Minimal pelvic tuberculosis is usually asymptomatic
(except for infertility) and pelvic examination fails to reveal
evidence of tubal enlargement or tubal-ovarian masses. The incidence
of pelvic tuberculosis is difficult to assess as many patients are
asymptomatic for 10 to 20 years, therefore the disease often comes to
light only during the period of investigation for the gynaecological
complaint like difficulty in conceiving.
Common Symptoms of Genital Tuberculosis:
For female genital tuberculosis, the major complaints are:
Infertility, (most common)
Pelvic pain (Lkower abdominal pain)
Amenorrhea( Menstrual irregularities)
The first and most affected genital organs for female are fallopian tubes which are in about
90-100% of cases, followed by endometrium in 50-60% of the cases and ovary in 20-30% cases.
Diagnosis of Genital Tuberculosis:
Following are Some Methods of Diagnosis:
(A) Histopathological test for the epithelioid granuloma on biopsy
(B) Polymerase chain reaction(PCR) false positive alone is not sufficient to make the diagnosis
(C) Diagnoses of genital tuberculosis through Laparoscopy and Hysteroscopy can be done by various findings.
(D) TB gold test
(E) The diagnosis is made by detection of acid-fast bacilli on microscopy
(F)Culture on endometrial biopsy
(G) All other tests are non-specific