Compared with a woman who has never had pelvic inflammatory disease, a woman who has suffered one documented episode of salpingitis has her risk of subsequent ectopic pregnancy increased approximately by:
- A Twofold
- B Twenty-five-fold
- C Six to tenfold ✓
- D It remains unchanged if she conceived within a year
Correct answer: C. Six to tenfold
Explanation
Salpingitis damages the tubal mucosa and cilia and produces peritubal adhesions, impairing ovum transport. After one episode of PID the ectopic pregnancy risk rises roughly six to ten times, and repeated episodes increase it further while also raising the risk of tubal factor infertility and chronic pelvic pain. A twofold rise understates the effect, and successful conception does not abolish the damaged-tube risk.
Reference: Williams Gynecology, 4th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.