title: Vaginal disinfection with povidone iodine immediately before oocyte retrieval is effective in preventing pelvic abscess formation without compromising the outcome of IVF-ET.
abstract: OBJECTIVE
  In this study, the method of employing preretrieval 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.
authors: Center for Reproductive Medicine, Obstetrics/Gynecology Department, Chi Mei Medical Center, Yung-Kang, Taiwan. yung0613@ms2.hinet.net
authors: Yung-Chieh
authors: YC
authors: Tsai
authors: Mike Y S
authors: MY
authors: Lin
authors: Sheng-Hsieg
authors: SH
authors: Chen
authors: Ming-Ting
authors: MT
authors: Chung
authors: Tao-Chuan
authors: TC
authors: Loo
authors: Kuo-Feng
authors: KF
authors: Huang
authors: Liang-Yin
authors: LY
authors: Lin
mesh_terms: D000038:Abscess / Q000209:etiology / Q000517:prevention & control*; D000328:Adult; D004203:Disinfection / Q000379:methods*; D004624:Embryo Transfer / Q000009:adverse effects*; D004715:Endometriosis / Q000150:complications; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy; D010049:Ovarian Diseases / Q000150:complications; D034161:Pelvic Infection / Q000209:etiology / Q000517:prevention & control*; D010592:Pharmaceutic Aids / Q000627:therapeutic use*; D011205:Povidone / Q000627:therapeutic use*; D011247:Pregnancy; D012189:Retrospective Studies; D014621:Vagina / Q000382:microbiology; D044364:Vaginal Douching
chemical_list: D010592:Pharmaceutic Aids; D011205:Povidone