A 31-year-old woman with a history of treated pelvic inflammatory disease asks about future reproductive risks. Compared with women without PID, her risk of ectopic pregnancy is increased approximately:

• A Twofold
• B It is unchanged if the acute episode was treated
• C Twenty-five-fold
• D Six to tenfold ✓

Explanation

Salpingitis damages the tubal mucosa and cilia and causes peritubal adhesions, producing a six to tenfold increase in ectopic pregnancy risk after one episode, rising further with recurrent episodes. Complete normalization cannot be assumed even after adequate antibiotic therapy because structural tubal damage persists. Chronic pelvic pain and tubal factor infertility are the other major sequelae.

Reference: DC Dutta's Textbook of Gynecology, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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