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The House Majority PAC’s ads begin running Monday in the Nashville and Chattanooga markets, which reach population centers on both ends of the 4th Congressional District. The group associated with Democratic congressional leaders previously had spent $100,000 on ads in the race.

Mr. DesJarlais’ campaign platform includes his opposition to abortion rights. He has argued he was using strong language to try to pressure the woman, who was a patient of his medical practice, to admit she was not pregnant.

Democrat Eric Stewart raised twice as much cash as Mr. DesJarlais in the most recent reporting period. While the incumbent still held a 3-to-1 advantage in cash on hand, the House Majority PAC’s ad buy has nearly wiped out that difference.

Mr. DesJarlais’ polling has confirmed the negative ads appear to have solidified the Democratic base in the district, but the campaign claims they have had little effect on Republicans and independents.

The conversation between Mr. DesJarlais, a physician in Jasper, and the woman who also had been under his care took place while he was trying to reconcile with his first wife, Susan. The divorce was finalized in 2001.

From staff dispatches and wire reports