pyosalpinx - accumulation of pus in the lumen fallopian tubes. If an ultrasound showed fluid in the uterus, inflammation of the genitourinary organs is possible.

The inflammatory process is accompanied by fever and pain in the lower abdomen. If the diagnosis is confirmed, the specialist may prescribe medication (antibiotics) or recommend surgery.

How is the ultrasound procedure performed?

The procedure takes place or. The patient takes horizontal position on the couch, the specialist applies the gel to the abdomen and begins to move the sensor over it, then a transvaginal examination is possible. The procedure lasts no more than 15 minutes.

Decoding the result

Determining the exact volume of fluid behind the uterus using ultrasound data can be difficult due to the two-dimensional nature of the image. In addition, the fluid spreads between the organs, which also makes it difficult to determine its exact volume. IN modern medicine It is customary to distinguish the height of the formation by correlating the volume of liquid with it. With a height of up to 10 mm, the volume of liquid is considered insignificant, from 10 to 50 mm - moderate. At a height of more than 50 mm, the volume of fluid behind the uterus, diagnosed by ultrasound, is considered significant.

Fluid behind the uterus cannot be called a disease. Rather, it is a harbinger of another gynecological disorder or a prerequisite for an incipient female disease. If the accumulation of water behind the uterus is the result of a disease, then such pronounced signs as painful sensations when urinating, grayish discharge both during and after sexual intercourse. Fluid in the posterior fornix needs to be treated.

Fluid in the uterus is most often observed in premenopausal women who have had an unsuccessful pregnancy (miscarriage), surgery (abortion or curettage), and may be a consequence of childbirth. Most often, there are no signs of the disease: no pain, no discomfort, no discharge. Fluid in the uterus is usually detected in girls and women planning to become pregnant after undergoing an ultrasound.

Factors contributing to the appearance of fluid in the uterine wall

There are a number of factors known that contribute to the formation of fluid in the uterus:

Unprotected sexual intercourse
Disturbed diet
Disturbed sleep patterns
Hormonal disbalance
Bad habits
Alcohol or nicotine addiction
Absence physical activity, passive activity
Nervous breakdowns, stress.

The diagnosis of serosometer (fluid accumulation in the uterus) is made when deformation of the abdominal part and an increase in the size of the uterus occur. In addition to deformation, there are a number of other symptoms that are possible with fluid accumulation:

Pain in the lower abdomen
Copious watery discharge
Problems with urination (frequency and pain)
Slight increase in body temperature.

Due to the peculiarities of anatomy, fluid accumulation is observed in absolutely healthy representatives of the fair sex.

Treatment methods

Accumulated fluid behind the back wall of the uterus can form when there is heavy bleeding in the peritoneum. Fluid behind the uterus can sometimes be pus that has leaked into the abdominal cavity due to purulent salpingitis.

Free fluid in rare cases can be considered normal, although, naturally, gynecologists note the absence of fluid behind the uterine wall as normal.

During the second stage of the cycle, water may be produced during ovulation, and in the first phase it may be due to the release of blood into the abdominal cavity during the menstrual cycle.

Experts advise regularly undergoing examinations and preventing the occurrence of infections and chronic inflammation. If any disease is nevertheless discovered, the next check by a gynecologist should be done no earlier than two months after treatment. To pass the examination you must pass immunoassay, a smear to check for the presence of chlamydia in the body.

The accumulation of fluid in the uterus may be the result of acute endometritis. Another reason is a rupture of one of the ovaries or a cyst. There are also a number of other diseases of the organs that do not relate to the genital female system. Therefore it is recommended comprehensive examination the whole body.

Fluid may result from accumulation liquid blood, in medicine called a hemometer. Postpartum result of fluid accumulation in back wall the uterus may be a disturbed waste stream of lochia - lochometer.

Experts are not against it when a woman undergoes herbal treatment for the purpose of prevention. Recommended herbal decoctions include red brush and hogweed, calendula, sweet clover, coltsfoot, chamomile and sage, woodland mallow and centaury, rosemary, oak bark with cinquefoil and knotweed. Douching can also be used as a preventive measure. Use herbal decoctions Of course, it will not cause harm to the body, but before taking the course you should definitely consult with your doctor.

Preventive measures

Known following methods prevention of fluid accumulation in the walls of the uterus:

Physiotherapy
Vitamin therapy
Use of immunocorrectors
Treatment with fruit and vegetable juices.

Doctors recommend using mustard baths for 20 minutes. You should take a bath lukewarm, to do this you need to dissolve mustard powder and let the water cool. The use of such baths is contraindicated during premenstrual and menstrual periods, as well as after operations. Recommended use of honey vaginal suppositories and tampons. The cyclical use of these products should be checked with your gynecologist.

If it was necessary to remove free liquid surgical intervention, and after that the ultrasound results showed the presence of fluid in the posterior fornix of the uterus, then you should not be alarmed. The fluid can persist after surgery for several weeks, after which it will be favorably absorbed in the body. If other symptoms are observed, you should immediately consult a doctor.

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Hello, please tell me, I took 2 pregnancy tests, both showed 2 stripes, went for an ultrasound and this is what they gave me: the contours of the uterus are clear, even, Length 52mm PZR 43mm Width 44mm, Echostructure of the myometrium is homogeneous, M-Echo 14mm corresponds to phase 2 of the cycle The echostructure of the endometrium is heterogeneous; the contours of the cavity are fuzzy and uneven. At the time of examination, the fertilized egg in the uterine cavity is not reliably scanned. The cervix is intact, the left ovary is pulled to the uterus size. 31*22*25 mm, normal echostructure with yellow telos 13mm right ovary pulled to the uterus size. 27*17*21mm echostructure normal follicle max 3mm up to 8 in the PZ there is no fluid in the posterior fornix, after that I took a digital test and showed 2-3 weeks of pregnancy, is everything okay? I’m very worried about the ectopic pregnancy, the pregnancy was wanted

Dear Elena Vyacheslavovna! At a gestational age of 2-3 weeks, the fertilized egg in the uterus may not yet be visualized. If you have a reasonable fear of an ectopic pregnancy (outside intrauterine pregnancy history, presence adhesive process in the pelvis, etc.), I recommend that you consult a gynecologist. One way to keep the situation under control is to study the dynamics of hCG content in the blood serum. The ultrasound should be repeated only when recommended by your doctor.

Hello, this situation arose, I was admitted to the hospital on Monday, April 10, with a threat of miscarriage for 6 weeks, I took tests for hCG 347, at 6 o’clock in the morning on April 14, bleeding began, they put an IV in and gave me prajisan, and at 12 noon I went for an ultrasound, they said Pregnancy was not detected and the miscarriage was questioned, all medications were stopped, nothing came out of the genital tract, but later a blood clot 2 cm in size came out, the blood did not stop, but after a day everything stopped, there was no pain or anything, and then a nurse comes in and prohibits taking painkillers, supposedly the miscarriage is not confirmed, there may be a pregnancy, please tell me how this is possible, the Federal Property Management Agency no one did anything all these days to save the embryo?

Dear Anastasia Andreevna! It is very difficult to comment on a clinical situation without knowing all its details. Did you have an ultrasound scan upon admission to the hospital? Was intrauterine pregnancy detected during the examination?

In the case you describe, apparently, the death of the embryo occurred and there was a spontaneous termination of pregnancy at a very short term. The ultrasound diagnostic method has a certain resolution; a microscopic ovum may not be detected during ultrasound. It is very difficult to talk about the reasons for what happened in absentia. If the cause of spontaneous abortion was genetic diseases or mutations of the embryo that lead to its death, it is impossible to maintain the pregnancy. You need to undergo a full comprehensive examination by a gynecologist; today, schemes for searching for the causes of miscarriage have been developed and are successfully working. I recommend that you contact an experienced gynecologist and plan your next pregnancy only after an examination.

Good afternoon I am not bothered by strong, periodic pain in the lower abdomen, often with right side, the pain radiates to the rectum, sometimes to the vagina. There is weakness and dizziness. There is pain during sexual intercourse, also radiating to the posterior fornix. They prescribed me an ultrasound of the pelvic organs (transabdominal, transvaginal) and tests: smear for flora, culture, HPV, herpes. The tests came back good, no infections were found. Ultrasound conclusion: free fluid in the posterior fornix similar to multiple serosoceles 70-80 ml, chronic bilateral adnexitis. Ultrasound shows the uterus and ovaries are normal, not enlarged. Based on all the results, the gynecologist prescribed anti-inflammatory treatment: 1. suppositories vaginal fluomizin and hexicon 2. rectal suppositories rheumoxicam and dalmaxin 3. nimesil 4. valtrex 5. azicine and unidox. After treatment, a repeat ultrasound was scheduled. After treatment, I didn’t feel any better. Pulling dull pain, often on the right, expanding the lower abdomen. In the evenings constant bloating, gas formation, discomfort in the abdomen, when you lie on your stomach, a lump is felt on the right side, like something is inflating; there is spotting discharge Brown before and after menstruation. Frequent urge to defecate. Recently, spasmodic pain appeared, covering not only the lower abdomen, but the entire abdomen. On the stomach there is a pulse above the navel. Menstruation is stable, long (on average 7 days), but in the last days it is light (spotting). On repeated ultrasound, the picture did not change: chronic adnexa, multiple serosocele in the posterior fornix, 70-80 ml. I did both the first and second ultrasounds on the 8th day of the cycle. After treatment, the erosion only decreased, and better result cytology: negative for intraepithelial lesions and malignant neoplasms(NILM).
The doctor writes a suspicion of endometriosis. When examined in the mirrors, retraction is noted posterior arch and sharply painful sensations when examined by a bimanual. They took a smear of the flora. The conclusion is as follows: leukocytes 3-5 per p/z, epithelial cells - not significant, microflora - mixed, moderate, mucus, fungi, gonoccocci, trichomonas - not detected. They prescribed a CT scan with contrast of the pelvic organs (to confirm endometriosis, as I understand it). CT conclusion: cyst-like formations of both ovaries (left - in its structure there is a thin-walled formation measuring 2.6×2.4 cm with a density of -2+7 units x, not accumulating a contrast agent, right - a formation measuring 1.2×1.3 is adjacent to the lower pole cm, density +6+14 units x, do not accumulate contrast agent. The ovaries are not enlarged); moderate amount of fluid in the Douglas space. Bladder and the uterus without voluminous pathologies. The pelvic lymph nodes are not enlarged. At the time of the CT scan, it was the first day of the cycle. There is a question about laparoscopy. Is this really endometriosis? And as I understand, compared to ultrasound, significantly less fluid was detected on CT? I am 23 years old, no surgeries, no childbirth, no abortions. Partner One since 18 years old. Pain during sexual intercourse occurred from the very beginning of sexual life, as if radiating to the rectum.
I would be very grateful for your help!!

Dear Yulia! Are you being bothered? frequent urge to defecation, bloating and pain radiating to the rectum. Have you consulted a proctologist? Was a sigmoidoscopy performed? What are the results general analysis blood and feces (scatology)? The volume of fluid in the pouch of Douglas can only be determined approximately using ultrasound.

Hello, I had one abortion, followed by four births, everything was fine, the children were healthy, but recently I became ill, I was shaking violently, I felt feverish, and felt dizzy, dark vision, nausea and vomiting. I called an ambulance, they checked everything in the hospital, sent me to a gynecologist, because on top of all this there was a 10-day delay, but according to the ultrasound everything is fine, everything is normal, there is no pregnancy visible, except the doctor said that there is no large cluster fluid in the tummy, need to be monitored? What could this be? And what are the consequences... Thank you for your understanding and answer!!!

Dear Yulia Mikhailovna! A small amount of free fluid may accumulate in the space between the uterus and rectum in the second phase menstrual cycle, This is fine. At the same time, fluid in the pouch of Douglas may be a sign of an inflammatory process. The accumulation of fluid in itself is not a disease; it only accompanies physiological or pathological processes in the small pelvis, therefore it is incorrect to talk about its dangers or consequences; it is necessary first of all to clarify the cause. Have you ever taken a pregnancy test using a urine sample? What are its results? Dizziness, a feeling of heat and chills can be signs of an inflammatory process, so you need a thorough examination and medical supervision.

Thanks a lot. Of course I checked the test, there is no pregnancy. Yes, you really need to examine it. I completely agree with you. Today I saw a specialist, everything is fine, they did a second ultrasound, everything is fine. Indeed, even from an ultrasound it is clear that menstruation will soon occur. This is very good. I also wanted to know if a small erosion on the cervix is dangerous!? What to do with it, the doctor suggests doing a series of tests and cauterizing it.... But I heard that you can’t cauterize it.... What to do! Please tell me! Thanks a lot!!

It is impossible to determine tactics in absentia in case of detection of cervical erosion. It is necessary to conduct a colposcopy and cytological examination, based on the results of which the doctor will prescribe treatment for you. In some cases, when erosion is detected, dynamic observation is indicated, in others, minimally invasive treatment is indicated. Most reliable source information - your attending physician. In controversial cases, you can always contact another specialist and get a second medical opinion, but following the advice of friends and strangers when it comes to health would be wrong.

Good afternoon I have hostile hydrocephalus of the brain. I had surgery more than once as a child. Now the disease does not manifest itself in any way. The only thing is that, perhaps, due to the illness, irritability has increased; I can’t always think quickly. I am 17 years old. I got my first period when I was 14 years old, after that I got my period for three months and then stopped. I took pills that stimulate it, it came again, but then it didn’t. At the beginning of the year, on January 16, 2017, I had an ultrasound. The conclusion was made: a decrease in the thickness of the endometrium. multifollicular ovaries with their enlargement (spex?). The presence of free fluid in the retrouterine space. Did a repeat ultrasound on 07/19/17 conclusion: structural changes from the uterus and ovaries were not detected, free fluid up to 150 mm in the abdominal cavity. I took tests for hormones, there were deviations in some indicators. They prescribed treatment, and at the same time I drank Jess Plus. Did a repeat ultrasound on 10/26/17 conclusion: presence large quantity free fluid in the retrouterine space.

The question is, what measures to take? I have been to a very large number of doctors, the fluid remains the same after all the prescribed courses of treatment. What could this be related to, the presence of fluid in my case?

Dear Alexandra Vasilievna! A small amount of free fluid in the pouch of Douglas can be detected in the second phase of the menstrual cycle, but in the case you describe, it is necessary to search for the reasons for the accumulation of fluid in such a volume. Treatment should be aimed as much at eliminating the fluid as at eliminating the causes of its appearance. It is impossible to talk about possible reasons your complaints, you must contact a qualified experienced gynecologist, be sure to take everything with you medical documents that you have on hand. Until you reach the age of 18, you can see a doctor only with the consent of your legal representatives - one of the parents.

Dear Marina! If there is no pain or pathological discharge from the vagina, expectant management and dynamic observation are quite justified. If a repeat ultrasound was performed today, what were its results?

Good afternoon. Help me please. My cycle is 26 days, the date of the last M is 10/18/2018, now the delay is still 2 days (on 11/14), the test showed a positive result, but 5 days before (11/8) it was negative. On November 14, I had an ultrasound, because once I was suspected of having fibroids, and since then I’ve been running for every positive delay, plus they started nagging pain in the lower abdomen, as during menstruation on the same day. Of course, the fetal egg is not visible on ultrasound, but there is a small accumulation of fluid in the pouch of Douglas. The ultrasound specialist said that these are consequences late ovulation and the liquid has not yet had time to dissolve. Actually a question. How valid is the uzist's opinion? Could it be that ovulation was indeed late, but the pregnancy test had already shown a weakly positive result? Or are these still signs of some processes not related to ovulation?

Dear Galina Andreevna! A small amount of free fluid accumulates in the pouch of Douglas in the second phase of the menstrual cycle; this is the result of ovulation, and the process is not pathological. At the same time, free liquid can be indirect sign inflammatory process, but without examination, carry out differential diagnosis impossible. What do you mean by “weakly positive” test result? A pregnancy test using a portion of morning urine is a qualitative reaction to the increased content of hCG in the body of a pregnant woman; the result can be either positive or negative. at the same time, the test strips are quite sensitive and allow you to determine even small increase in hCG. It is best, of course, when an ultrasound of the pelvic organs is performed by a gynecologist who has previously examined the patient, clarified her complaints and collected an anamnesis of the disease; in this case, it is much easier to interpret the ultrasound results. In any case, the ultrasound doctor only describes what he sees, and diagnosing the disease is the prerogative of the clinician, in this case the gynecologist.

Thanks for the answer. By weakly positive I meant that the second stripe was faintly visible. By the way, the test done today is much brighter. The examination and hCG test results will be on Monday, but since this is a very long-awaited pregnancy for me (I hope it’s pregnancy), I’m somewhat nervous about any confusion. Unfortunately, in our clinic the doctor does not perform ultrasound, he only writes out a referral and looks at the results.
That is, as I understand it, it may be that even with late ovulation (according to the uzist, it was on the 19-20th day of the cycle), the test showed pregnancy on the first day of the delay, i.e. actually on the 7th day after ovulation. The sensitivity of the test was 20Me

Dear Galina Andreevna! Ultrasound results largely depend on the class of equipment used, the qualifications and experience of the ultrasound doctor, and therefore are sometimes subjective to a certain extent. Wait for the results of a blood test for hCG, and then you can say for sure whether pregnancy has occurred or not. If there are no indications, the ultrasound does not need to be repeated.

Hello. Delay 1 day. The cycle is 28 days. The dimensions of the uterus are 5 * 4 * 6.3 cm, not enlarged, correct form, not displaced.
12/20/2018 - abortion, frozen pregnancy at 12 weeks. The uterine cavity is 1.2 cm, dilated, heterogeneous. In the retrouterine space there is 22 ml of free homogeneous fluid. The sockets are enlarged, in the left corpus luteum is 20 mm.
Could this be pregnancy?

Dear Evgenia Igorevna! Ultrasound of the pelvic organs is not a method capable of diagnosing pregnancy at such short term. In this case, detection in blood and urine is informative high content HCG. Theoretically, the probability of pregnancy in this situation is low, however, it cannot be completely excluded. If a pregnancy test using morning urine is positive (and this is possible, since after an abortion pregnancy hCG remains elevated for some time), it will be necessary to take a blood test for hCG content; this is a quantitative reaction; based on the dynamics of the increase in hCG titer, one can conclude that pregnancy is present.

Fluid behind the uterus may be caused by serious illness. One of which is pelvic inflammation, which often requires hospitalization.

Sometimes during an ultrasound, the doctor detects free fluid in the retrouterine space. Normally there should be no fluid, so it may be evidence of a disease.

Ovulation

The only reason for fluid accumulation without concomitant disease. During the release of a mature egg, the follicle reaches a large size and ruptures to release the mature egg. At this time, it becomes possible for fluid to enter the peritoneum. What causes its accumulation behind the uterus. However, a qualified specialist will distinguish this case (indicating that ovulation has occurred) from the disease, since the amount of fluid is very small - the norm. After 2 - 3 days it will resolve.

Inflammatory process

The presence of fluid not due to ovulation is associated with inflammation of the following organs:

fallopian tube;
ovaries;
Bladder;
uterine cavity.

The fluid will not be able to resolve on its own, so it can be observed during each ultrasound examination. To accurately determine the disease, the gynecologist will refer you for a test. additional tests(urine, blood), if they confirm inflammation, antibacterial drugs are prescribed.

Treatment of the inflammatory process of the pelvic organs should begin immediately after examination by a doctor. At the initial stage of the disease, the doctor may prescribe one or several types of antibiotics. If such treatment is ineffective or for any other reason why oral administration drugs is impossible, the patient must be hospitalized. In the hospital, antibiotics are administered by injection or IV.

With such a disease, there is a need to treat the partner, since it is often the partner who becomes the carrier of the infection. Neglecting its treatment can provoke a recurrence of the disease.

Surgery involves opening the abscess or eliminating perforation. That is, the operation is prescribed for advanced cases when there is a large accumulation of pus in the tissues. This is necessary to eliminate the abscess before it ruptures and fills the abdominal cavity with pus. If abscesses form on the uterus or ovaries, removal of the affected organ may be prescribed.

Ectopic pregnancy

If the fertilized egg does not reach the uterine cavity, but is implanted into the wall of the tube, an ectopic pregnancy occurs. There is a need to take a hCG test and undergo another ultrasound examination (vaginal).

But statistics show that an ectopic pregnancy makes itself felt even before an ultrasound reveals free fluid in the retrouterine space. This is explained by the fact that the liquid appears after the pipe ruptures.

Apoplexy occurs if a vessel of the Graafian bladder, ovarian stroma, follicle cyst or corpus luteum and hemorrhage begins in the ovary. Its tissue is destroyed and hemorrhage continues in the abdominal cavity and in the retrouterine space.

When performing an ultrasound, fluid is observed in the retrouterine space. To be more precise, this liquid is blood, often with clots. The serous cover of the uterus is pink, the size is not increased. May be observed in the uterine tubes chronic inflammation in the form of adhesions.

This disease can be caused by tissue disorders and vascular system ovary, which are caused by hyperemia, sclerotic or dilated vessels, inflammatory process, small cystic deformation of the ovary. Heavy bleeding It will happen even with a small gap (1 cm in diameter).

With apoplexy, the following symptoms are observed:

pain in the lumbar region and lower abdomen;
bloody discharge from the vagina, which stops along with the pain;
general weakness;
dizziness.

Reasons for the breakup:

injury;
sexual intercourse.

Apoplexy is acute illness, which requires urgent medical examination. If there is a suspicion of this disease, urgent hospitalization is indicated. Treatment is aimed at localizing bleeding, restoring ovarian tissue and stabilizing the condition after blood loss.

Acute purulent salpingitis

Acute purulent salpingitis is acute inflammation pelvic organs. Ultrasonography will show expansion, thickening, lengthening fallopian tubes which are characterized by decreased echogenicity. There is an accumulation of free fluid in the rectal uterine cavity.

Symptoms of the disease:

abdominal pain;
sensitivity during cervical movement;
elevated temperature;
leukocytes more than 10500;
the presence of pus during puncture of the posterior fornix;
ESR >15 mm/h.

Treatment of salpingitis is carried out in 3 stages:

Preparing for surgery.
Removal of purulent fluid and treatment of the lesion.
Rehabilitation after surgery.

Before surgery, acute manifestations of inflammation are stopped, the aggression of microbial pathogens is suppressed, and metabolic disorders are corrected.

For more effective treatment, if discomfort, pain or symptoms of the disease appear, you should not delay or try to treat yourself with the help of traditional medicine or, even more so, assign yourself medications. Once every six months you need to visit a gynecologist and, if necessary, undergo an ultrasound. initial stage Almost any disease can be treated, so you shouldn’t neglect your health.