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Infectious Diseases in Obstetrics and Gynecology
Volume 7, Issue 5, Pages 248-252

Pelvic Inflammatory Disease in the Postmenopausal Woman

Department of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 634, PO Box 250619, Charleston 29425, SC, USA

Received 1 March 1999; Accepted 17 June 1999

Copyright © 1999 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective: Review available literature on pelvic inflammatory disease in postmenopausal women.

Design: MEDLINE literature review from 1966 to 1999.

Results: Pelvic inflammatory disease is uncommon in postmenopausal women. It is polymicrobial, often is concurrent with tuboovarian abscess formation, and is often associated with other diagnoses.

Conclusion: Postmenopausal women with pelvic inflammatory disease are best treated with inpatient parenteral antimicrobials and appropriate imaging studies. Failure to respond to antibiotics should yield a low threshold for surgery, and consideration of alternative diagnoses should be entertained. Infect. Dis. Obstet. Gynecol. 7:248–252, 1999.