Pelvic Inflammatory Disease in Adolescents

Abstract

Over one million women experience an episode of pelvic inflammatory disease (PID) each year. It is the most common serious complication of STDs; long-term sequelae include ectopic pregnancy, chronic pelvic pain, and tubal infertility. One in five cases of PID occurs among younger women < 19 years of age. Although only about half of female adolescents are sexually active, they have the highest age-specific rates of PID among sexually experienced women. The risk of developing PID for a 15-year-old sexually active girl is estimated to be 10 times that of a 24-year-old woman. The higher relative risk of PID for younger women has been attributed to their greater biologic vulnerability and their behavioral and cognitive risk factors. In addition, HIV-infected women with PID may be at increased risk for more severe pelvic disease, a growing concern as rates of HIV infection among adolescent girls continue to rise. This article reviews the epidemiology, risk factors, pathogenesis, clinical assessment, and management of PID in adolescent females, including age-specific information when available.

Prevalência de gestação ectópica de tratamento cirúrgico em hospital público de 1995-2000

“…Especialmente entre mulheres adolescentes e jovens, que, apesar de o utilizarem mais em relação às mulheres de faixas etárias mais elevadas, ainda o utilizam pouco e de forma pouco consistente 11 . Devemos lembrar que as infecções de trato reprodutivo são geralmente mais graves entre as mulheres jovens 12 .…”

Can Automated Text Messaging Successfully Monitor Antibiotic Adherence for Urban Adolescents and Young Women Managed for Pelvic Inflammatory Disease in the Outpatient Setting

“…Adolescents often engage in high-risk sexual behaviors, like unprotected sex and sexual concurrency that increase exposure to sexually transmitted diseases (STDs) and PID. 6 , 13 Once diagnosed, adolescents with PID struggle to adhere to antibiotics and follow-up appointments. 14 A 2010 randomized controlled trial (RCT) investigated the benefit of a 6-minute interventional video on adolescent’s adherence to PID self-care recommendations.…”

Relationship of abuse and pelvic inflammatory disease risk behavior in minority adolescents

“…The risk of developing PID for a 15‐year‐old, sexually active girl is estimated to be 10 times that of a 24‐year‐old woman. The higher relative risk of PID for younger women has been attributed to their greater behavioral and cognitive risk factors (Ingra, 1998). This study focuses on Mexican American and African American adolescent women with STD.…”