Long-term sequelae of acute pelvic inflammatory disease

Sharon Safrin, Julius Schachter, Donna Dahrouge, Richard L. Sweet
In: American Journal of Obstetrics and Gynecology · 1992 · vol. 166(4) , pp. 1300–1305 · doi:10.1016/s0002-9378(11)90626-7 · PMID:1566789 · W1964936119
article OA: closed CC0 ⤵ 11 in-corpus citations
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This study found that 24% of women with acute pelvic inflammatory disease experienced chronic pelvic pain, 43% had recurrent disease, and 40% were infertile, with prior PID and risk factors predicting worse outcomes.

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Abstract

ObjectiveOur objective was to prospectively assess the frequency and predictors of long-term sequelae of acute pelvic inflammatory disease.Study designWe performed a retrospective cohort study of 140 women admitted for treatment of pelvic inflammatory disease to San Francisco General Hospital in 1985, locating and interviewing 51 women by telephone a median of 37 months later.ResultsTwelve (24%) women had pelvic pain for 6 months or more after hospitalization, 22 (43%) had subsequent episode(s) of pelvic inflammatory disease, and 40% were involuntarily infertile. A history of pelvic inflammatory disease prior to admission was associated with infertility (p = 0.05), chronic pelvic pain (p = 0.03), and pelvic inflammatory disease subsequent to hospitalization (p = 0.06). Longer duration of abdominopelvic pain before admission and younger age at the time of first sexual intercourse were associated with both infertility (p = 0.02, p = 0.04) and subsequent pelvic inflammatory disease (p = 0.04, p = 0.0008).ConclusionsFurther studies are needed to more accurately assess the incidence and predictors of long-term sequelae of pelvic inflammatory disease. A reduction in adverse outcome will require more stringent efforts at education and reduction of risk-taking behaviors.

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