Encyclopedia of Pain

2007 Edition

Chronic Pelvic Pain, Pelvic Inflammatory Disease and Adhesions

  • Fred M. Howard
Reference work entry
DOI: https://doi.org/10.1007/978-3-540-29805-2_713

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.

In the United States there are...

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References

  1. 1.
    Cacciatore B, Leminen A, Ingman-Friberg S et al. (1992) Transvaginal sonographic findings in ambulatory patients with suspected PID. Obstet Gynecol 80:912–916Google Scholar
  2. 2.
    Centers for Disease Control (1997) 1998 guidelines for treatment of sexually transmitted diseases. MMWR Recomm Rep 47:79–86Google Scholar
  3. 3.
    Curran JW (1980) Economic consequences of pelvic inflammatory disease in the United States. Am J Obstet Gynecol 1080:138–905Google Scholar
  4. 4.
    Eschenbach DA, Buchanan T, Pollock HM et al. (1975) Polymicrobial etiology of acute pelvic inflammatory disease. N Engl J Med 293:166Google Scholar
  5. 5.
    Haggerty CL, Schulz R, Ness RB (2003) Lower Quality of Life Among Women With Chronic Pelvic Pain After Pelvic Inflammatory Disease. Obstet Gynecol 102:934–939Google Scholar
  6. 6.
    Jones OG, Saida AA, St John RK (1980) Frequency and distribution of salpingitis and pelvic inflammatory disease in short stay in hospitals in the United States. Am J Obstet Gynecol 138–905Google Scholar
  7. 7.
    Moller BR, Krostiansen FV, Thorsen P et al. (1995) Sterility of the uterine cavity. Acta Obstet Gynecol Scand 74:216–219Google Scholar
  8. 8.
    Monif GRG, Welkos SL, Baer H et al. (1976) Cul-de-sac isolates from patients with endometritis, salpingitis, peritonitis and gonococcal endocervicitis. Am J Obstet Gynecol 126:158Google Scholar
  9. 9.
    Paavonen J, Aine R, Teisala K et al. (1985) Comparison of endometrial biopsy and peritoneal fluid cytology with laparoscopy in the diagnosis of acute PID. Am J Obstet Gynecol 151:645–650Google Scholar
  10. 10.
    Patton DL, Halbert SA, Kuo CC et al. (1983) Host response to Chlamydia trachomatis infection of the fallopian tube in pig-tailed monkeys. Fertil Steril 40:829–840Google Scholar
  11. 11.
    Safrin S, Schachter J, Dahrouge D et al. (1992) Long-term sequelae of acute PID. Am J Obstet Gynecol 166:1300–1305Google Scholar
  12. 12.
    Washington AE, Cates W, Sadi AA (1984) Hospitalizations for pelvic inflammatory disease. Epidemiology and trends in the United States 1975 and 1981. JAMA 251:2529–2533Google Scholar
  13. 13.
    Westrom L (1980) Incidence, prevalence and trends of acute pelvic inflammatory disease and its consequences in industrialized countries. Am J Obstet Gynecol 138:880–892Google Scholar
  14. 14.
    Westrom L (1988) Chronic pain after acute PID. In: Belfort P, Piatti JA, Eskes TKAB, (eds) Advances in gynecology and obstetrics. Proc XIIth World Congress Gynecol Obstet. Rio de Janeiro, October 1988, vol 6, pp 265–272Google Scholar
  15. 15.
    Westrom LV, Berger GS (1992) In: Berger GS, Westrom LV (eds) Consequences of pelvic inflammatory disease. Raven Press, New York, pp 101–114Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Fred M. Howard
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity of RochesterRochesterUSA