Nicole Galan, RN, is a registered nurse and also the writer of "The every little thing Fertility Book."" data-inline-tooltip="true">Nicole Galan, RN
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Jessica Olah / Verywell

reasons of liquid in Cul-de-Sac

Fluid in the cul-de-sac deserve to be brought about by numerous different factors. Sometimes fluid from a ruptured cyst or follicle can accumulate there. At other times, liquid in the cul-de-sac might indicate an ext severe problems. Right here are some possible causes of fluid in the cul-de-sac:


Following culdocentesisIncreased ovarian permeability as result of estrogen influenceOvarian torsionPelvic abscess orhematomaTubo-ovarian abscessUterinerupture

finding in Fertility therapy

In ladies undergoing fertility treatment, fluid in the cul-de-sac (as seen on ultrasound) is a typical finding in ovarian hyperstimulation syndrome (OHSS).

You are watching: Free fluid in cul de sac what does it mean


If your healthcare provider suspects that you have actually this condition, they will certainly likely imply that you have actually an ultrasound to inspect for fluid and measure your ovaries, together enlarged ovaries are likewise common in OHSS.


Usually, liquid in the cul-de-sac is no a reason for alarm but could be resulting in discomfort and affecting your fertility.


Diagnostic experimentation

Transvaginal ultrasound is the procedure that is supplied to show whether over there is liquid behind the uterus. Fluid will present up fine on ultrasound. If liquid is discovered in your cul-de-sac and you room experiencing pain, your health care provider may order an ext advanced experimentation of the fluid.


Culdocentesis is a procedure carry out to check any abnormal fluid in the cul-de-sac area. Prior to transvaginal ultrasound ended up being widely available, it was likewise used come detect the fluid. Now, the is supplied to remove liquid to evaluate.


Culdocentesis involves inserting a needle through the vaginal wall surface to draw off a sample of liquid to analyze. A numbing agent or anesthesia may be provided prior come the procedure. You will have actually a pelvic exam and also your medical care provider will host the cervix v an tool to insert the needle in the correct place.


A small amount of fluid in the cul-de-sac is normal and is commonly not that concern. If the liquid sample shows indicators of pus or blood, the area might need to it is in drained. Periodically blood can be a an outcome of ruptured cyst or signs of an ectopic pregnancy.


The existence of pus can indicate one infection caused by a tear or various other conditions. The blood would have to be drained and also antibiotics supplied to law the infection.


Yes, the pouch of Douglas in males is additionally known as the rectovesical pouch. That lies between the rectum and bladder.


In a woman, the liquid is gotten rid of for experimentation with a an extremely thin needle that enters with the wall surface of the vagina.


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