Vaginal disinfection with povidone iodine immediately before oocyte retrieval is effective in preventing pelvic abscess formation without compromising the outcome of IVF-ET.
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.
Tsai
Yung-Chieh
YC
Center for Reproductive Medicine, Obstetrics/Gynecology Department, Chi Mei Medical Center, Yung-Kang, Taiwan. yung0613@ms2.hinet.net
Lin
Mike Y S
MY
Chen
Sheng-Hsieg
SH
Chung
Ming-Ting
MT
Loo
Tao-Chuan
TC
Huang
Kuo-Feng
KF
Lin
Liang-Yin
LY
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
D010592:Pharmaceutic Aids; D011205:Povidone