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Tubal factor infertility — DRCOG MCQ

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HardSubfertilityTubal factor infertilityDRCOG

A woman with two years of infertility previously had pelvic inflammatory disease. Ovulation and semen assessment are normal. Which test best assesses tubal and other pelvic pathology together?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Laparoscopy with dye testing

The best answer is “Laparoscopy with dye testing”. NICE advises laparoscopy with dye when infertility coexists with suspected pelvic comorbidity such as previous PID, because tubal patency and other pelvic pathology can be assessed together. HSG is less invasive but is preferred when there is no such comorbidity.

Reference: NICE CG156: Fertility problems assessment and treatment: https://www.nice.org.uk/guidance/cg156/chapter/recommendations