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  • Title: Contraceptive practice and tuboovarian abscess.
    Author: Edelman DA, Berger GS.
    Journal: Am J Obstet Gynecol; 1980 Nov 01; 138(5):541-4. PubMed ID: 7425017.
    Abstract:
    The hospital and operative records of 318 women with a discharge diagnosis of tuboovarian abscess (TOA) were reviewed to evaluate the possible relationship between contraceptive usage and the occurrence of TOA. A significantly higher (p < 0.10) proportion of the intrauterine contraceptive device (IUD) users had acute pelvic inflammatory disease and a significantly lower proportion (p < 0.10) compared to users of other contraceptive methods were surgically treated. The proportions of women with unilateral and bilateral TOAs were similar, regardless of the contraceptive method used. This was true whether diagnosis was based on physical examination alone or confirmed at operation. In an effort to evaluate the possible relationship between contraceptive usage and the occurrence of tubovarian abscess (TOA), the hospital records of 346 women who were treated as inpatients at the North Carolina Memorial Hospital over the January 1970 to June 1979 period and were discharged with a diagnosis of TOA were reviewed retrospectively. A TOA diagnosis was made by review of the operative notes and pathology reports for patients who were surgically treated or by review of the reports of physicians contained in the hospital records for patients who were not surgically treated. 28 women were excluded from the analysis. Comparisons were made only between women using IUDs or oral contraceptives (OCs) and those using no contraceptive method. Compared to women using OCs or no contraceptive method, a significantly lower proportion of the IUD users had a previous history of pelvic inflammatory disease (PID), and a significantly higher proportion of IUD users were admitted with acute PID and were treated with antibiotic therapy alone. Among women who needed surgical treatment, total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed for 92.5%, and unilateral or bilateral salpingo-oophorectomy was performed for 7.6%. Regardless of the contraceptive method used, the proportions of women with unilateral and bilateral TOAs were similar. This was the case when diagnosis was based on physical examination alone or when it was confirmed at operation.
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