Which of the following is a risk factor for ectopic pregnancy?

• A. Prior ectopic pregnancy.
• B. Regular menses.
• C. Use of combined hormonal contraception.
• D. High-fiber diet.

Answer: (A)

The key idea is that prior ectopic pregnancy signals underlying tubal damage or scarring, which increases the chance that a future embryo will implant outside the uterus. A history of an ectopic means the tube is more likely to misdirect or trap the embryo, so recurrence risk is higher.

Regular menses simply reflects normal ovulation and does not indicate tubal pathology. Use of combined hormonal contraception lowers overall pregnancy risk, and if pregnancy occurs it isn’t considered a risk factor for ectopic. A high-fiber diet has no established link to ectopic pregnancy.