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Chronic Pelvic Pain, Pelvic Inflammatory Disease and Adhesions

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Encyclopedia of Pain

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Synonyms

Acute Salpingitis; Salpingitis-Oophoritis-Peritonitis; Chronic Pelvic Inflammatory Disease; Tubo-Ovarian Complex; pelvic inflammatory disease

Definition

Pelvic inflammatory disease (PID) comprises a spectrum of inflammatory disorders of the upper female genital tract, including any combination of endometritis, salpingitis, tuboovarian abscess and pelvic peritonitis (Centers for Disease Control 1998). Chronic abdominopelvic pain (CPP) and adhesive disease are significant sequelae of pelvic inflammatory disease (Safrin et al. 1992).

PID is most often due to ascent of organisms from the vagina and cervix, but it may also be from contiguous spread of organisms (e.g. from appendicitis) or from lymphatic or hematogenous spread (e.g. tuberculosis). PID may be iatrogenic after invasive diagnostic or therapeutic procedures, but more often it is spontaneously associate with sexual activity. Infection with gonococcus or chlamydia increases the risk of PID.

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References

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University of Rochester, Rochester, NY, USA

    Fred M. Howard

Authors
  1. Fred M. Howard
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Editor information

Editors and Affiliations

  1. Physiological Institute, University of Würzburg, Würzburg, Germany

    Robert F. Schmidt

  2. Department of Neuroscience and Cell Biology, University of Texas Medical Branch, Galveston, Texas, USA

    William D. Willis

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© 2007 Springer-Verlag Berlin Heidelberg

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Howard, F. (2007). Chronic Pelvic Pain, Pelvic Inflammatory Disease and Adhesions. In: Schmidt, R., Willis, W. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29805-2_713

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  • DOI: https://doi.org/10.1007/978-3-540-29805-2_713

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43957-8

  • Online ISBN: 978-3-540-29805-2

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