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Hysteroscopic findings in women with primary and secondary infertility due to genital tuberculosis
Author(s) -
Sharma Jai Bhagwan,
Roy Kallol K.,
Pushparaj Mohanraj,
Kumar Sunesh
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2008.08.019
Subject(s) - medicine , infertility , hysteroscopy , primary infertility , endometrial biopsy , obstetrics , tuberculosis , sex organ , genital tuberculosis , gynecology , pregnancy , endometrium , pathology , genetics , biology
Objective To evaluate hysteroscopic findings of infertile women with genital tuberculosis. Method A retrospective study of the records of 94 women who underwent diagnostic hysteroscopy for infertility at All India Institute of Medical Sciences, New Delhi, India. Genital tuberculosis was diagnosed by laboratory studies of an endometrial biopsy and/or laparoscopic findings. Results For women with primary or secondary infertility, respectively, the hysteroscopic findings were normal in 15 (20.5%) vs 4 (9%) cases; and adhesions were grade 2 in 11 (15.1%) vs 3 (14) cases, grade 2a in 0 vs 1 (1.4%) cases, grade 3 in 11 (15.1%) vs 9 (42.9%) cases, grade 3b in 6 (8.2%) vs 0 cases, and grade 4 in 28 (38.4%) vs 2 (9.5%) cases. Conclusion Genital tuberculosis causes significant pelvic morbidity due to uterine adhesions and infertility.