Genital tuberculosis and infertility

Prajakta Shende, Shalini Mahana Valecha, Manisha Gandhewar, Diwija Dhingra
2017 International Journal of Reproduction Contraception Obstetrics and Gynecology  
An analytical study to diagnose genital tuberculosis, using various modalities, it's treatment options and fertility outcomes in infertile labour class women.Methods: A prospective study, where 120 women, presented to hospital due to infertility were subjected to hystero-laparoscopy over 36 months. Endometrium sent for TB-PCR and HPR. Those diagnosed with GTB were given Anti-Tubercular Drugs as per standard regimes and their fertility outcome was studied.Results: Out of 120 women, 32(27%) were
more » ... iagnosed with GTB using accepted clinical criteria, TB-PCR and endometrial HPR. 30 of these 32 were diagnosed by HLscopic picture (94%) alone, 18 by positive endometrial TB-PCR (58%) and another 3 by HPR (10%). Among 32 women treated, 9(28%) conceived after treatment.Conclusions: High incidence of GTB amongst the labour class warrants strong suspicion and early diagnosis using hystero-laparoscopy and prompt treatment to minimize the short and long-term effects of GTB on fertility.
doi:10.18203/2320-1770.ijrcog20173474 fatcat:4epugijir5gzpjszexwgnvnpcu