22 years old female unable to conceive since 12 months, known case of pelvic inflammatory disease, normal menses, normal vaginal and cervical examination, next line investigation :
HSG
AMH
Hysteroscopy
CA 125
Ans. is 'a' i.e., HSGPelvic Inflammatory DiseaseIt is the infection and inflammation of the upper genital tracts, typically involving fallopian tubes, ovaries, and surrounding structures.It can cause tubal damage & can lead to infeility (tubal factor). Hence , in this patient, tubes need to evaluated.Hysterosalpingography (HSG) : cavity of the uterus and fallopian tube patency can be checked: As it does not require anesthesia, it is the first-line investigation for checking tubal patency.