True/False MCQ · Pelvic Inflammatory Disease
Regarding pelvic inflammatory disease, which of the following statements are TRUE?
- AIt results from infection ascending from the cervix or vagina to the upper genital tract
- BIt can result in subfertility
- CIt increases the risk of ectopic pregnancy
- DChlamydia is more common than gonorrhoea as a cause
- EThe combined oral contraceptive pill increases the risk of PID
Show answers and explanation
- A. True
- B. True
- C. True
- D. True
- E. False: The combined oral contraceptive pill reduces, not increases, the risk of PID.
PID facts
Pathophysiology and causes
- PID results from ascending infection (endometritis, salpingitis, tubo-ovarian abscess, pelvic peritonitis).
- Chlamydia is more common than gonorrhoea as a cause.
Sequelae
- Subfertility (tubal damage) and ectopic pregnancy, plus chronic pelvic pain.
Contraception
- The COCP reduces PID risk (it does not increase it).
Why A is true
PID is an ascending infection.
Why B is true
It can cause subfertility.
Why C is true
It increases ectopic risk.
Why D is true
Chlamydia is more common than gonorrhoea.
Why E is false
The COCP reduces, not increases, PID risk.
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