I am 46. What do my mild POD collection mean, and treatment?

Question

Hi doctor,

I am a 46-year-old woman. I am married, and I have children. Recently, my USG (ultrasonography) report showed uterus in anteverted position, bulky in size and shape, measuring 9.24 x 3.59 x 4.91, and the echotexture was normal. There was no fibroid or SOL (space-occupying lesion) seen. My midline endometrial echo was within a regular line, and my cervix appeared normal. There was a mild collection seen in the POD. I also have a problem in a period with a massive and painful period. My question is;

Whether this condition curable by medicine or needs surgery?
I want to get cured with medicine. Please suggest.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through the attachment (attachment removed to protect patient identity). The USG (ultrasonography) report of the pelvis is normal with POD (pouch of Douglas) fluid. It is seen during ovulation when the scan is taken during mid-cycle. The dysmenorrhoea occurs due to endometriosis or chronic pelvic infection or hormonal imbalances.

If there are symptoms of pelvic pain or UTI (urinary tract infections), then PID (pelvic inflammatory disease) is a possibility, which can be treated medically. You can get started with medications after seeing the complete blood report, HVS (high vaginal swab) culture, hormonal profile, and gynecological examination.