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Tubal factor subfertility — DRCOG MCQ

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HardSubfertilityTubal factor subfertilityDRCOG

A 29-year-old woman has been trying to conceive for 9 months. She had treated chlamydia with pelvic inflammatory disease 4 years ago and now has regular cycles. Her partner's semen analysis is normal. When should this patient be referred?

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

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Correct answer: A — Refer earlier because of previous pelvic inflammatory disease

Previous PID increases the risk of tubal damage, so earlier fertility referral is appropriate rather than waiting for the usual duration. Regular cycles do not assess tubal patency. The pearl is that subfertility history-taking must look for tubal risk factors.

Reference: NICE Fertility problems guideline; BASHH PID guideline