Is “pelvic fluid” “pelvic inflammatory disease”? First of all, the answer is clear: “pelvic fluid” in the ultrasound report is not necessarily “pelvic inflammatory disease”, which means that what doctors in irregular hospitals call “pelvic fluid” is pelvic inflammatory disease. This is not in line with the diagnostic criteria of pelvic inflammatory disease! The actual diagnosis is not clear, where is the infusion and other treatment? And none of the criteria for the standard diagnosis of pelvic inflammatory disease include “pelvic fluid”. What is the “pelvic fluid” in the ultrasound report? It is clearly stated that pelvic fluid is not a disease per se, but only a manifestation of ultrasound imaging. The context is as follows: 1. Physiological effusion can be seen in follicular fluid during ovulation; menstrual blood can flow back into the abdominal cavity during menstruation, and rectal fossa effusion can be seen in ultrasound just after menstruation. These effusions peritoneum can be absorbed. 2, pathological effusion is seen in inflammation: such as inflammatory exudate caused by appendicitis, pelvic infection, etc. Tuberculous peritonitis can cause a large amount of ascites. 3.Pathological effusion is seen in intra-abdominal hemorrhage: such as ectopic pregnancy, rupture of corpus luteum, hemorrhagic tubal inflammation, etc. 4. Pathological effusion is seen in tumors, such as ovarian cancer, uterine, fallopian tube, gastrointestinal tumors, etc. The doctor will help you determine if it is a physiological or pathological condition. If there are no clinical symptoms, it is a physiological phenomenon and does not need to be dealt with. So, don’t just jump to conclusions without any basis when you see “pelvic effusion”! The diagnosis of pelvic inflammatory disease is based on the following criteria: 1. minimum criteria: painful cervical lifting or uterine pressure or pressure pain in the adnexal area 2. additional criteria: body temperature over 38.3°C; abnormal purulent discharge from the cervix or vagina; elevated blood sedimentation; elevated blood C-reactive protein; laboratory tests confirming positive cervical gonococcus or chlamydia; wet film of vaginal secretions with a large number of white blood cells. 3. Specific criteria: endometrial biopsy to confirm endometrium to inflammation; laparoscopy to confirm pelvic inflammatory changes; nuclear magnetic or vaginal ultrasound to confirm tubal effusion and pus accumulation or tubo-ovarian masses, or with and without pelvic effusion. Only if the above diagnostic criteria are met can pelvic inflammatory disease be diagnosed, not just a simple pelvic fluid accumulation. In other words: ultrasound examination with “pelvic fluid” cannot simply diagnose pelvic inflammatory disease, but must be analyzed to make a judgment, and must go to a regular hospital to see a doctor!