Pelvic inflammatory disease in women with endometriosis is more severe than in those without

Shai E. Elizur, Oshrit Lebovitz, Adi Y. Weintraub, Vered H. Eisenberg, Daniel S. Seidman, Mordechai Goldenberg, David Soriano

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Aims To determine the incidence and severity of acute pelvic inflammatory disease (PID) or tubo-ovarian abscess (TOA) in hospitalised women with and without a history of endometriosis. Methods Retrospective analysis of hospital records retrieved for all women hospitalised with PID or TOA between January 2008 and December 2011 in a tertiary referral centre. Women were compared with regard to a history of endometriosis for demographic, clinical and fertility data. Results 26 (15%) of the 174 women hospitalised due to PID or TOA were excluded because of age older than 45 years, leaving 148 for analysis. The mean age was 35.7 ± 9.3 years and mean duration of hospitalisation was 5.9 ± 3.7 days. The women were divided into two groups: Group 1 with endometriosis (n = 21) and Group 2 without endometriosis (n = 127). Women in Group 1 as compared with Group 2 were significantly more likely to have undergone a fertility procedure prior to being admitted to the hospital with PID (9/27 (45%) vs 22/121 (17%), P < 0.001); particularly in vitro fertilisation (IVF) (7/ 27 (33%) vs 12/121 (9%), P < 0.006); Women in Group 1 more frequently experienced a severe and complicated course involving longer duration of hospitalisation (8.8 ± 4.7 vs 4.4 ± 2.3 days, P < 0.0001) and antibiotic treatment failure (10/27 (48%) vs 8/121 (6%), P < 0.0001). Conclusions Pelvic inflammatory disease in women with endometriosis is more severe and refractory to antibiotic treatment, often requiring surgical intervention. It is likely that endometriosis is a risk factor for the development of severe PID, particularly after IVF treatment.

Original languageEnglish
Pages (from-to)162-165
Number of pages4
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume54
Issue number2
DOIs
StatePublished - 1 Jan 2014
Externally publishedYes

Keywords

  • endometriosis
  • in vitro fertilisation
  • laparoscopy
  • pelvic inflammatory disease
  • tubo-ovarian abscess

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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