Genital Tuberculosis and Infertility: A Comparative Analysis of Imaging Modalities

Abstract

Background: Female genital tuberculosis is caused by Mycobacterium tuberculosis and occurs usually secondary to pulmonary tuberculosis or other organs with infection reaching through hematogenous route, lymphatic route or direct spread from abdominal tuberculosis. Diagnosis of genital tuberculosis is often made from history taking, meticulous clinical examination and use of investigations such as endometrial aspirate/biopsy and endoscopy. Female genital tuberculosis damages the genital organs causing menstrual dysfunction and infertility. The aim of the study was to evaluate co relation of genital tuberculosis with infertility and role of imaging modalities in diagnosing genital TB. During December 2020 we searched Google scholar, pub med, Medscape research articles from 2010 -2020. Genital TB is one most common cause of infertility in developing countries while diagnostic ultrasonography plays a limited role to diagnose. Laprohysteroscopy and histo-pathological analysis are confirmatory for genital tuberculosis. Keywords: Genital tuberculosis, Infertility, Pyosalpinx, Tubo-ovarian mass, Ultrasonography and Hysterosalpingography.