Tuberculous pelvic effusion is very unfamiliar to many women, and many patients are confused when they see the results. Inflammation of the female genitalia caused by Mycobacterium tuberculosis is called genital tuberculosis, also known as tuberculous pelvic inflammatory disease. It is mostly found in women between the ages of 20 and 40, and can also be seen in older women after menopause. Tuberculosis of the fallopian tubes is the most common, accounting for about 85% to 95% of female genital tuberculosis, followed by endometrial tuberculosis, with few other types of incidence. The vast majority of genital tuberculosis is secondary to infection, often secondary to pulmonary tuberculosis, intestinal tuberculosis, peritoneal tuberculosis, tuberculous lesions in the mesenteric lymph nodes, or secondary to bone or urinary tuberculosis. Some auxiliary examinations are available: 1) endometrial pathological examination; 2) X-ray examination; 3) laparoscopy laparoscopy can directly observe the pelvic cavity and take fluid for TB culture or biopsy at the lesion. 4.Tuberculosis culture, if available, menstrual blood or scraped out endometrium for tuberculosis culture or animal inoculation, but the general positive rate is not high, the acute activity may be higher. 5, other white blood cell count is not high, the classification of lymphocytes may increase, different from the general septic pelvic inflammatory disease; active blood sedimentation increased, but normal blood sedimentation can not exclude tuberculosis lesions; old tuberculin test if positive indicates that there was a tuberculosis infection in the body; if a strong positive indicates that there is still an active lesion, but does not indicate the site of the lesion; if negative indicates that there has been no tuberculosis infection. These tests are not specific and can only be used as a reference for diagnosis. Chronic pelvic inflammatory disease (non-specific) has a history of childbirth, miscarriage and acute pelvic inflammatory disease, and the menstrual volume is usually high and amenorrhea is rare. The clinical manifestations of endometriosis and genital tuberculosis have many similarities, such as low fever, dysmenorrhea, adhesions, thickening and nodules in the pelvis. However, endometriosis is characterized by marked dysmenorrhea and generally more menstrual flow. Diagnosis can be assisted by diagnostic scraping and iodine oil imaging of the uterine tubes and laparoscopy. 3. Ovarian tumors with encapsulated fluid in tuberculous peritonitis should be differentiated from ovarian cysts, which can be helped by the course of the disease, history of tuberculosis and B-type ultrasonography; the surface of the mass formed by tuberculous adnexitis is uneven, with nodularity or papillary protrusion, which must be differentiated from ovarian cancer. In clinical practice, ovarian cancer is sometimes mistaken for pelvic peritoneal and genital tuberculosis, and anti-TB treatment is used for a long time, which may delay the disease and even endanger the patient’s life. Cervical cancer cervical tuberculosis may have papillary hyperplasia or ulcers, which are not easily distinguished from cervical cancer, and cervical scraping and cervical biopsy should be performed. Tuberculous pelvic effusion should be treated with anti-TB therapy. Extraction of effusion is a means of examination or symptomatic treatment and should not be done frequently. This is because simple aspiration of effusion will not only not cure pelvic effusion, but will also increase the effusion. The basic information of tuberculous pelvic effusion is introduced here first. It is recommended to pay attention to rest, pay attention to diet, eat less spicy and oily food, drink more water, and eat more vegetables and fruits. It is advisable to go to a local specialist hospital for examination and consultation.