Tuberculosis is a common disease caused by bacteria. Tuberculosis is an infection that affects the lungs. And the worst part is that the bacteria can reamain for a longer time inside the human body and can cause infertility. We at SWCIC- the famous test tube bay center in Hyderabad India offers the best treatment for this through the following treatment method.
It is an infection caused by the Mycobacterium bovis (5%) or Mycobacterium tuberculosis (95%). The symptoms are difficult to diagnose and the patients are asymptomatic for 10 to 20 years. It may also create an ascites, adnexal mass and thus can be difficult to distinguish from other causes of pelvic inflammatory disease (PID).
The mode of spread is lymphatic or hematogenous and rarely from direct contiguity with affected genital tract or intra-abdominal organ. The fallopian tubes are the first most affected genital organ followed by endometrium and ovary leading to a variety of clinical presentations such as menstrual irregularity, vaginal bleeding, pelvic pain, and infertility.
There are different varieties of pelvic tuberculosis, they are:Minimal Pelvic Tuberculosis
It is a nonsymptomless and the examination of pelvic is failed to reveal evidence of enlargement or tube ovarian masses. This type of symptom is described as unsuspected or latent. The enlargement of these tubes cannot be examined, they are involved in the tuberculous process and this involvement is side sided.
In Advanced Pelvic Tuberculosis
Palpable masses are present in the bacteriologic, microscopic examination of uterine secretions, or adnexa, and endometrium reveals tuberculosis. These masses are presumed to be tuberculous. Sometimes, they infected with colon bacilli, gonococci, or streptococci.
There is an intermediate stage between minimal and advanced disease. This may be manifest by thickening in the tubes and induration. But this cannot be examined by bimanual examination alone.
Tuberculosis diagnosis is a difficult thing. This is due to lack of diagnostic tests with a good positive predictive and negative predictive value and a wide variety of clinical presentation.
Diagnosis still remains subjective and is finished sometimes at the time of laparoscopy done for evaluating chronic pelvic pain or infertility. Pathognomic sign of look of tiny tubercles everywhere the Pathognomic that represent caseating granulomas is seen rarely. Different findings include a tube-ovarian mass appearance with varied degree of intra-pelvic adhesions, bead-like growths or rigid lead-pipe look of fallopian tubes, hydrosalpinx and military white tubercles on the serious of the uterus.
The treatment for Pelvic TB is the same as for the other variety of TB. it's a treatment of antibiotics that lasts regarding 6 to 8 months. The treatment offers relief from pain, however, it cannot repair the fallopian tubes, if they need to be been affected.
A silent cause of Infertility
Tuberculosis (TB) is a very common disease and is caused by a bacterium called Mycobacterium tuberculosis. Lungs are the most common organs involved followed by the genitourinary tract (meaning the kidneys and pelvic organs in both males and females) but tb infection is a systemic illness and any part of the body can be affected. Route of entry into the body is through lungs.
Female reproductive organs are one of the common sites to be involved in women. It is a chronic disease and bacteria remain for long time in the body slowly destroying the organs (uterus, fallopian tubes and the ovaries in females and related organs in men).
The disease may remain totally asymptomatic or may lead to pelvic pain, fever, menstrual disturbances (heavy bleeding or no periods at all) or vaginal discharge (leucorrhoea). Sometimes fluid may accumulate in the abdomen.
Fallopian tubes which transport eggs from the ovaries to the uterus are the most common organs involved and when blocked (due to inflammation or adhesions) leads to permanent infertility.
Genital tuberculosis is diagnosed by:-
Mantoux test (minor skin test)
Endometrial biopsy/TB-PCR i.e. testing the inner lining of the uterus which is best done by a gynec practitioner. It is a very simple procedure and is done in the clinic. This test is positive in only 50-60 % of cases.
Endoscopic procedures i.e. Laparoscopy and Hysteroscopy can help in diagnosing the disease and also in treating adhesions caused due to tuberculosis.
Very effective medicines are now available, commonly called antitubercular therapyor ATT. The medicines are very effective in killing the bacteria. The treatment has to continue for a minimum of 6-9 months. Intensive therapy with 4 drugs is given for 2months followed by a 3drugs for 4 months.
However, the drugs cannot repair the damage done by TB. Fallopian tubes which are commonly damaged by the disease remain blocked and function cannot be easily restored – But with FTC (Fallopian tube catheterization) tubes can be recannulated to a large extent.
Infertility is the commonest presentation for genital tuberculosis; Other symptoms may be profuse white discharge and irregular/scanty periods. Almost 60 – 70 % cases of genital TB present with infertility. In India almost 5 % – 10 % of all infertility is caused by genital TB. Medical treatment may restore fertility in early cases.
Advanced tuberculosis in which the fallopian tubes are completely blocked or damaged patients have to resort to Laparoscopy to open blocked tubes or In vitro fertilization ivf and IMSI (Intracytoplasmic injection of a morphologically selected sperm)
Most patients treated at our center fall pregnant within a year of FTC with ATT
HIV (Human Immunodeficiency Virus) infection
poor general health
presence of old blood in the endometrium
1-8-32/62 & 1-8-32/62/1 Minister road (main road), Secunderabad, Telangana 500003, India.