International Journal of Women's Health and Reproduction Sciences

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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 Ghasemii¹, Abdulbaset Maleknejad², Nasim Behnoud^3,4,5
¹Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran ²Department of General Surgery, Zahedan University of Medical Sciences, Zahedan, Iran ³School of Persian Medicine, Iran University of Medical Sciences, Tehran, Iran ⁴Student Research Committee, Iran University of Medical Sciences, Tehran, Iran ⁵Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences, Tehran, Iran
IJWHR 2019; 7: 415?418 DOI: 10.15296/ijwhr.2019.69 Viewed : 2999 times Downloaded : 12778 times. Keywords : Intrauterine insemination, Infertility, Pelvic inflammatory disease
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Abstract

Background: Infertility is commonly treated through intrauterine insemination (IUI). However, a limited number of reports are available regarding the infectious complications including IUI. Case Report: This study presented the cases of bilateral tubo-ovarian abscesses after IUIs in a 40-year-old woman with secondary infertility. In addition, salpingectomy and hysterectomy were needed despite treatment with triple antibiotic. Moreover, the diagnosis of tubo-ovarian abscesses was confirmed by means of pathological evaluations. Further, the patient responded well to antibiotic therapy following the surgery. Conclusions: 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. Therefore, pelvic infections are highly recommended to be rejected before IUI. Finally, the diagnosis and intervention are necessary for minimizing morbidity and optimize treatment as well.