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Doctor insights on: Post Menopausal And Fluid In Pelviv Area

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Dr. Janet Greenhut
1,742 Doctors shared insights

Menopause (Definition)

The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more


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44 yrs, pre-menopause. Weight loss, fatigue, appetite loss. CT scan revealed bilateral adnexal cysts, enlarged uterus, pelvic fluid. What could it be?

44 yrs, pre-menopause. Weight loss, fatigue, appetite loss. CT scan revealed bilateral adnexal cysts, enlarged uterus, pelvic fluid. What could it be?

Ovarian cyst: CT is not very good at giving information about the ovaries - please make an appt with a GYN doc for a pelvic exam and a pelvic ultrasound. Weight loss and fatigue are serious issues and they could mean something more serious could be going on. Please discuss them with your doc as soon as possible. ...Read more

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I am 48 peri menopause had cycle 2 times in 9 months. Have had dull achy pain in lower left pelvic area for a month increased nagging prior to bm?

I am 48 peri menopause had cycle 2 times in 9 months. Have had dull achy pain in lower left pelvic area for a month increased nagging prior to bm?

Constipation v ovary: Left lower quadrant pain is normally a symptom of constipation. If your BM is not every day or is small "rabbit pellets", you should try some Magnesium Citrate (over the counter in the laxative section. If your pain gets better, you have your answer. If the pain persists, you should see a doctor and consider getting a pelvic ultrasound. ...Read more

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Can brachytherapy in the pelvic area cause menopause? I’ve heard it can and i’m having brachytherapy for bladder cancer. Will this cause menopause?

Can brachytherapy in the pelvic area cause menopause? I’ve heard it can and i’m having brachytherapy for bladder cancer. Will this cause menopause?

Yes: It all depends on how much radiation reaches the ovaries, and how close to menopause you are. With brachytherapy we can't really say with certainty that you will or will not go into menopause. You just have to try it to find out. ...Read more

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Very sore in ext. Vaginal area I avoid sex and in menopause. Waiting for results from pelvic ultrasound to see if uterus lining thin. Suggestions?

Vaginal Estrogen: When you are in menopause, your body stops making estrogen. Since the vaginal tissue is very sensitive to estrogen, it can become thin and lose its ability to stretch. When you have intercourse, you can actually get micro-tears in the vaginal wall that are painful. These symptoms usually respond to a vaginal estrogen cream or tablet. Don't have intercourse if its painful. Best wishes! ...Read more

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3 months post pelvic prolapse surgery. Went to pelvic pt yesterday. Staining today. Menopausal for 2 years. Is staining reason for concern?

3 months post pelvic prolapse surgery. Went to pelvic pt yesterday. Staining today. Menopausal for 2 years. Is staining reason for concern?

Mesh?: Prolapse surgery with some spotting after surgery? Hard to know so would suggest you check in with your prolapse surgeon. If you had a mesh reconstruction, you need to think about an extrusion of mesh vaginally. With uterine preservation, need to think about post-menopausal bleeding. Tough question with limited information....Sorry. ...Read more

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HepC treatment lead to menopause 10 years ago in early 40s.Today slight clots n cramps&endometrium line is 1cm in pelvic sono n1.6 in tvu. Concerning?

HepC treatment lead to menopause 10 years ago in early 40s.Today slight clots n cramps&endometrium line is 1cm in pelvic sono n1.6 in tvu. Concerning?

Need next step: Perhaps a sonohysterogram with an endometrial biopsy or a hysteroscopy/dilatation and curettage. The purpose is to evaluate your uterine cavity and get a sample of the lining of the uterus. The most important item to rule out is cancer of the uterus, however, thankfully, this is not the most common, there is a 90-95% chance that it is not cancer. Best Wishes ...Read more

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I am very confused had blood test said menopause 6 months later had a period. Went for a pelvic scan the person doing the scan said endometriosis 3?

I am very confused had blood test said menopause 6 months later had a period. Went for a pelvic scan the person doing the scan said endometriosis 3?

Need More Info: Menopause can sometimes be diagnosed by labs, but they are not perfect & it is defined as no period in 1 year in the CORRECT clinical setting. It is not unusual for someone your age to be in perimenopaise to have a some breakthrough bleeding while the hormones settle down. It would be odd for a first diagnosis of endometriosis at 48 & I would want to know what kind of scan and exact results. ...Read more

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Cervical Stenosis Hematometra post menopausal pelvic pain Fibroids. Dr wants 2wait 6wks b4 D and C. No thickening or blood. Can this resolve by itself?

Cervical Stenosis Hematometra post menopausal pelvic pain Fibroids. Dr wants 2wait 6wks b4 D and C. No thickening or blood. Can this resolve by itself?

Possibly yes: If your cervix is stenotic, you can accumulate "fluid" in your endometrial cavity which may be mucus, not blood?
Bleeding will usually not occur if your cervix is closed
The fact that " no thickening" of your endometrium was noted on sonogram is reassuring and means you probably do not have " hematometra" and that the "fluid" may resolve spontaneously in weeks to months. Ask for an office Pipelle ...Read more

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Post menopausal Had UTI antibotics cleared & vaginal infect with metronidazole. Mild lower back & pelvic pain. What could be the cause? Should I worry

Post menopausal Had UTI antibotics cleared & vaginal infect with metronidazole. Mild lower back & pelvic pain. What could be the cause? Should I worry

Worry: Don't worry but be concerned.

Please start by seeing your regular doctor again and if you are not entirely satisfied have the doctor refer you to someone else - most likely a gynecologist and possibly a neurologist. ...Read more

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What does fluid or hemorrhages in the pelvic area mean?

What does fluid or hemorrhages in the pelvic area mean?

Pelvic fluid: Fluid in a female's pelvis is very common depending on time of hercycle, and an isolated finding rarely means anything at all. Hemorrhage by definition means uncontrolled bleeding and that's obviously more worrisome. ...Read more

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Does free fluid in pelvic area affect IVF success rate?

Does free fluid in pelvic area affect IVF success rate?

No: Ivf involves transferring an embryo into the uterus. Free pelvic fluid would not be a factor in the implantation of the embryo. ...Read more

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Does free fluid in pelvic area affect trying to concieve?

Does free fluid in pelvic area affect trying to concieve?

Pregnancy: It depends on the source of the fluid in the pelvis. Most likely it will be caused by a ruptured cyst. The cyst fluid itself may not prevent pregnancy but having cysts constantly may be a reason you may not be getting pregnant. ...Read more

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How does fluid and abscess accumulate in the pelvis, pelvic area.... is there lots of reasons for this? Male patient

How does fluid and abscess accumulate in the pelvis, pelvic area.... is there lots of reasons for this? Male patient

Many reasons: There are several ways yes. Diverticulitis (little sac out-pouchings in the colon) can rupture and lead to this. Irritation anywhere in the pelvis can lead to fluid and or abscess. The list does go on. These things can resolve spontaneously...but do sometimes require CT guided or US guided drainage. ...Read more

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Just left the ED, CT showed lesion an spleen and free fluid in pelvic area, what are the possible causes of these findings?

Just left the ED, CT showed lesion an spleen and free fluid in pelvic area, what are the possible causes of these findings?

Spleen/free fluid: It is hard to know what the lesion in your spleen is without a better description. Some free fluid in the pelvis is normal, a larger amount may indicate a rupture. Review the scan with your doctor today to sort this out. All the best. ...Read more

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Why is hystroscopy done if both tubes are open & uterus in good condition but free fluid around pelvic area?

Uterus evaluation: Anytime you're having surgery it's important you understand the reasons for doing it. In your specific case you'll need to ask your doctor. In your profile you mentioned you're trying to conceive. I imagine your doctor is trying to evaluate the lining of uterus. ...Read more

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I had a pelvic ultrasound and I was told there was free fluid in pelvic area. I was on my period when the exam was done. Could this be the Reason?

I had a pelvic ultrasound and I was told there was free fluid in pelvic area. I was on my period when the exam was done. Could this be the Reason?

Free fluid: There are numerous causes of free fluid. In your age group, seeing a small amount of free fluid in the pelvis can be normal. Large amounts are not normal. Your doctor can best tell you the significance of the free fluid, in the context of your clinical picture. ...Read more