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Genital Tuberculosis in Females : AOGD Good Clinical Practice Guidelines for Diagnosis and Management#

Nalini Mahajan , Mahajan Nalini1 , Malhotra Neena2 , Jain Ritu3 , Walecha Nymphea4 , Sabharwal Shivani5 , Sharma Shilpa

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Indian Journal of Obstetrics and Gynecology 7(3 ):p 419-430, July-September 2019. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7319.12

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Mahajan Nalini, Malhotra Neena, Jain Ritu. Genital Tuberculosis in Females : AOGD Good Clinical Practice Guidelines for Diagnosis and Management. Indian J Obstet Gynecol. 2019;7(3):419-430.

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Abstract

Tuberculosis (TB) caused by the bacterial pathogen mycobacterium tuberculosis (MTB) is one of the oldest and hardiest diseases known to mankind. The primary site of infection is the lung, spread to other organs can be haematogenous or through lymphatics. 15–20% of all TB cases are extra-pulmonary TB (EPTB). In females, genital TB infection (FGTB) first strikes the fallopian tubes, followed by the endometrium and ovaries with devastating effects. Symptomatology is varied and vague with the commonest presentation being infertility and menstrual irregularity. Diagnosis is difficult due to the pauci-bacillary status and requirement for tissue biopsy. Increase in empirical treatment has contributed to the increase in drug resistance. The aim of these good clinical practice guidelines is to encourage a uniform, evidencebased practice for suspecting, diagnosing and managing female genital tuberculosis in an Indian setting.

 

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Mahajan Nalini, Malhotra Neena, Jain Ritu. Genital Tuberculosis in Females : AOGD Good Clinical Practice Guidelines for Diagnosis and Management. Indian J Obstet Gynecol. 2019;7(3):419-430.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7319.12

Keywords

Anti-tubercular treatment; Female Genital Tuberculosis; Infertility; Latent Tuberculosis; Mycobacterium Tuberculosis.

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