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Minimal fluid in the cul de sac means there is some fluid collection or reversal flow of the blood. It can be a normal finding or it can be a reversal of the blood flow in the periods or it can be collection of anything. Free fluid in the cul de sac seen in the scan when it is associated with any fever, chills, lower abdomen pain, or any discharge, or painful sex, deep penetrative pain, all these are associated with a condition called PID or pelvic inflammatory disease. Any doubt of pelvic inflammatory disease has to be diagnosed and treated, because if it is not treated, it can lead to future chronic pelvic pain, ectopic pregnancies, subfertilities, tubal block. Pelvic inflammatory disease has to be correctly diagnosed in time and treated in the basic level. When you have a full blown PID, with foul smelling discharge to treat. So a fluid in the cul de sac where there is no reason and associated with. Such symptoms have to be looked into as PID and treated appropriately. She has to be seen by a gynecologist especially in young girls. It can be normal. It can be a part of periods at times. So it has to be looked by a gynecologist and treatment required with antibiotics.