Is a 20mm fluid dark area severe?
Jul 19, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Under normal circumstances, a small amount of fluid in the female pelvic cavity serves as lubrication; the fluid volume may slightly increase after ovulation. Whether a 20 mm anechoic (fluid) area is serious depends on whether it is accompanied by symptoms of pelvic inflammatory disease, such as fever, abdominal pain, or foul-smelling discharge. Additionally, a gynecological examination can be performed to check for cervical tenderness, uterine tenderness, or tenderness in the bilateral adnexal regions.
In general, whether a 20mm fluid dark area is serious depends on the individual's specific physical condition. If any discomfort occurs, it is recommended to seek medical attention promptly. The detailed analysis is as follows:
1. Serious
If, during early pregnancy, a B-ultrasound reveals a 20mm fluid dark area around the gestational sac accompanied by symptoms such as vaginal bleeding or abdominal pain, this usually indicates a risk of threatened miscarriage, which may be relatively serious. Close monitoring of the condition is required, along with fetal protection treatment under a doctor’s guidance.
2. Not serious
During non-pregnant periods, if a female is found to have a 20mm fluid dark area in the pelvic cavity on B-ultrasound without any discomfort such as abdominal pain or rectal pressure, it is generally considered physiological pelvic effusion. Physiological pelvic effusion commonly occurs after ovulation, during menstruation, or in early pregnancy. The fluid volume typically does not exceed 30mm and often resolves spontaneously without special treatment.
Patients should maintain a positive mindset, actively cooperate with the doctor's treatment plan, and undergo regular follow-up examinations to allow timely adjustment of treatment strategies and promote recovery. In daily life, patients should ensure adequate rest, avoid strenuous exercise and heavy physical labor, and maintain a healthy lifestyle.
