Featured Post

Wednesday Women's Health in the News: Most Frequently Asked Questions On MonaLisa Touch Vaginal Therapy

MonaLisa Touch: The Issue of Vaginal Symptoms Even with the passage of time, many women still retain their youthful energy and enthusi...

Menopause: Making Peace With Change

Monday, May 19, 2014

Backwards Periods: Retrograde Menstruation Shown in the Culdesac of Douglas

Women think their menstrual flow should all flow 'out' of the body, in effect ridding the tissue and any potential toxins from the system. In fact some bleeding comes from the lining into the fallopian tubes and then into the pelvic cavity settling into the deeper areas of the pelvis including the posterior culdesac, or the very deepest portion of the pelvis located right behind the uterus. The culdesac or culdesac of Douglas as it was formerly known, shown here, has evidence of retrograde menses. The backwards flow of the uterus can also settle into the pelvic side walls and the ovaries as well as around the bladder. The blood contains some menstrual and tubal lining. The tissues that are bled through this backwards bleeding period itself may contain substances known as ,released from cell break down, which can cause cramping or bowel or bladder symptoms. The tissue is often mere fragments and it's relatively rapidly cleared out of the pelvis, but heavier bleeding will often result in blood being present in larger quantities for days. The tissue can implant on pelvic and abdominal structures and is be the cause of the development of endometriosis. Most likely it is not just the presence of blood, but the fact that the woman's immune system is not completely clearing the blood out of the culdesac. This is why very young adolescent girls do not have endometriosis: no periods, and why pregnancy and breastfeeding suppress additional endometriosis: no menstrual periods either! Patients taking steroid contraception (pills, the NuvaRing, the OrthoEvra Patch, Nexplanon, DepoProvera) will likely have light or no menstrual flow and also be protected in large part from developing or increasing the amount of endometriosis. If you have had an ultrasound that reported 'fluid in the culdesac' you may have abdominal cavity fluid, fluid from an ovarian cyst, or simple a backwards period. In any case, for the most part, it's very normal.

No comments:

Post a Comment

Thank you for your comments and questions. This blog is not intended to replace medical care, but is informational only. We hope you will become a follower or visit Womens Health Practice. We offer a variety of unique services including MonaLisa Touch, Coolsculpting, Labiaplasty, and Gynecoloigic Clinical Research Trials. For more information on menopause see http://www.amazon.com/Menopause-Make-Peace-Change

Follow on Twitter

Follow GynoGab on Twitter
There was an error in this gadget

Dr. Trupin's Kindle Book!


Gab ON!

Ciao, from Gyno Gab Gal! Send me questions and thoughts and let me know what is important to you! Hope to hear from you often.

Join one of our studies, become a patient at Women's Health Practice, come for an event, or visit any one of my websites our FB https://www.facebook.com/pages/Womens-Health-Practice/149858581724556?ref=hl

Women's Health Practice
Hada Cosmetic Medicine

Follow Women's Health Practice and Hada Cosmetic Medicine on Facebook https://www.facebook.com/pages/Hada-Cosmetic-Medicine/68631517372?fre!

Follow GynoGab on Twitter!

Google+ Followers