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

Anita Sadaty, MD, is a board-certified obstetrician-gynecologist at north Shore college Hospital and founder of Redefining health Medical.

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Your gynecologist or fertility specialist might report that an ultrasound has detected free fluid in her cul-de-sac area. This is one area just behind the vagina. Find out the various causes and also concerns about this finding.

Cul-de-Sac Anatomy

There space two little pouches close to the uterus, one on one of two people side, referred to as the cul-de-sacs. The anterior cul-de-sac is located in between the bladder and also the uterus. The posterior cul-de-sac is found in between the uterus and the rectum.

They are likewise called the excavatio recto-uterina (posterior) and excavatio vesico-uterina (anterior). One more term for cul-de-sacs is bag of Douglas, named after the Scottish anatomist James Douglas.

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Jessica Olah / Verywell

causes of liquid in Cul-de-Sac

Fluid in the cul-de-sac can be caused by countless different factors. Sometimes fluid from a ruptured cyst or follicle have the right to accumulate there. At various other times, liquid in the cul-de-sac could indicate an ext severe problems. Below are some possible causes of liquid in the cul-de-sac:

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

detect in Fertility treatment

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

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

Usually, fluid in the cul-de-sac is no a reason for alarm but could be bring about discomfort and also affecting her fertility.

Diagnostic testing

Transvaginal ultrasound is the procedure that is provided to show whether over there is liquid behind the uterus. Fluid will display up fine on ultrasound. If liquid is uncovered in her cul-de-sac and you are experiencing pain, your medical care provider may order much more advanced trial and error of the fluid.

Culdocentesis is a procedure perform to inspect anyabnormal liquid in the cul-de-sac area. Before transvaginal ultrasound came to be widely available, the was also used to detect the fluid. Now, it is provided to remove liquid to evaluate.

Culdocentesisinvolves inserting aneedle through the vaginal wall surface to draw off a sample of liquid to analyze. A numbing agent or anesthesia may be provided prior to the procedure. Friend will have a pelvic exam and your medical care provider will hold the cervix v an instrument to insert the needle in the correct place.

A small amount of fluid in the cul-de-sac is normal and is usually not that concern. If the liquid sample shows indicators of pus or blood, the area may need to be drained. Occasionally blood deserve to be a result ofruptured cyst or indications of anectopic pregnancy.

The presence of pus might indicate an infection brought about by a tear or other conditions. The blood would have to be drained and also antibiotics offered to act the infection.

Yes, the bag of Douglas in males is also known as the rectovesical pouch. The lies in between the rectum and bladder.

In a woman, the liquid is removed for testing with a really thin needle the enters with the wall of the vagina.

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