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Which of the following is a risk factor for an ectopic pregnancy?

  1. Advanced maternal age

  2. Low body mass index

  3. Regular exercise

  4. Multiple pregnancies

The correct answer is: Advanced maternal age

Advanced maternal age is indeed a recognized risk factor for ectopic pregnancies. As women age, particularly those over the age of 35, the risk of various reproductive complications, including ectopic pregnancy, increases. This is largely due to the natural decline in reproductive health and an increased likelihood of pre-existing conditions that may affect the fallopian tubes, where ectopic pregnancies most commonly occur. In contrast, a low body mass index (BMI) is not directly associated with an increased risk of ectopic pregnancy; however, obesity has been identified as a risk factor. Regular exercise is typically associated with better overall reproductive health and does not increase the risk for ectopic pregnancy. Multiple pregnancies, while they may complicate certain aspects of pregnancy, do not specifically increase the risk of an ectopic pregnancy either. Understanding these factors is critical in assessing pregnancy risks and providing appropriate care and education to patients.