Abstract
Purpose: In this study, the method of employing pre-retrieval vaginal douching with aqueous povidone iodine is examined to see if it can decrease the incidence of pelvic abscess without compromising the clinical outcome of IVF-ET.
Methods: Patients with ovarian endometrioma and received IVF-ET treatment were retrospectively classified into two groups according to the difference of vaginal douching solution immediately before oocyte retrieval.
Results: There was no difference in the fertilization rate (81.2% versus 79.8%, P > 0.05), implantation rate (19.2% versus 23.3%, P > 0.05), clinical pregnancy rate (39.3% versus 46.2%, P > 0.05) between the two groups. There was no infection in patients of group two but two cases in group one developed pelvic abscess and needed surgical intervention.
Conclusions: Vaginal douching with aqueous povidone iodine followed by normal saline irrigation immediately before oocyte retrieval is effective in preventing the pelvic infection without compromising the outcome of IVF treatment.
This is a preview of subscription content, log in via an institution to check access.
References
Dicker D, Ashkenazi J, Feldberg D, Levy T, Dekel A, Ben-Rafael Z: Severe abdominal complications after transvaginal ultrasonographically guided retrieval of oocytes for in vitro fertilization and embryo transfer. Fertil Steril 1993;59:1313–1315
Bennett SJ, Waterstone JJ, Cheng WC, Parsons J: Complications of transvaginal ultrasound-directed follicle aspiration: a review of 2670 consecutive procedures. J Assist Reprod Genet 1993;10:72–77
Padilla SL: Ovarian abscess following puncture of an endometrioma during ultrasound-guided oocyte retrieval. Hum Reprod 1993;8:1282–1283
Younis JS, Ezra Y, Laufer N, Ohel G: Late manifestation of pelvic abscess following oocyte retrieval, for in vitro fertilization, in patients with severe endometriosis and ovarian endometriomata. J Assist Reprod Genet 1997;14:343–346
Tsai YC, Chung MT, Sung YH, Tsai TF, Tsai YT, Lin LY: Clinical value of early cleavage embryo. Int J Gynecol Obstet 2002:F76(3):293–297
Howe RS, Wheeler C, Mastroianni L Jr, Blasco L, Tureck R: Pelvic infection after transvaginal ultrasound-guided ovum retrieval. Fertil Steril 1988;49:726–728
Meldrum DR: Antibiotics for vaginal oocyte aspiration. J In Vitro Fert Embryo Transf 1989;6:1–2
Kubota T, Ishi K, Takeuchi H: A study of tubo-ovarian and ovarian abscesses, with a focus on cases with endometrioma. J Obstet Gynaecol Res 1997;23:421–426
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tsai, YC., Lin, M.Y.S., Chen, SH. et al. Vaginal disinfection with povidone iodine immediately before oocyte retrieval is effective in preventing pelvic abscess formation without compromising the outcome of IVF-ET. J Assist Reprod Genet 22, 173–175 (2005). https://doi.org/10.1007/s10815-005-4915-5
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s10815-005-4915-5