取卵前陰道消毒對懷孕率無不良影響

取卵前陰道以優碘消毒再以生理食鹽水清洗對懷孕率無不良影響
可能有助於防止取卵造成之骨盆腔感染

http://www.ncbi.nlm.nih.gov/pubmed/16021862?dopt=Abstract

J Assist Reprod Genet. 2005 Apr;22(4):173-5.

Vaginal disinfection with povidone iodine immediately before oocyte retrieval is effective in preventing pelvic abscess formation without compromising the outcome of IVF-ET.

Tsai YC, Lin MY, Chen SH, Chung MT, Loo TC, Huang KF, Lin LY.

Source

Center for Reproductive Medicine, Obstetrics/Gynecology Department, Chi Mei Medical Center, Yung-Kang, Taiwan. yung0613@ms2.hinet.net

Abstract

PURPOSE:

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.