Fluid-filled pelvic mass after menopause

If a pelvic fluid mass appears after menopause, ultrasound, CT and other examinations are needed to determine the cause. Common causes include ovarian cysts, pelvic inflammatory masses or tumors. Treatment should be based on the cause, with surgery, medication or observation. It is recommended to see a doctor as soon as possible.

1. Ovarian cysts are a common cause of fluid masses in the pelvic cavity after menopause, and are mostly functional cysts or cystadenomas. Functional cysts may disappear on their own, but cystadenomas require surgical removal, and regular follow-up examinations are required after surgery to rule out the possibility of malignancy.

2. Pelvic inflammatory masses are mostly caused by chronic pelvic inflammatory disease, accompanied by symptoms such as lower abdominal pain and abnormal leucorrhea. The treatment is mainly antibiotics, such as cephalosporins, metronidazole, etc. In severe cases, surgery is required to clean up the lesions.

3. Tumorous lesions such as ovarian cancer can also present as fluid masses, often accompanied by symptoms such as ascites and weight loss. Diagnosis requires a combination of tumor marker testing and pathological biopsy, and treatment is mainly surgery, supplemented by chemotherapy or radiotherapy.

4. Other causes include endometriosis or hydrosalpinx, and treatment should be selected based on the specific condition. Endometriosis can be treated with hormone drugs or surgery, while hydrosalpinx requires surgical repair or removal.

Postmenopausal women who find a fluid mass in the pelvis should seek medical attention as soon as possible, and choose appropriate treatment after the cause is determined to avoid delaying the disease and causing serious consequences.