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Female genital tuberculosis and infertility
B Namavar Jahromi1, M E Parsanezhad, R Ghane-Shirazi
1Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran. namavarb@sums.ac.ir
Summary
Female genital tuberculosis (TB) is strongly linked to infertility, affecting 75.6% of diagnosed cases. Early consideration of genital TB in infertile patients in endemic areas can improve diagnosis rates.
Area of Science:
- Reproductive Medicine
- Infectious Diseases
- Gynecologic Oncology
Background:
- Female genital tuberculosis (TB) is a significant cause of infertility, particularly in endemic regions.
- Diagnosis is often delayed due to non-specific symptoms, leading to challenges in management.
Purpose of the Study:
- To evaluate the incidence of diagnosed female genital TB.
- To identify presenting symptoms and diagnostic methods for female genital TB.
Main Methods:
- Retrospective study of 3088 tuberculosis patients from 1989-1999.
- Analysis of 46 women diagnosed with genital TB based on pathological criteria.
- Statistical analysis using the Z-test.
Main Results:
- Female genital TB accounted for 1.32% of all TB cases.
- Infertility was a primary diagnosis reason in 75.6% of genital TB patients.
- Common sites involved included endometritis (72.03%), fallopian tubes (34.03%), and ovaries (12.9%).
Conclusions:
- A strong association exists between female genital TB and infertility.
- Considering genital TB in infertile patients in endemic areas can enhance diagnostic rates.