Is it normal to find pelvic fluid accumulation during menstrual examination?

The discovery of a small amount of pelvic fluid during menstrual physical examination is usually a normal physiological phenomenon, but excessive fluid accumulation or accompanied by abnormal symptoms may indicate a pathological state. Pelvic fluid accumulation may be related to factors such as hormone fluctuations, inflammation, tumors, etc. It is recommended to evaluate it in combination with clinical symptoms and imaging re examination. During menstruation, women may experience a small amount of physiological pelvic fluid accumulation due to pelvic congestion and hormonal changes. Ultrasound examination shows that the depth of fluid accumulation generally does not exceed 30 millimeters, and there are no symptoms such as abdominal pain or fever. This type of fluid accumulation is mostly composed of follicular fluid, endometrial shedding secretions, or peritoneal exudate, and can be absorbed on its own after menstruation. Avoiding strenuous exercise and keeping the abdomen warm in daily life can help reduce discomfort. If the depth of pelvic fluid accumulation exceeds 50 millimeters or persists, one should be alert to pathological conditions such as pelvic inflammatory disease, endometriosis, and ovarian cyst rupture. Abnormal fluid accumulation is often accompanied by symptoms such as lower abdominal pain, abnormal vaginal bleeding, and fever. Tuberculous pelvic inflammatory disease may result in night sweats and weight loss, and malignant tumor related fluid accumulation may gradually increase. The cause of acute pelvic inflammatory disease can be determined through gynecological examination, tumor marker detection, and laparoscopic examination. Cefotaxime sodium injection combined with metronidazole and sodium chloride injection should be used for anti infection. Endometriosis can be treated with injection of leuprorelin acetate microspheres.

It is recommended to have a follow-up ultrasound examination 3-5 days after menstruation to avoid false fluid accumulation caused by pelvic congestion during menstruation. Keep the perineum clean on a daily basis, avoid baths and sexual activity during menstruation, and seek medical attention promptly if there is persistent abdominal pain or abnormal discharge. Pelvic fluid accumulation under pathological conditions requires targeted treatment for the primary disease, while physiological fluid accumulation does not require special treatment but requires regular follow-up to observe changes.