Which condition is associated with scarring of fallopian tubes and pelvic organs?

• A. Chronic pelvic inflammatory disease (PID)
• B. Ovarian cysts
• C. Fibroids
• D. Pelvic organ prolapse

Answer: (A)

Chronic pelvic inflammatory disease (PID) is a condition that results from infections of the reproductive organs, often caused by sexually transmitted infections or other bacteria. The inflammation and subsequent infection can lead to scarring and damage to the fallopian tubes and surrounding pelvic organs. This scarring can cause various complications, including chronic pain, infertility, and an increased risk of ectopic pregnancy.

The presence of scar tissue can obstruct the fallopian tubes and hinder their normal function, which is critical for the passage of eggs from the ovaries to the uterus. Given that PID can lead to these significant structural changes, it is directly associated with scarring in these anatomical regions, making it the correct choice.

Other conditions listed, such as ovarian cysts, fibroids, and pelvic organ prolapse, do not primarily involve the inflammatory process that leads to the scarring of fallopian tubes or pelvic organs. Ovarian cysts focus on fluid-filled sacs on the ovaries, fibroids refer to benign tumors in the uterus, and pelvic organ prolapse involves the descent of pelvic organs without the same inflammatory causation or scarring effects seen with chronic PID.