Pregnancies following ultrasound-guided drainage of tubo-ovarian abscess

Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway.
Fertility and sterility (Impact Factor: 4.59). 05/2012; 98(1):136-40. DOI: 10.1016/j.fertnstert.2012.03.054
Source: PubMed


To study fertility among women treated by means of ultrasound-guided drainage and antibiotics for tubo-ovarian abscess (TOA).
Retrospective cohort study.
A tertiary referral center.
One hundred women of reproductive age treated for TOA between June 1986 and July 2003.
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.
Frequency of naturally conceived pregnancies.
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.
Ultrasound-guided drainage of TOA in combination with antibiotics seems to preserve fertility in approximately half of the patients.

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    • "Image-guided drainage, especially using ultrasound, is associated with fewer complications [21]. Significant fertility was preserved in women who were treated with a combination of antibiotics and ultrasound-guided TOA drainage [22]. This may have been a viable treatment alternative in our patient if the diagnosis was made pre-operatively. "
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