Pelvic inflammatory disease is associated with complications that include infertility, chronic pelvic pain, ruptured tubo-ovarian abscess, and ectopic pregnancy. The diagnosis may be delayed when the presentation has nonspecific signs and symptoms. Even when properly diagnosed, pelvic inflammatory disease is often treated suboptimally. This review provides evidence-based recommendations for the diagnosis, treatment, disposition, and follow-up of patients with pelvic inflammatory disease. Arranging follow-up of patients within 48 to 72 hours and providing clear patient education are fundamental to ensuring good patient outcomes. Emerging issues, including new pathogens and evolving resistance patterns among pelvic inflammatory disease pathogens, are reviewed.
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Keywords: pelvic, cervical, uterus, adnexa, STI, endometritis, salpingitis, tubo-ovarian abscess, Fitz-Hugh-Curtis, ectopic, infertility, gonorrhea, chlamydia
Taku Taira, MD, EdD; Nolan Broussard, MD, MPH; Charles W. Bugg, MD, PhD
Jennifer Beck-Esmay, MD, FACEP; Camiron Pfennig, MD, MHPE
December 1, 2022
December 1, 2025   CME Information
4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits. Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits and 2 Pharmacology CME credits.