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Jul 2019, Vol 7, Issue 3
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Case Report
Bilateral Tubo-ovarian Abscesses after Intrauterine Insemination: A Case Report
Narjes Noori1, Marzieh Ghasemi1, Abdulbaset Maleknejad2, Nasim Behnoud3
1Department of Obstetrics and Gynecology, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2Department of General Surgery, Zahedan University of Medical Sciences, Zahedan, Iran
3Research institute for Islamic and Complementary Medicine, Iran University of Medical Sciences, Tehran, Iran


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Keywords : Intrauterine insemination, Infertility, Pelvic Inflammatory disease
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Abstract
Infertility is commonly treated through intrauterine insemination (IUI). Besides, there have been scarce reports of infectious complications as intrauterine insemination complications.
Case Presentation: This presentation presents the cases of bilateral tubo-ovarian abscesses after intrauterine inseminations in a 40-year-old woman with secondary infertility. Salpingectomy and hysterectomy were also needed despite treatment with triple antibiotic. Moreover, the diagnosis of tubo-ovarian abscesses was confirmed by means of pathological evaluations. Following surgery, the patient responded well to antibiotic therapy.
Conclusion: Given the ascending trend of pelvic infections, the IUI-assisted violation of the natural cervical barrier can theoretically pose higher risks of this complication to the patients,it is highly recommended that Pelvic infections be rejected before IUI, As well as Early diagnosis and intervention are necessary to minimize morbidity and optimize treatment.

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