Infertility: minimal endometriosis: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Infertility: minimal endometriosis

Sample item

A 30-year-old with 2 years of unexplained infertility has stage I peritoneal endometriosis seen at diagnostic laparoscopy. Which statement is correct about management to improve fertility?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Surgical ablation or excision of the lesions at laparoscopy improves spontaneous pregnancy rates; hormonal suppression does not

In minimal to mild endometriosis, laparoscopic ablation or excision of visible lesions modestly improves the chance of spontaneous pregnancy. Medical suppression relieves pain but does not improve fertility and delays attempts at conception. IUI with stimulation or IVF are options when surgery fails.

Option by option

  • A. Surgical ablation or excision of the lesions at laparoscopy improves spontaneous pregnancy rates; hormonal suppression does not (correct)

    Correct. Surgical treatment helps, whereas hormonal suppression does not improve fertility.

  • B. Combined pills improve fertility in minimal disease

    Combined pills do not enhance fertility.

  • C. Long-term GnRH analogues improve fertility

    GnRH analogues prevent ovulation and do not improve conception rates.

  • D. Hysterectomy is advised

    Hysterectomy ends fertility.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Surgical ablation or excision of the lesions at laparoscopy improves spontaneous pregnancy rates; hormonal suppression does not. In minimal to mild endometriosis, laparoscopic ablation or excision of visible lesions modestly improves the chance of spontaneous pregnancy.

Why is "Combined pills improve fertility in minimal disease" not the answer?

Combined pills do not enhance fertility.

Why is "Long-term GnRH analogues improve fertility" not the answer?

GnRH analogues prevent ovulation and do not improve conception rates.

Why is "Hysterectomy is advised" not the answer?

Hysterectomy ends fertility.

What concept does this question test?

It tests Infertility: minimal endometriosis in OBG. Medical suppression relieves pain but does not improve fertility and delays attempts at conception. IUI with stimulation or IVF are options when surgery fails.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infertility: minimal endometriosis?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.