Pregnancies following ultrasound-guided drainage of tubo-ovarian abscess

Capsule:
This study showed half of the women treated with ultrasound-guided drainage for tubo-ovarian abscess in combination with antibiotics were later able to conceive naturally.

Authors:
Knut Gjelland, M.D., Seth Granberg, M.D., Ph.D., Torvid Kiserud, M.D., Ph.D., Tore Wentzel-Larsen, M.Sc., Erling Ekerhovd, M.D., Ph.D.
Volume 98, Issue 1 , Pages 136-140, July 2012

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.

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