Tuberculosis (TB) remains a serious public health issue globally, despite the low trend in deaths due to better diagnosis and treatment. While men have about 60% of TB infections and deaths, women also carry the burden of a significant disease. One of the low-specific but important concerns related to TB is its effect on female fertility.

TB and infertility link

In women, genital tuberculosis (uterine tuberculosis) is widely accepted as a major cause of infertility in areas with high TB ​​events. This condition is often a secondary complexity arising from TB in other parts of the body. The disease is mainly spread through hematogenous or lymphatic routes, affecting reproductive organs and leading to infertility between other complications.

Unfortunately, the conception rate in infertile individuals after anti-TB treatment (ATT) is not particularly encouraging. Dr. Sunita Kapoor, City X-ray and Scan Clinic Pvt. Limited says that diagnosis of genital tuberculosis is comparatively difficult, as it requires many clinical approaches.

Effect of tuberculosis on pregnancy

TB can affect every stage of female reproduction from fertility to birth results. “Breeding organs infection can cause infertility and can cause complications such as stomach or tubual pregnancy. According to many research studies, vaginal TB accounts for 1 to 17% of all infertility cases,” she says.

“Tubal obstruction, endometrial partnership impaired implantation, ovulatory failure due to ovarian partnership, and all possible complications of uterine cavity synchronic genital TB are all possible complications, according to Dr. Kapoor. She also states that TB culture or NAT confirmation tests are also received, a good representative superior.”

Successful pregnancy after TB treatment is abnormal and often requires these vitro fertilization (IVF) and fetal transfer. In tuberculous women premature rates vary from 23 to 44% premature treatment, with the highest rate among the most severely affected people. Research further suggests that children born with tuberculosis infected have a risk of 2–5 times more than birth and low birth weight, as well as 6 times more risk of delivery mortality. Factors such as late diagnosis, insufficient therapy and serious illness contribute to adverse newborn results. However, initial identity and adequate treatment have not shown any negative effects on pregnancy consequences.

Dr. “A full blood calculation, erythrocyte sedimentation rate, and an indirect evidence of the chest X-ray for active or healed pulmonary tuberculosis can provide indirect evidence of acute or chronic infection.

Dr. According to Pallavi Panse, advisor gynecology in Jupiter Hospital, “Genital tuberculosis is treated in the same way that pulmonary tuberculosis is treated: WHO’s recommendations with six -month antibiotic regimen. Depending on the recommendations of WHO. Based on the recommendations of the WHO. Within six months of completion of TB treatment or it is pregnant patients within six months.”

Dr. Panse also emphasizes, “Genital tuberculosis is a major cause of infertility in women, although its unique appearance and clinical problems may be unfamiliar. Physicians should examine genital tuberculosis as a possible cause of infertility in their patients. Suitable treatment is important to save or restore the fertility of these patients.”

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