Validation of diagnostic criteria for genital tubercusosis in cases of infertility

• Main Authors: Sumitra Gajraj, S Karunakaran, A Kapur
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Journal of Marine Medical Society
• Subjects: genital tuberculosis; TB PCR; laparoscopy; hysteroscopy; HSG
• Online Access: http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2016;volume=18;issue=1;spage=13;epage=16;aulast=Gajraj;type=0

Objective: Mycobacterial infections of the genital tract have been implicated in the etiology of female infertility. However it is almost impossible to get a tissue diagnosis due to inaccessibility of the genital organs involved. Hence a need was felt to put forward and validate certain clinical diagnostic criteria for Genital Tuberculosis in cases of infertility. Methods: Certain major and minor clinical criteria were selected and definitive diagnostic criteria to diagnose Genital tuberculosis was proposed. Those diagnosed as Genital Tuberculosis were exhibited six months of ATT. Results: 120 infertile couples were enrolled in the study. Out of 120 couples, 61(50.8%) were diagnosed as Genital Tuberculosis. Out of the 61 patients, 20(32.8%) conceived spontaneously while on ATT. Conclusion: The high conception rate in this study is most probably due to the fact that these are the patients who had early TB endometritis which carries a better prognosis as compared to those who have TB salpingitis who have a poor prognosis in terms of conception rate.