title: Pregnancies following ultrasound-guided drainage of tubo-ovarian abscess.
abstract: OBJECTIVE
  To study fertility among women treated by means of ultrasound-guided drainage and antibiotics for tubo-ovarian abscess (TOA).
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  A tertiary referral center.
  
  
  METHODS
  One hundred women of reproductive age treated for TOA between June 1986 and July 2003.
  
  
  METHODS
  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.
  
  
  METHODS
  Frequency of naturally conceived pregnancies.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Ultrasound-guided drainage of TOA in combination with antibiotics seems to preserve fertility in approximately half of the patients.
authors.affiliation: Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway.
authors.forename: Knut
authors.initials: K
authors.lastname: Gjelland
authors.forename: Seth
authors.initials: S
authors.lastname: Granberg
authors.forename: Torvid
authors.initials: T
authors.lastname: Kiserud
authors.forename: Tore
authors.initials: T
authors.lastname: Wentzel-Larsen
authors.forename: Erling
authors.initials: E
authors.lastname: Ekerhovd
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000534:rehabilitation / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D004322:Drainage / Q000379:methods*; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D059247:Fertility Preservation / Q000706:statistics & numerical data; D005500:Follow-Up Studies; D006801:Humans; D010049:Ovarian Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000534:rehabilitation / Q000601:surgery*; D011184:Postoperative Period; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional / Q000379:methods*; D055815:Young Adult