Hysterosalpingographic findings in infertile women with genital tuberculosis
Sharma, J.B.; Pushparaj, M.; Roy, K.K.; Neyaz, Z.; Gupta, N.; Jain, S.K.; Mittal, S.
International Journal of Gynaecology and Obstetrics the Official Organ of the International Federation of Gynaecology and Obstetrics 101(2): 150-155
2008
ISSN/ISBN: 0020-7292 PMID: 18215662 DOI: 10.1016/j.ijgo.2007.11.006Document Number: 200235
To evaluate the hysterosalpingographic findings from infertile women who were subsequently diagnosed with genital tuberculosis. A retrospective study of 70 infertile women who underwent hysterosalpingography to investigate infertility and were subsequently diagnosed with genital tuberculosis. The mean age of the women was 27.3 years and the mean duration of infertility was 6.1 years. A total of 57 (81.4%) women had primary infertility while 13 had secondary infertility. Diagnosis of genital tuberculosis was made by polymerase chain reaction (54.3%), tuberculous granuloma on biopsy (22.8%), acid-fast bacilli culture (2.8%), and at laparoscopy or hysteroscopy (20%). Hysterosalpingographic findings were a normal uterine cavity observed in 57.1% of women, an irregular cavity in 18.5%, a shrunken cavity in 2.8%, and an irregular filling defect in 18.5%. Synechiae were observed in 17.1% of women. Genital tuberculosis is a common cause of infertility in India, causing significant uterine and tubal pathologies.
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