Causes of the appearance of serometers in postmenopausal women and methods of treatment

Causes of the appearance of serometers in postmenopausal women and methods of treatment

24.05.2022 0 By admin

A serozometer is a collection of fluid that is located in the uterus. Most often, it is not accompanied by characteristic manifestations and is detected unexpectedly during a routine examination. To establish the causes of the formation of neoplasms and the appointment of adequate therapy, differential diagnosis is required.

What it is?

Serozometra is a pathological process in which a serous exudate appears in the uterus. Over time, it increases in volume and provokes the appearance of a clinical picture. This condition is not considered an independent disease in which a standard treatment regimen would help. Fluid accumulates inside the uterus due to pathological causes, by eliminating which, you can get rid of the problem.

Most often, fluid accumulation in the uterine cavity appears at the stage of extinction of ovarian function. There is a decrease in the secretion of sex hormones, lifestyle changes. In postmenopause, this diagnosis is made to four out of ten patients who are unaware of the problem. Most of them stopped menstruating about 15-30 years ago.

Development mechanism

In the postmenopausal period, patients rarely pay due attention to their women’s health. According to WHO recommendations, after the extinction of menstrual function, they should be examined in gynecology at least once every six months – to take tests, undergo ultrasound and other diagnostic procedures. If you do not undergo a medical examination, then you can find out about the existing problem quite late. This most often happens with a serometer.

For a long time, fluid accumulates inside the uterus, which is secreted by the glandular layer or comes from other sources – the peritoneum, fallopian tubes, ovaries. The absence of characteristic symptoms in the initial stages gives the patient reason to believe that she has no pathologies.

Clinical signs appear when the exudate reaches large volumes. The addition of the inflammatory process accelerates the progression of the disease. As a result, women have complaints that make them visit a gynecologist. In most cases, the diagnosis is determined by the accumulation of mucus of impressive volumes – more than ten milliliters.

The absence of fluid in the uterus is the norm.

Serozometer appears in postmenopause

Serozometer appears in postmenopause

signs

At the initial stages, the patient has no complaints. Practice shows that most women with this diagnosis do not have sex, so they do not suspect that they may have problems. The appearance of signs occurs later, when the exudate accumulates and begins to stretch the walls of the uterus.

Typical symptoms:

  • an increase in the uterus, accompanied by a slight protrusion of the lower part of the abdominal wall;
  • dull pulling pain in the pelvis;
  • frequent urge to go to the toilet due to pressure on the bladder;
  • changes in bowel function – constipation or frequent bowel movements;
  • discomfort in the uterus and pelvic cavity during physical exertion and during intimacy;
  • an increase in the volume of vaginal discharge – mucus is clear or mixed with pus.

If the pathological process is complicated by inflammation, suppuration of the exudate occurs. This leads to the fact that the woman’s body temperature rises, there are acute pains in the abdomen and perineum, and overall well-being worsens.

Diagnostics serometers

Diagnostics serometers

Diagnostics

In gynecology, there are many diseases that are characterized by similar symptoms. Myoma has a similar picture, which is often diagnosed at the beginning of menopause.

A bimanual examination is performed to diagnose the problem. During palpation, the gynecologist discovers that the uterus is enlarged in size. After that, the patient is assigned an ultrasound, which accurately shows the volume of the accumulation and its nature:

  • hydrometer – mucous exudate caused by increased secretory activity of the glands;
  • pyometra – accumulation of a mixture of purulent and mucous secretions;
  • hematometra – accumulation of blood.

Instrumental and laboratory studies are also performed to determine the cause of the pathology:

  • tomography – allows you to visualize the internal organs of the patient and the neoplasm in a three-dimensional image;
  • hysteroscopy – makes it possible to study the condition of the walls of the uterus and take fluid for analysis;
  • biopsy – involves taking a small fragment of the inner lining of the uterus for a detailed study;
  • blood test for tumor markers – determines the risk of malignancy of the neoplasm.

The diagnostic results are evaluated in a complex, which allows you to accurately determine the cause of the problem and determine what needs to be done next. Corrective measures are aimed at eliminating provoking factors and removing accumulated exudate.

Causes

To provoke the accumulation of fluid in women can be increased secretory activity of the mucous layer of the uterus or a violation of the outflow of exudate. A common reason that gynecological problems appear during the postmenopausal period is a change in hormonal levels. The production of estrogen, which played an important role in the proper functioning of the pelvic organs, stops.

To provoke a violation of the outflow of exudate in old age can:

  • atresia of the cervix or lumen in the cervical canal. It often occurs due to a lack of estrogen and changes in epithelial tissue. It can be provoked by mechanical damage or deviations from the anatomical norm of the structure of the pelvic organs;
  • neoplasms of a malignant or benign nature. They can be located at the outlet of the uterus or inside the cervical canal, such as a polyp or nodes of muscle tissue;
  • stricture of the cervical canal. It is often found in gynecological practice after undergoing instrumental interventions to open the pharynx, if they are complicated by an inflammatory process;
  • synechia in the cavity or mouth of the uterus. Thin adhesions between the walls appear after curettage, complicated childbirth, infections and inflammations.

Increased secretory activity of the glands in the elderly or old age appears in the following cases:

  • inflammatory diseases of an infectious nature. The cause is hidden infections, changes in the vaginal microflora. If the patient did not undergo treatment on time, the pathology takes on a chronic form, and its manifestations become less pronounced. However, this does not mean recovery – inflammation continues to progress;
  • non-inflammatory pathologies. Enhanced secretion provokes endometritis, endometrial hyperplasia, endometriosis;
  • ectopic pathologies. Fluid can come from the abdominal cavity, fallopian tubes, ovaries. Such problems are faced by women with hydrosalpinx, tumors on the ovaries.

The risk group includes patients with bad habits, promiscuity, abusing hormonal drugs for emergency contraception.

Serozometra treatment depends on the causes of its appearance.

Serozometra treatment depends on the causes of its appearance.

What to do?

The correction technique is selected for each patient individually. If mechanical obstacles have become the cause of the accumulation of exudate, treatment is performed only surgically. When fusion of the inner surface of the cervical canal, bougienage is recommended. If neoplasms, such as a cyst, become an obstacle, the tumor is removed.

With increased secretory activity of the mucous layer, treatment is approached in a complex manner. Patients are prescribed:

  • antibiotics – to eliminate colonies of non-specific microorganisms;
  • immunomodulators – to increase the protective function of the body;
  • eubiotics – to maintain a healthy vaginal microflora;
  • proteolytic agents – for resorption of exudate;
  • hormonal drugs – for replacement therapy in order to maintain the normal state of the pelvic organs.

If the volume of liquid does not exceed five milliliters, observation is carried out. With an increase in fluid volumes, aspiration or curettage is performed.

Possible Complications

In the absence of timely assistance, the exudate increases in volume, as a result of which the inflammatory process begins. There is a spread of pathology to other organs of the small pelvis. Exudate pressure on the internal organs causes stagnant processes in the pelvis, disrupts blood flow. What should be done in this case, the doctor decides on the basis of additional signs of the disease.

Treatment of serometers is carried out, including tablets

Treatment of serometers is carried out, including tablets

Forecast and preventive measures

For the prevention of pathology, it is necessary to consult a doctor at the first sign of a malfunction in the functioning of the pelvic organs. Regular examinations by a gynecologist, tests and ultrasound will help to detect the problem in time and prevent complications.

The prognosis with a serometer is usually favorable. After drug therapy, the fluid pours out on its own in nine out of ten patients. If medications do not help return the uterus to normal, surgery should be resorted to.

When tumor processes become the causes of accumulation of mucous exudate, it is impossible to unambiguously predict the result of treatment. Much depends on the nature, size and location of neoplasms.

Conclusion

A serometer is a diagnosis that is made to patients when fluid accumulation is found in their uterus. When a problem is identified, it is necessary to start correction as soon as possible, promising good results. Postmenopausal patients, once faced with an accumulation of exudate, are at risk and require special attention from the gynecologist.

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