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Female genital tuberculosis and consequent infertility
International Journal of Fertility
|January 1, 1983
Summary
Genital tuberculosis, often presenting solely as infertility, was diagnosed in seven women. Successful pregnancies were achieved post-treatment, highlighting the importance of recognizing this condition.
Area of Science:
- Reproductive Medicine
- Infectious Diseases
- Gynecologic Pathology
Background:
- Genital tuberculosis (GTB) is a significant cause of infertility in women.
- Diagnosis can be challenging due to varied clinical presentations and normal chest X-rays.
Observation:
- Seven cases of GTB were identified in infertile patients between 1971-1980.
- All patients lacked prior tuberculosis history and had normal chest X-rays.
- Tuberculous endometritis was the predominant finding, with infertility as the sole symptom.
Findings:
- Hysterosalpingogram findings were atypical for GTB.
- Histological confirmation was essential for all diagnoses.
- Two cases of successful full-term pregnancy post-treatment are presented.
Implications:
- Early diagnosis and treatment of GTB can restore fertility.
- GTB should be considered in infertile patients, even without typical signs.
- Further research into diagnostic methods for GTB is warranted.