Predictors of chronic pelvic pain in an urban population of women with symptoms and signs of pelvic inflammatory disease.

Abstract

OBJECTIVE:

The objective of this study was to assess the risk profile for chronic pelvic pain (CPP) after pelvic inflammatory disease (PID).

STUDY:

Multivariate logistic regression was used to assess risk factors for CPP in a longitudinal study of 780 predominately black, urban women with clinically suspected PID: complaints of acute pain (<30 days); a clinical finding of pelvic tenderness; and leukorrhea, mucopurulent cervicitis, or untreated gonococcal or chlamydial cervicitis. CPP was defined as pain reported at >or=2 consecutive interviews conducted every 3 to 4 months for 2 to 5 years.

RESULTS:

Nonblack race (odds ratio [OR], 2.17; 95% confidence interval [CI], 1.31-3.58), being married (OR, 2.06; 95% CI, 1.02-4.18), a low SF-36 mental health composite score (OR, 2.71; 95% CI, 1.69-4.34), >or=2 prior PID episodes (OR, 2.84; 95% CI, 1.07-7.54), and smoking (OR, 1.65; 95% CI, 1.01-2.71) independently predicted CPP. Histologic endometritis or evidence of endometrial Neisseria gonorrhoeae or Chlamydia trachomatis infection was negatively associated with CPP (OR, 0.69; 95% CI, 0.44-1.10).

CONCLUSIONS:

A range of demographic, clinical, historical, and behavioral factors predict CPP after PID.

• Authors: Catherine L Haggerty, Jeffrey F Peipert, Sherry Weitzen, Susan L Hendrix, Robert L Holley, Deborah B Nelson, Hugh Randall, David E Soper, Harold C Wiesenfeld, Roberta B Ness, PID Evaluation and Clinical Health (PEACH) Study Investigators
• Journal: Sexually transmitted diseases (Sex Transm Dis) Vol. 32 Issue 5 Pg. 293-9 (May 2005) ISSN: 0148-5717 [Print] United States
• PMID: 15849530 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)

Topics

• Adolescent
• Adult
• Black People (statistics & numerical data)
• Female
• Humans
• Logistic Models
• Longitudinal Studies
• Pain Measurement
• Pelvic Inflammatory Disease (complications, epidemiology, ethnology, pathology, prevention & control)
• Pelvic Pain (etiology)
• Randomized Controlled Trials as Topic
• Risk Factors
• United States (epidemiology)
• Urban Health
• White People (statistics & numerical data)
• Women's Health