Long-term sequelae of acute pelvic inflammatory disease. A retrospective cohort study

S. Safrin, J. Schachter, D. Dahrouge, Richard L Sweet

Research output: Contribution to journalArticlepeer-review

51 Scopus citations


Objective: Our objective was to prospectively assess the frequency and predictors of long-term sequelae of acute pelvic inflammatory disease. Study design: We 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. Results: Twelve (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). Conclusions: Further 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.

Original languageEnglish (US)
Pages (from-to)1300-1305
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Issue number4
StatePublished - 1992


  • chronic abdominal pain
  • infertility
  • pelvic inflammatory disease

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology


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