Pregnancies following ultrasound-guided drainage of tubo-ovarian abscess.

Abstract:

OBJECTIVE:To study fertility among women treated by means of ultrasound-guided drainage and antibiotics for tubo-ovarian abscess (TOA). DESIGN:Retrospective cohort study. SETTING:A tertiary referral center. PATIENT(S):One hundred women of reproductive age treated for TOA between June 1986 and July 2003. INTERVENTION(S):Transvaginal ultrasound-guided drainage of TOA was performed in all patients. The procedure was repeated if a substantial amount of pus was seen using ultrasonography 2-5 days after the initial aspiration, and repeated later if necessary. MAIN OUTCOME MEASURE(S):Frequency of naturally conceived pregnancies. RESULT(S):Twenty of 38 (52.6%; 95% CI 36.5-68.9%) women who intended to have a child achieved pregnancy naturally and became mothers. In addition, 7 (50%) of 14 women who were not on birth control on a regular basis became pregnant. No ectopic pregnancies were registered. CONCLUSION(S):Ultrasound-guided drainage of TOA in combination with antibiotics seems to preserve fertility in approximately half of the patients.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Gjelland K,Granberg S,Kiserud T,Wentzel-Larsen T,Ekerhovd E

doi

10.1016/j.fertnstert.2012.03.054

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

136-40

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(12)00392-5

journal_volume

98

pub_type

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