Volume 11, Issue 8 (11-2013)                   IJRM 2013, 11(8): 677-0 | Back to browse issues page

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Romero B, Aibar L, Navarro L M, Fontes J, Calderón M, Mozas J. Pelvic abscess after oocyte retrieval in women with endometriosis: A case series. IJRM 2013; 11 (8) :677-0
URL: http://ijrm.ir/article-1-450-en.html
Pelvic abscess after oocyte retrieval in women with endometriosis: A case series
Bárbara Romero1 , Laura Aibar2 , Luis Martínez Navarro * 3, Juan Fontes1 , Maria-Angeles Calderón1 , Juan Mozas1
1- Reproduction Unit, Universitary Hospital Virgen de las Nieves, Granada, Spain
2- Department of Obstetrics and Gynecology, Hospital of Santa Barbara, Puertollano (Ciudad Real), Spain
3- Reproduction Unit, Universitary Hospital Virgen de las Nieves, Granada, Spain , luis.martinez.navarro.sspa@ juntadeandalucia.es
Abstract:   (2774 Views)
Background: Pelvic inflammatory disease with progression to pelvic abscess is a rare complication after oocyte retrieval during in vitro fertilization cycles. However, in patients with endometriosis the risk appears to be increased. Many authors agree on the need for antibiotic prophylaxis during the oocyte retrieval in these patients, but there is no consensus regarding the best antibiotic.
Case: We discuss 3 clinical cases of tubo-ovarian abscess in women with endometriosis after oocyte retrieval despite antibiotic prophylaxis between 2004 and 2011 at our center, and discuss our experience in the context of earlier reports.
Conclusion: It is unclear whether antibiotic prophylaxis is necessary in these women, and which antibiotic is best. Only douching with povidone-iodine appears to decrease the rate of pelvic infection.
Keywords: Oocyte retrieval, In vitro fertilization, Endometriosis, Pelvic inflammatory disease.
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Type of Study: Original Article |
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