Genital tuberculosis and sterility
Giarola, A.; Agostini, G.
Minerva Medica 69(61): 4267-4278
1978
ISSN/ISBN: 0026-4806 PMID: 733082 Document Number: 137206
The diagnosis of genital tuberculosis is a long and complicated process, necessitating ematological evaluations, biological tests, istological and radiological investigations, and, often, utero-tubal insufflation and culdoscopy. Over a period of 30 years about 294 patients with different forms of genital tuberculosis were observed in 3 marriage sterility centers in Milano, Italy. Out of this total the incidence of genital tuberculosis accounted for infertility in 5.03% of cases, of which 0.27% were in the active phase, and 4.76% in the latent phase. Depending on the disease, treatment with chemotherapy can be defined as: 1) attack therapy, using massive doses for 2-3 months in initially exudative forms, and in acute evolutions and/or recurrences; 2) basic therapy, for a period of 10-12 months in chronic and stationary periods; and, 3) consolidation therapy, in periodic cycles of 10-12 months when the cure is complete and to avoid relapses. Apart from clinical cure, the experience with the patients observed was not very encouraging (only 6 patients became pregnant) and confirmed similar results obtained by other authors.