Pregnancies following ultrasound-guided drainage of tubo-ovarian abscess

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.

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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



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.

Main Outcome Measure(s):

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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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.