Causes of uterine effusion

Gynecological diseases are a common disease among female friends, one of which is uterine effusion. Although this disease is not common in clinical practice, there are still female friends suffering from this disease. Therefore, only by understanding the causes of uterine effusion can we effectively control this disease. Let's take a look at it below.

reason

1. The most common cause is inflammation of the fallopian tube or pelvic peritoneum. When the fallopian tube is inflamed due to gonococcal infection, tuberculosis infection, chlamydia infection, mycoplasma infection or other bacterial infection, it can destroy the epithelial tissue of the fallopian tube endometrium and block the fallopian tube. Inflammation can damage the fallopian tube mucosa and form scars, causing stenosis or obstruction of the tube. Sperm and egg cannot meet in the channel, causing infertility.

2. Endometriosis in the fallopian tubes can cause blockage of the fallopian tubes.

3. Some pathogenic bacteria such as Staphylococcus, Streptococcus or Gonorrhea spread to the fallopian tubes or pelvic cavity through the vagina, cervix and uterus, causing pelvic peritonitis and serious systemic infection.

4. Secondary infection caused by miscarriage, delivery, pelvic surgery and appendicitis can also lead to fallopian tube obstruction and infertility.

Physiological effusion

It often occurs after ovulation or in early pregnancy, and most of them can disappear naturally without treatment. However, most uterine effusions are caused by inflammation, that is, exudation from chronic pelvic inflammation. A few are caused by ruptured ectopic pregnancy, corpus luteum rupture, pelvic abscess, chocolate cyst, and ovarian cancer. Those caused by acute and chronic pelvic inflammatory disease are often accompanied by lower abdominal pain (bilateral or unilateral), lumbosacral pain, and a history of abortion or medical abortion. The specific cause of effusion is that the serous exudate caused by inflammation cannot be absorbed by the body and slowly accumulates in the body. The location of pelvic effusion mostly occurs in lower parts of the pelvic cavity such as the rectouterine pouch. Treating uterine effusion is actually treating pelvic inflammatory disease.

At present, many doctors use posterior fornix puncture to extract effusion for treatment, which is very unscientific, because simply extracting effusion will not only fail to cure pelvic effusion, but will also increase the amount of effusion. Although everyone knows that the cause of pathological effusion is pelvic inflammation, and the treatment is also targeted at pelvic inflammatory disease, the large-scale use of antibiotics or other drugs has not been effective. The main reason is that the local connective tissue adhesion in the pelvis caused by pelvic inflammatory disease makes it difficult for drugs to reach the local lesion; at the same time, pelvic inflammatory disease does not necessarily identify specific pathogens, and the use of antibiotics is not particularly targeted, and the efficacy is difficult to guarantee.