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Female genital tuberculosis revisted
R N Qureshi1, S Samad, R Hamid
1Department of Obstetrics and Gynaecology, Aga Khan Univeristy Hospital, Karachi.
Objective:
To assess the clinical presentation of genital tuberculosis and to study various modes of diagnosis and treatment.
Setting:
The Aga Khan University Hospital (AKUH), Karachi.
Method:
A retrospective case review of all index female cases of genital tuberculosis, admitted to AKUH over twelve years of period.
Result:
A total of 40 cases of genital tuberculosis were reported during this time period. Majority of cases were between 25-45 years. The commonest presenting symptoms were infertility (42.5%) and abdominal pain (42%). Others included fever, ascites, irregular vaginal bleeding, oligomenorrhea, chest pain and pain in the flanks. Main mode of treatment was antituberculous drug therapy for duration of nine months. Only 3 patients had successful pregnancies.
Conclusion:
Genital tuberculosis should be excluded when managing infertility in females.
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