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Infertility Due to Tuberculosis.

INFERTILITY DUE TO TUBERCULOSIS

TB bacterium primarily affects the Lung but if not treated on initial stage can spread and cause secondary infection to uterus and fallopian tubes. As these are the site where fertilization and the implantation occur infection to these can result in Infertility. When the bacteria attack the uterus, it causes uterine tuberculosis or pelvic TB. Due to this infection uterine lining become so thin that it is unable to bear an implantation even if implantation may happen then it will result in miscarriage.

SYMTOMS: -

  • Tuberculosis in uterus includes irregular menstruation,
  • Pelvic pain,
  • Dysmenorrhea
  • Abnormal digestion is due to ascents.
  • The most common symptom is infertility.
  • Ovulation dysfunction.
  • Continuous discharge stained with blood or without blood with foul smell.

Pregnancy complications include

  •  Spontaneous abortion
  •  Pre term labor
  •  Low birth weight
  •  Increased neonatal motility.

Treatment

Female genital tuberculosis (FGTB) is usually presented with chronic pelvic inflammatory disease, menstrual abnormalities and infertility. The actual number of FGTB incidences cannot be estimated accurately, as it is often asymptomatic and only 50% of cases are diagnosed without surgery. Tuberculosis can be treated with medication till it’s not damage fallopian tubes or endometrium. Medications are the corner store of tuberculosis. Treatment of tuberculosis is the longest treatment than other type of bacterial infection. It takes 6 to 9 months of antibiotic for active tuberculosis. The exact drug and time period for the treatment depend upon the age, health and drug resistance in body. Most common TB drugs are isoniazide, refampin, ethambutol, pyrazimide. Sometimes even after a full 6 or 9 months course of ATT, women with genital TB with infertility do not conceive when laparoscopy and hysteroscopy may be repeated to see any remaining disease which is then treated with category II drugs.

It is advised to avoid getting pregnant while being treated for TB. TB medication affects also the fetus, and some of the medicines are not safe during pregnancy. A woman in fertile age who has TB disease should discuss with her doctor to find a suitable method for birth control during TB treatment.

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