Moderate fluid in the pouch of Douglas with endometrial changes usually indicates pelvic inflammation, hormonal imbalance, infection, or conditions like endometriosis/PID. Since you also have fever and abdominal pain, proper gynecological evaluation is important and should not be ignored. From an Ayurvedic perspective, this condition is commonly related to aggravated Vata-Pitta dosha, pelvic inflammation, and disturbed Artava Dhatu Diet & Lifestyle Avoid very oily, spicy, junk, cold, and fermented foods. Reduce excess sugar and bakery items to help with inflammation and weight gain. Take adequate rest and avoid stress. Gentle walking and yoga like Baddha Konasana and Supta Vajrasana may support pelvic circulation. Advice Because you have fever with pelvic pain, please get a pelvic ultrasound and gynecologist consultation if not already done, as infections or endometriosis sometimes require timely medical treatment along with Ayurveda.
