Pelvic inflammatory disease and tubo-ovarian abscess

Infect Dis Clin North Am. 2008 Dec;22(4):693-708. doi: 10.1016/j.idc.2008.05.008.


Pelvic inflammatory disease (PID) is common infection among reproductive-aged women. The presentation ranges from acute severe illness to a more indolent and mild clinical picture. Attention has turned to subclinical PID as an important entity. The majority of the public health impact from PID comes from its attributable long-term sequelae, including tubal-factor infertility, ectopic pregnancy, and chronic pelvic pain. Tubo-ovarian abscess (TOA) represents a severe form of PID. Vigilance is required when caring for women who have PID to detect the presence of a TOA given the serious nature of the infection and the potential need for procedural intervention.

Publication types

  • Review

MeSH terms

  • Abscess / etiology*
  • Adnexal Diseases / etiology*
  • Adolescent
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Chlamydia Infections / complications
  • Chlamydia Infections / drug therapy
  • Chlamydia Infections / epidemiology
  • Chlamydia Infections / microbiology
  • Chlamydia trachomatis
  • Female
  • Gonorrhea / complications
  • Gonorrhea / drug therapy
  • Gonorrhea / epidemiology
  • Gonorrhea / microbiology
  • Humans
  • Neisseria gonorrhoeae
  • Pelvic Inflammatory Disease* / complications
  • Pelvic Inflammatory Disease* / drug therapy
  • Pelvic Inflammatory Disease* / epidemiology
  • Pelvic Inflammatory Disease* / microbiology
  • Young Adult


  • Anti-Bacterial Agents