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Pelvic tuberculosis reactivated by in vitro fertilization egg collection?
Himabindu Annamraju1, Ramesh Ganapathy, Bev Webb
1Department of Obstetrics and Gynaecology, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, United Kingdom. drhbindu@gmail.com
Fertility and Sterility
|May 27, 2008
Summary
Pelvic tuberculosis is a rare condition, but this case highlights its potential to mimic other gynecological issues following unsuccessful in vitro fertilization (IVF). Early consideration is crucial for timely diagnosis and treatment in at-risk individuals.
Area of Science:
- Reproductive Medicine
- Infectious Diseases
- Gynecologic Oncology
Background:
- Pelvic tuberculosis (TB) is uncommon in developed countries.
- In vitro fertilization (IVF) cycles can present complex gynecological challenges.
- Differential diagnosis in women with pelvic complaints post-IVF is broad.
Observation:
- A 40-year-old nulliparous woman presented with symptoms months after an unsuccessful IVF cycle.
- Ovarian abscess was identified, necessitating drainage and biopsy.
- Histological examination confirmed pelvic tuberculosis.
Findings:
- The patient was diagnosed with pelvic tuberculosis.
- Treatment for tuberculosis was initiated, with a positive response observed.
Implications:
- Pelvic tuberculosis should be considered in the differential diagnosis of women presenting with pelvic pathology after IVF, particularly in high-risk populations.
- This case underscores the importance of a thorough diagnostic workup for persistent gynecological symptoms, even in the context of assisted reproductive technologies.
- Raising awareness among clinicians regarding the varied presentations of pelvic TB can improve diagnostic timelines and patient outcomes.
Related Concept Videos
01:24In Vitro Fertilization
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
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01:38Fertilization
During fertilization, an egg and sperm cell fuse to create a new diploid structure. In humans, the process occurs once the egg has been released from the ovary, and travels into the fallopian tubes. The process requires several key steps: 1) sperm present in the genital tract must locate the egg; 2) once there, sperm need to release enzymes to help them burrow through the protective zona pellucida of the egg; and 3) the membranes of a single sperm cell and egg must fuse, with the sperm...
01:28Infertility in Females
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
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