Does fluid buildup in the Douglas pouch lead to pregnancy, and how can it be treated?

Q. How can I get rid of a fluid buildup in my Douglas pouch?

Answered by
Dr. Kanani Darshan Jayantilal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 15, 2023

Hello doctor,

I went for an abdominopelvic scan after having sex a few days ago. The last time I had sex was three years ago, but I continued experiencing discomfort throughout the intercourse, so I was concerned it may be caused by an underlying infection. It revealed that I have a slight fluid collection in my pouch of Douglas. Please tell me if this fluid might cause pregnancy and how to get rid of it. Kindly help.



Welcome to

I read your query and can understand your concern.

A mild fluid collection in the pouch of Douglas is a common finding in women and may not necessarily indicate an infection. The pouch of Douglas is a space between the rectum and the back of the uterus in women, which is a normal site for fluid accumulation.

Fluid in the pouch of Douglas does not directly affect pregnancy, but it may be a sign of an underlying condition that can affect fertility or pregnancy, such as endometriosis, pelvic inflammatory disease (PID), or ovarian cysts. If left untreated, these conditions can potentially cause infertility or complications during pregnancy.

The treatment for a fluid collection in the pouch of Douglas depends on the underlying cause. If it is due to an infection, you need antibiotics. If it is due to endometriosis, you may need hormonal treatments or surgery.

I hope I have answered your question.

Let me know if I can assist you further.


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