Long-term complications of pelvic inflammatory disease
- Jeffrey F Peipert, MD, PhD
Jeffrey F Peipert, MD, PhD
- Clarence E. Ehrlich Professor and Chair
- Department of Obstetrics & Gynecology
- Indiana University School of Medicine
- Tessa Madden, MD, MPH
Tessa Madden, MD, MPH
- Associate Professor of Obstetrics and Gynecology
- Washington University in St. Louis, School of Medicine
Pelvic inflammatory disease (PID) refers to infection of the female upper genital tract leading to one or more of the following: endometritis, salpingitis, oophoritis, pelvic peritonitis, and perihepatitis . Prompt diagnosis and treatment are important to reduce the risk of both short- and long-term complications. However, even with timely treatment and clinical improvement in symptoms, long-term sequelae frequently occur; this is thought to be secondary to the scarring and adhesion formation that accompany healing of infection-damaged tissues. These sequelae — chronic pelvic pain, infertility, and ectopic pregnancy — account for much of the morbidity, suffering, and cost of PID . One group estimated that a cohort of 100,000 females acquiring PID between 20 and 24 years of age would go on to have 18,600 cases of chronic pelvic pain; 16,800 cases of infertility; and 8550 ectopic pregnancies .
Long-term complications of PID will be reviewed here; other issues related to this disorder are discussed separately:To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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