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Scan result shows 19mm fluid in the pouch of the Douglas

I went for a scan before and fluid was found in the POD, I treated it for ten days. Then I went back for an HVS and moderate candidas was found. Did another scan and 19mm fluid in the POD. Does this suggest PID? Note, no abnormal discharge
2 Responses
134578 tn?1578157483
COMMUNITY LEADER
Why did you go for the scan (the one that originally located fluid in the Pouch of Douglas?) Was if for pain? Fluid can be in that location for various reasons, so to try to guess what the doctor is thinking, you need to consider what brought you in for the scan. You were treated for ten days for what condition, just the fluid? (Or was it for something like a ruptured cyst?)

Candidas is not unusual to find in the vagina, and often doesn't cause any problems. Did the doctor indicate any link between the candida and the fluid in the Pouch of Douglas?

And, you are asking about pelvic inflammatory disease. Did the doctor say this was what he or she was concerned about? It seems like PID would be revealed by some other marker besides just fluid in the Pouch of Douglas.

The main thing is, check with your doctor to find out what direction he or she is going with your diagnosis. There are too many things that can result in a little fluid in the Pouch of Douglas to be thinking it is only possible for it to be from PID. Google "what causes there to be fluid in the Pouch of Douglas?" and you'll see a lot of possibilities. And talk to your doctor.
4 Comments
Okay, I've read so much aboutpid, so I've been extremely careful about it. So I regularly go for check-ups, no abnormal discharge,  no pain in the pelvis except during menstruation, but I decided to go for a scan. It was the result that made my doctor treat me for Pid the first time. After that I went for Hvs, and nothing was found except yeast infection.  And a transvaginal scan still review 19mm fluid in the POD. I'm currently on treatment for yeast.
I'm just extremely worried because I read PID affects fertility
I was treated for the fluid, there wasn't a ruptured cyst and no pain and is 19mm fluid small
Do you know if your doctor considered and rejected the possibility of menstrual blood or fluid from a ruptured cyst that refluxed through the Fallopian tubes? Especially if you have had PID in the past, it seems possible for that to happen. Your doctor evidently feels the presence of fluid calls for antibiotics, but you didn't mention that you had a blood test or other evidence of a bacterial infection. It's not a great idea to take antibiotics except when you have a bacterial infection, and if this is just fluid refluxing into that area but no infection, it seems like the antibiotics aren't needed.
Where you said "I've read so much aboutpid, so I've been extremely careful about it. So I regularly go for check-ups, no abnormal discharge,  no pain in the pelvis except during menstruation, but I decided to go for a scan. It was the result that made my doctor treat me for Pid the first time." I took that to mean, you had once had PID. Did the doctor treat you for PID without being sure you had it, or were you specifically diagnosed at some point in the past with PID? It's hard to tell why you went for the scan if you didn't have pain or symptoms. Did you just do it because you have been reading up on PID and got worried?
973741 tn?1342342773
COMMUNITY LEADER
Anniebrooke asks good questions and we'll look forward to your answers.  To follow up on her response, yes, your original symptoms for why you had the scan would be most helpful.  Some women get fluid at various times in their cycle such as near ovulation and others have as a secondary sign of something else. PID is one of the reasons women get this fluid in the pouch.  Concerns about PID would be relevant especially if you have any other symptoms such as pain in your lower abdomen or pelvis, abnormal and heavy vaginal discharge with a heavy odor (which is not candida which usually does not have an odor and has itching involved, clumpy discharge and is very common as anniebrooke says), unusual bleeding such as in between cycles, painful intercourse, fever, difficulty urinating.  https://www.mayoclinic.org/diseases-conditions/pelvic-inflammatory-disease/symptoms-causes/syc-20352594  

Here's an article from a reliable source on fluid in the POD.  https://radiopaedia.org/articles/differential-diagnosis-of-free-fluid-in-cul-de-sac-pouch-of-douglas?lang=us  It does give a wide range of possibilities and I'm sure some of them would be most unwelcome.  But from this position, we can't really tell you much.  So, it's, as Anniebrooke is saying, imperative to see your doctor. This could really be nothing though, so keep that in mind.

What did they treat you with for the first time you had fluid?  Some medications such as antibiotics are often the cause of candida or yeast infections.  Basically they wipe out good bacteria that balances bad and makes conditions just right for yeast to grow.  Is your doctor treating the yeast infection now?
4 Comments
Thanks for your response, I haven’t had odor or heavy discharge, no pain, I have had pid once and that was when I had infections, I was treated and it went. But since scan keeps detecting fluid in the pid, my hvs is clear. I was treated with antibiotics the first time. I just extremely concerned because I heard PID affect the fallopian tubes
Well, read through that article from Mayo clinic I shared.  Copy and paste it as it doesn't show up as a link you can click.  However, yes, work with your doctor because some women do not have symptoms and still have PID.  I don't think that is all that common, but happens. Ask what your doctor thinks the next step should be.  Perhaps another course of antibiotics (be ready for that yeast infection to return) or an ultrasound?  
Thanks, I'm already on a stronger antibiotics and taking yeast infection treatment at the same time. I just hope it gets sorted. Thanks for your tim
Let us know how it turns out.  I'm sorry it's been such a pain to deal with!
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