A client with pelvic inflammatory disease (PID) from gonorrhea asks how this can cause sterility. Which is the nurse's response?
a. "The infection damages the ovary so that less estrogen is secreted and ovulation is not possible."
b. "The infection remains in your body and can infect your baby, so it is best if you don't become pregnant."
c. "If the infection is present in the fallopian tubes, it can cause enough scarring to block the tubes permanently."
d. "The infection causes such damage to the cervix that it cannot contain a pregnancy inside the uterus for longer than 3 months."
C
The chronic inflammation sets up scar tissue formation in the fallopian tubes, thereby narrowing or completely blocking the lumens. This situation can prevent fertilization by not allowing sperm to reach the ovulated egg. Irreversible scarring or stricture, causing sterility, may occur even be-fore the condition is diagnosed. The other statements are inaccurate.
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