Does fluid in the pouch of Douglas affect chances of pregnancy?
Patient: Greetings doc. When a 27years old girl has fluid in her pouch of Douglas, will it affect her chances of getting pregnant?? I had a general abdominal scan about a week ago and the results states; The liver, gallbladder, pancreas, spleen and the Kidneys are grossly normal. No features of cholelithiasis, nephrolithiasis, acute appendicitis or ascites. An anteverted non-gravid normal sized uterus with normal myometrium is demonstrable. There are neither myometrial nor adnexa masses. The ovaries are grossly normal. No features of extra-uterine gestation or retained products of conception. There is significant amount of flood in the pouch of Douglas. The urinary bladder is grossly normal and there are no vesical calculi. The conclusion states; Acute pelvic inflammatory disease. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.  I have reviewed your query and here is my advice. The fluid in the pouch of douglas is usually indicative of conditions like ruptured ectopic pregnancy, pelvic inflammatory diseases (that is chlamydia). As your report suggests a PID, I recommend a more elaborate evaluation along with treatment of the exact cause which can then be followed by the normal process of conception, it would be best to put trying to conceive on hold until then.Hope I have answered your query. Let me know if I can assist you further.Best wishes,Dr. Shoaib Khan