Female genital tuberculosis

Gatongi, David; Gitau, Godfrey Mbugua; Kay, Vanessa; Ngwenya, Solwayo; Lafong, Cyril; Hasan, Adnan

doi:10.1576/toag.7.2.075.27000

Cited by 51 publications

(60 citation statements)

References 15 publications

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“…7 Other than primary amenorrhoea, there were no signs and symptoms of female genital TB in our case. For etiological diagnosis hysterolaparoscopy is an important investigation.…”

Section: Discussionmentioning

confidence: 48%

Primary amenorrhoea: a diagnostic dilemma

Narasegowda

Kumar

Aparna

2015

Int J Reprod Contracept Obstet Gynecol

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“…7 Other than primary amenorrhoea, there were no signs and symptoms of female genital TB in our case. For etiological diagnosis hysterolaparoscopy is an important investigation.…”

Section: Discussionmentioning

confidence: 48%

Primary amenorrhoea: a diagnostic dilemma

Narasegowda

Kumar

Aparna

2015

Int J Reprod Contracept Obstet Gynecol

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“…It is found in 0.75 to 1% of all Gynaecological admissions in India. 3,4 The disease is responsible for 5% of all female pelvic infections and occurs in 13% cases of pulmonary tuberculosis.3Although genital tuberculosis can occur in any age group, 75% of the patients are in the reproductive age group (25-45 years). Postmenopausal women account for 7-11% cases of GTB.…”

Section: Figure 2: Genital Tuberculosis Slidementioning

confidence: 99%

“…Postmenopausal women account for 7-11% cases of GTB. 4 Objectives of the study to correlate the hysterolaparoscopic and bactec culture in infertility.…”

Section: Figure 2: Genital Tuberculosis Slidementioning

confidence: 99%

A correlation of hysterolaparoscopic findings and BACTEC culture in infertility

Guru

Deshmukh

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONInfertility is agonising condition and trauma of infertility is better felt and described by the infertile couple themselves. Infertility (subfertility) is defined as one year of unprotected intercourse without conception. Causes of female infertility are ovulatory dysfunction (20-40%), tubal and peritoneal pathology (30-40%), uterine pathology (uncommon) and unexplained. Overall fertility rates are 4-8% lower in women aged 25-29 years, 15-19% lower in aged 30-34%, 26-46% lower in women aged 35-39 years, 95% lower for women aged 40-45 years. Laparoscopy and Hysterosalpingogram are the two classic methods for evaluation of tubal and uterine factors. Laparoscopy is an important tool to assess the reproductive pathology including tubal patency (chromopertubation) in infertile women. It provides both panoramic view of pelvic anatomy and a magnified view of uterine, ovarian, tubal, and peritoneal surfaces and its pathology. Tuberculosis is an important health problem worldwide. One third of the world's population is currently affected with tuberculosis.In India, every year 1.8 million people develop the disease, of which 80,000 are infectious, 1000 die of it every day, with two deaths occurring every three minutes. Genital tuberculosis represents 15-20% of extra pulmonary ABSTRACT Background: Infertility is agonising condition. Tuberculosis is an important health problem worldwide. One third of the world's population is currently affected with tuberculosis. Hysterolaparoscopy is a well-recognized procedure for the diagnosis of infertility. Culture for TB bacilli is the gold standard for diagnosis of genital TB. Methods: Infertile women undergoing dilatation and curettage with hysterolaparoscopy with normal husband semen analysis as a part of their infertility workup at M. G. M. Medical Hospital, Kalamboli. Sample size: 30. Results: Incidence of GTB=22.85%, 25-29 year followed by 35-40 years' age group was the most common age group was observed. In our study, 74.3% infertility pattern was primary, 25.7% were secondary only 2.85 % (n =1) of the cases of GTB were diagnosed by using TB BACTEC. Laparoscopic findings su0ggested that 18 cases had normal findings and 8 cases had laparoscopic features suggestive of GTB. On chromo pertubation, delayed and absent spillage of the dye was seen in 2 cases. On Hysteroscopy, 29 cases (82.9%) of the patients had normal findings and 3 cases had Hysteroscopic features suggestive of GTB. Conclusions: Genital tuberculosis remains an important under diagnosed cause of infertility. Though culture is considered as gold standard for diagnosis of genital tuberculosis, since GTB is paucibacillary there is an urgent need for more research to come to conclusion whether culture is still gold standard. Further research is required to detect the most sensitive method for diagnosis.

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“…1 In 2015, there were an estimated 10.4 million new TB cases worldwide, of which 3.5 million (34%) were women and 1.2 million (11%) of all new TB cases are associated with HIV. India brunts with new cases along with countries like Indonesia, China, Nigeria, Pakistan and South Africa.…”

Section: Introductionmentioning

confidence: 99%

Asymptomatic postmenopausal endometrial tuberculosis:a rare case report

Priyadharshini¹,

Shantha²

2017

Int J Reprod Contracept Obstet Gynecol

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Tuberculosis remains a global health problem, primarily in developing countries. Genital tuberculosis is common in young women mostly detected during infertility work up. Mycobacterial infection in postmenopausal women is an extremely rare disease. After menopause, tuberculosis of the endometrium is a rare possibility probably because of thedecreased vascularity of the tissues. We present here a case of asymptomatic postmenopausal woman who was suspected as endometrial carcinoma initially by abnormal endometrial pattern in ultrasound done as a part of regular health check-up. In endometrial biopsy we found pus draining. Diagnosed as endometrial tuberculosis by pathologic examination and polymerase chain reaction. She was put on anti-tuberculosis treatment. After completion of treatment, she was doing well. Thus, we conclude saying endometrial tuberculosis should also be suspected in postmenopausal women with abnormal endometrial pattern.

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Female genital tuberculosis

Cited by 51 publications

References 15 publications

Primary amenorrhoea: a diagnostic dilemma

Primary amenorrhoea: a diagnostic dilemma

A correlation of hysterolaparoscopic findings and BACTEC culture in infertility

Asymptomatic postmenopausal endometrial tuberculosis:a rare case report

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