A NEGLECTED CASE OF PRIMARY INFERTILITY – A CASE REPORT OF DISSEMINATED TUBERCULOSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 19
Abstract
Tuberculosis (TB) is a major health problem in developing countries including India and genital tuberculosis (GTB) is responsible for infertility in a significant proportion of these women. Inspite of recent advances in medicine and availability of sophisticated investigative modalities, definitive diagnosis of GTB is elusive in absence of high clinical suspicion. Majority of women with genital tuberculosis present with infertility. Oligomenorrhea or amenorrhea is more common with other vague symptoms. Laparoscopy is now a well recognized procedure in the diagnostic work up of patients with infertility. In a clinically suspicious case, endometrial biopsy (EB) should be followed by laparoscopy. The treatment of GTB should begin with anti tuberculous therapy. Pregnancy rates can now be significantly improved with In vitro fertilization (IVF). The fact remains that fertility rates are not optimistic in genital TB patients even after treatment
Authors and Affiliations
Nidhi Bansal, Hiremath P. B, Reshma Hiremath, Meenal C, Arun S. P, Madhumitha S, Kalyani Kalli
Keywords
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- EP ID EP158974
- DOI 10.14260/jemds/684
- Views 81
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