Pelvic abscess after oocyte retrieval in women with endometriosis: A case series.

Bárbara Romero, Laura Aibar, Laura Aibar Villan, Luis Martínez Navarro, Juan Torres Fontes, Juan Fontes, Maria-Angeles Calderón, M.A. Calderón, Juan Mozas
Iranian journal of reproductive medicine · 2013 · vol. 11(8) , pp. 677–80 · PMID:24639807 · PMC3941372 · W129200539
article OA: gold CC0 ⤵ 9 in-corpus citations
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This case series explores three instances of pelvic abscess after oocyte retrieval in women with endometriosis despite antibiotic prophylaxis, questioning the necessity and choice of antibiotics.

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Abstract

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.

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Condition tags

endometriosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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