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Female Genital Tuberculosis

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Female Genital Tuberculosis

Female Genital Tuberculosis, or FGTB is a bacterial infection of the female reproductive system that is often associated with infertility in women. A highly asymptomatic condition in its early stages of development, the most common cause of genital tuberculosis is the spread of the mycobacterium from the lungs to the reproductive tract of the female.

The tuberculosis in uterus first arrives into the fallopian tubes of the female reproductive system, from where it can either block the tubes, or spread to the uterus and/or to the ovaries. On rarer occasions, the disease also spreads to the cervix, vagina, and the vulva as well. Genital Tuberculosis is known to be a major cause of infertility in India, where the disease can stay up to 10 to 20 years without any major uterus tuberculosis symptoms showing up. It is only upon investigation for infertility do doctors arrive on the conclusion.

If you want to know more about what is genital tuberculosis, book an appointment at Seeds of Innocence.

Female Genital Tuberculosis

Symptoms of Female Genital Tuberculosis

Female genital tuberculosis is often asymptomatic for years; it may be found during infertility workup.

Pelvic pain
Painful periods or intercourse
Lower abdominal discomfort
Rarely: lesions on cervix or vagina

Causes of Female Genital Tuberculosis

Genital TB is usually caused by spread of Mycobacterium tuberculosis from the lungs to the reproductive tract.

Spread from pulmonary TB
Can block fallopian tubes and damage uterus
Common cause of infertility in endemic regions

Diagnosis of Female Genital Tuberculosis

Diagnosis may include imaging, culture, PCR, or histology.

History of TB or exposure
HSG (tubal damage)
Endometrial biopsy or culture
PCR or other TB tests

Treatment for Female Genital Tuberculosis

Antibiotic treatment for TB is required. IVF is often recommended as tubes may remain damaged.

Anti-tuberculosis medication
IVF to bypass damaged tubes
Surgery in selected cases

How Female Genital Tuberculosis Affects Fertility

Genital TB often damages fallopian tubes and endometrium, making natural conception unlikely. IVF bypasses the tubes and offers many women a chance at pregnancy after TB treatment.

Managing Female Genital Tuberculosis

Complete TB treatment as advised. Seek fertility care; IVF is often the preferred option after treatment.

Full course of anti-TB drugs
Fertility evaluation after treatment
IVF when tubes are damaged