What does it mean when the left and right adnexa are not clearly visible?

The unclear visualization of bilateral adnexal structures may be caused by physiological factors, or it could result from pathological conditions such as pelvic adhesions or ovarian atrophy. A detailed analysis is as follows:

I. Physiological Factors

Exposure of the body to cold may lead to gas formation and accumulation within the intestines, which can interfere with imaging and result in poor visualization of the adnexa during examination. In such cases, applying a warm towel for heat compression or gentle massage when necessary may help expel intestinal gas.

II. Pathological Factors

1. Pelvic Adhesions

Bacterial or viral infections in the local area can cause congestion and edema in the pelvic cavity. During ultrasound examination, these adhesions may obstruct clear visualization of the bilateral adnexa. After diagnosis, patients should consult their doctor regarding treatment options such as laparoscopic adhesion lysis. Postoperative care should focus on proper wound management.

2. Ovarian Atrophy

As ovarian function declines, estrogen levels decrease; in severe cases, this leads to ovarian atrophy, making the ovaries difficult to visualize clearly on ultrasound. It is recommended to consult a physician about medical treatments such as estradiol valerate tablets, medroxyprogesterone acetate tablets, or progesterone capsules. Appropriate medication use can promote recovery.

In addition to the above causes, conditions such as salpingo-oophoritis, cervicitis, or ovarian cancer may also contribute. Patients experiencing the aforementioned symptoms should schedule regular follow-up visits at the hospital to monitor recovery progress and ensure adequate care.