How to differentiate uterine effusion?

Uterine effusion is very common. It is a common disease among women. It is a very disturbing and painful existence for female friends. Uterine effusion is not easy to find at the beginning. In the early stage of the disease, patients can easily confuse this type of disease and mistake it for other diseases, which brings great trouble to the treatment of patients. So, what is the differential diagnosis method of uterine effusion?

1. Differentiation from ectopic pregnancy:

In cases of tubal pregnancy abortion or rupture, there is intraperitoneal bleeding, clinical manifestations of abdominal pain, vaginal bleeding, and even syncope, similar to acute uterine effusion. Patients with uterine effusion have high fever and significantly elevated white blood cells. In cases of ectopic pregnancy, the human chorionic gonadotropin test is positive. Posterior fornix puncture can aspirate non-coagulated blood in cases of ectopic pregnancy, while in cases of uterine effusion, pus can be aspirated, which can be used for differentiation.

2. Differentiation from ovarian cyst pedicle torsion:

It often has sudden abdominal pain, which gradually worsens and is even accompanied by nausea and vomiting. Generally, the body temperature is not very high. B-ultrasound examination or gynecological pelvic examination can be used for identification.

3. Differentiation from acute appendicitis:

Acute appendicitis and acute uterine effusion both present with fever, abdominal pain, and elevated white blood cells. The pain of uterine effusion is on both sides of the lower abdomen, the disease is located lower, and is often accompanied by menstrual abnormalities; acute appendicitis is mostly confined to the right lower abdomen, with tenderness at McBurney's point and rebound pain

4. Differentiation from endometriosis:

It is characterized by progressively worsening dysmenorrhea and a long course of disease, similar to chronic hydrometra. The latter is characterized by long-term chronic pain, which may have repeated acute attacks, low-grade fever, and worsening pain after menstruation, sexual intercourse, and fatigue. Endometriosis is usually painless, or only slightly painful and uncomfortable, but the abdominal pain during menstruation is unbearable and progressively worsens. Laparoscopy, B-ultrasound, and anti-endometrial antibody tests can help confirm the diagnosis.

5. Differentiation from ovarian cyst:

Chronic uterine effusion forming hydrosalpinx or tubo-ovarian cysts needs to be differentiated from ovarian cysts. The former has a history of uterine effusion, sausage-shaped masses, thin cyst walls, adhesions around, and limited movement. Ovarian cysts are mostly round or oval, without adhesions around, and move freely. There is often no obvious discomfort, and they are occasionally found during gynecological examinations. B-ultrasound can be used for differentiation.

Warm reminder: Patients with uterine effusion should avoid spicy and irritating foods, such as coffee, tea, chili peppers, and alcohol, because these foods can stimulate inflammatory lesions, promote local congestion, and aggravate the condition. At the same time, eat less raw and cold foods, such as cold drinks, cold fruits, and salads. Because uterine effusion is not only related to heat, but also closely related to blood stasis, patients often have symptoms such as a little abdominal pain. Eating too much will aggravate the stasis, leading to the consequence of endless pain.