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Genital tuberculosis in women, its complications and infertility


Obstetrics & Gynecology International Journal
Victor Manuel Vargas-Hernandez

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Abstract

Tuberculosis (TB) remains a major global public health problem with the highest death rate from any infection causing 1.5 million deaths in 2018. Pulmonary tuberculosis is the most common presentation; extrapulmonary and genital tuberculosis are the second most common presentation with an increase in women of reproductive age.

The symptoms of tuberculosis are nonspecific; furthermore, the microbiological tests available for diagnosis have low sensitivity; that cause a delay in diagnosis and treatment, causing irreversible organic damage that causes infertility in women, in some cases surgery is necessary; since it can simulate oncological processes, particularly ovarian cancer; that must be discarded before starting its management. Treatment with multiple anti-tuberculosis drugs lasts for a total of 6 months, the response is clinically evaluated after one month with imaging, Treatment of tuberculosis is prolonged, generally, its total duration is 6 months with the new anti-tuberculosis drugs and its response is evaluated clinically and by imaging. The epidemiology, symptoms, complications, such as infertility, its diagnosis and treatment are reviewed.

Keywords

molecular tests, complications, infertility, imaging, surgery, anti-tuberculosis

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