How to treat a 54-year-old female with uterine fluid accumulation?
May 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
A 54-year-old patient with uterine fluid accumulation may have non-pathological causes, but pathological factors should also be considered, such as ovarian function decline, endometritis, endometrial polyps, submucosal uterine fibroids, or endometrial cancer. These conditions can cause the aforementioned symptoms. It is recommended to visit a hospital gynecology department for early diagnosis. If the condition is caused by pathological factors, treatment should be carried out according to medical advice.
A 54-year-old female with uterine fluid accumulation may have this condition due to non-disease factors, but pathological causes should also be considered, such as ovarian function decline or endometritis. It is recommended to obtain a clear diagnosis and receive appropriate medication under medical guidance. Specific analysis is as follows:
I. Non-disease factors
If ovulation is normal, elevated estrogen levels and increased secretory factors in the body may promote an increase in intrauterine secretions. This is caused by physiological factors and usually does not require special treatment.
II. Disease factors
1. Ovarian function decline
At age 54, women typically enter menopause. Due to declining ovarian function, reduced estrogen levels, and gradual atrophy of reproductive organs, they are prone to genital tract infections. Uterine secretions may fail to drain properly, leading to uterine fluid accumulation. If caused by bacterial infection, treatment should follow medical advice using medications such as cefixime dispersible tablets, amoxicillin capsules, or levofloxacin hydrochloride capsules. Cervical dilation surgery may also be performed if necessary.
2. Endometritis
When the endometrium is infected by pathogenic microorganisms, inflammatory changes occur, causing inflammatory exudates to accumulate in the uterine cavity, resulting in symptoms such as abdominal pain, lower abdominal heaviness, and increased vaginal discharge. It is recommended to take anti-infective medications orally as prescribed, such as metronidazole tablets, doxycycline hydrochloride tablets, or norfloxacin capsules.
In addition, conditions such as endometrial polyps, submucosal uterine fibroids, and endometrial cancer can also cause the above symptoms. It is advised to visit a gynecology department at a hospital as early as possible for diagnosis. If the cause is pathological, treatment should be administered according to medical guidance.
