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ORIGINAL ARTICLE
Year : 2016  |  Volume : 18  |  Issue : 1  |  Page : 13-16

Validation of diagnostic criteria for genital tubercusosis in cases of infertility


1 Resident (Obs & Gyn), INHS Asvini, Colaba - 400005, Mumbai, India
2 Senior Advisor(Obs & Gyn), INHS Asvini, Colaba - 400005, Mumbai, India
3 Senior Advisor and HOD( Obs & Gyn), INHS Asvini, Colaba - 400005, Mumbai, India

Correspondence Address:
Sumitra Gajraj
Resident( Obs & Gyn), INHS Asvini, Colaba - 400005, Mumbai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-3605.202974

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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.


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