15th April 2024

A 35-year-old female presents to the emergency department vaginal bleeding, nausea and dizziness.

A 35-year-old female presents to the emergency department vaginal bleeding, nausea and dizziness. On questioning, she states she has been trying to have a baby with her partner. Her past medical history includes endometriosis, and she states that she smokes 5 cigarettes a day. Regular medications include letrozole and insulin. On further examination, she is found to have a positive pregnancy test. A transvaginal ultrasound reveals an adnexal mass and no evidence of an intrauterine pregnancy. Which of the following is NOT a risk factor for the cause of her symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.