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The Obstetrician & Gynaecologist 2005;7:2:75-79
doi: 10.1576/toag.7.2.075.27000
Copyright © 2005 by the Royal College of Obstetricians and Gynaecologists.
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Reviews

Female genital tuberculosis

David K Gatongi, MRCOG, Specialist Registrar

Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, UK e-mail: davidspax{at}yahoo.com (corresponding author)

Godfrey Gitau, MRCOG, Specialist Registrar

Royal Victoria Infirmary, Newcastle upon Tyne, UK

Vanessa Kay, MD MRCOG, Consultant Obstetrician and Gynaecologist

Ninewells Hospital, Dundee, Scotland, UK

Solwayo Ngwenya, DFFP MRCOG, Specialist Registrar

Huddersfield Royal Infirmary, Huddersfield, UK

Cyril Lafong, BAO FRCPath, Consultant Microbiologist

Victoria Hospital, Kirkaldy, Scotland, UK

Adnan Hasan, MSc MRCOG, Hospital Specialist

Forth Park Hospital, Kirkaldy, Scotland, UK

Tuberculosis affects a large number of people worldwide and the incidence is increasing. Tuberculosis bacilli reach the genital tract mainly by haematogenous spread from foci outside the genitalia. The fallopian tubes, endometrium and ovaries are affected in most cases. Genital tuberculosis may be asymptomatic and could go unrecognised or masquerade as other gynaecological conditions. A combination of tuberculin testing, culture, histology, hysterosalpingogram and nucleic acid amplification testing is useful in establishing a diagnosis. Multidrug anti-tuberculosis chemotherapy is the mainstay of treatment. After treatment spontaneous conception is low with an increased risk of ectopic pregnancy and spontaneous miscarriage.

Keywords Keywords / anti-tuberculous chemotherapy / genital tuberculosis / HIV / infertility / tuberculosis







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