A 28-year-old woman presents to the clinic with a complaint…
A 28-year-old woman presents to the clinic with a complaint of infertility. She states that she and her husband have been trying to get pregnant for approximately 1 year without success. She had menarche at age 14 years. Since that time, she has had regular menses lasting 5 days, without significant dysmenorrhea or abnormal bleeding. She has never been pregnant. The medical history is notable for gonorrhea and trichomoniasis at age 18 years. In addition, she has had an abnormal Pap smear consistent with human papillomavirus at age 20 years, with normal Pap smears since that time. She takes no medications. She has been married for 2 years and is sexually active only with her husband. Before her marriage, she had approximately 25 sexual partners, mostly during her college years. Her physical examination is unremarkable. Which of the following may be a cause of infertility in this patient?
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