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Female genital tuberculosis
Author(s) -
Gatongi David K,
Gitau Godfrey,
Kay Vanessa,
Ngwenya Solwayo,
Lafong Cyril,
Hasan Adnan
Publication year - 2005
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.7.2.075.27000
Subject(s) - tuberculosis , medicine , hysterosalpingography , miscarriage , genital tract , asymptomatic , pregnancy , sex organ , gynecology , incidence (geometry) , genital tuberculosis , female circumcision , mycobacterium tuberculosis complex , dermatology , mycobacterium tuberculosis , obstetrics , infertility , pathology , biology , physiology , genetics , physics , optics
Tuberculosis affects a large number of people worldwide and the incidence is increasing. Tuberculosis bacilli reach the genital tract mainly by haematogenous spread from foci outside the genitalia. The fallopian tubes, endometrium and ovaries are affected in most cases. Genital tuberculosis may be asymptomatic and could go unrecognised or masquerade as other gynaecological conditions. A combination of tuberculin testing, culture, histology, hysterosalpingogram and nucleic acid amplification testing is useful in establishing a diagnosis. Multidrug anti‐tuberculosis chemotherapy is the mainstay of treatment. After treatment spontaneous conception is low with an increased risk of ectopic pregnancy and spontaneous miscarriage.