The uterus under normal conditions does not hold any fluid within its cavity unless there is a known pregnancy. When fluid is present in the uterus, this is usually a cause for alarm and rightly so. The danger of this condition is that many women do not even know they have fluid retention in the uterus unless discovered by a sonogram or the woman is already experiencing symptoms.
Fluid In Uterus
Fluid is usually not accumulated in the uterus, however excess of fluid flows out through the cervical opening.
- During pregnancy, amniotic sac, which is the part of the placenta, and provides nutrition to the growing fetus, results in accumulation of amniotic fluid in the uterus? Amniotic fluid may gush out of the cervix, as a part of labor.
- During the menstrual cycle, blood flows out of the cervix, is associated with sloughing off of endometrial layers.
- Fluid may get accumulated in the uterus in the form of polyps or fibroids. These are non malignant conditions which may be associated with retention of fluid in the uterus. Malignant conditions of the uterus can also result in accumulation of fluid in the uterus
- Infections, especially pelvic inflammatory disease, may result in accumulation of fluid in the uterus.
Causes Of Fluid In Uterus
The cause of fluid accumulation in the uterine cavity is age-related.
- In premenopausal women, fluid accumulation in the uterus is often associated with pregnancy, if not its complications.
- As a woman ages, her cervix is more prone to cervical stenosis.
- Women found to have intra-uterine fluid accumulation are already experiencing menopause.
Previous Endometrial Ablations
- A history of endometrial ablations can cause the cervical opening to become stenosed.
Fibroids or Tumors
- The presence of fibroid or benign tumors in the uterine wall has also been found to cause the constriction of the cervical opening.
Foreign body like intra uterine devices, meant to control pregnancy, may get infected and result in accumulation of fluid in the uterus
Fluid In Uterus Symptoms
Some women with intra-uterine fluid accumulation may remain asymptomatic. Some patients present with symptoms such as:
- Uterine fluid accumulation as seen on a sonogram.
- Pelvic pain resulting from the accumulated fluids in the uterus. This condition is often associated with Pelvic pressure or feeling of heaviness in the uterus or lower abdomen.
- Feeling of abdominal fullness along with abdominal cramps and bloating may also be observed.
- Respiratory affectations such as difficulty breathing or shortness of breath along with systemic symptoms like fever, loss of appetite, etc may be observed
- Fluid accumulation in the uterus may often be associated with foul and offensive discharge, often referred to as leucorrhea.