Hospital Based Assessment The HSG Findings of Genital TB in Infertile Women: An Observational Study
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 2, Pages 1571-1577
AbstractAim: The aim of the present study was to determine the HSG findings of genital TB in infertile women.
Methods: The present study was conducted in the Department of obstetrics and Gynecology, Advanced Maternity Fertility Centre Janm IVF, Bhagalpur, Bihar, India of 100 women who had a proven genital TB.
Results: The mean age was 26.6 ± 4.4 years, mean body mass index was 24.8 kg/m2, and mean duration of infertility was 6.08 years. Primary infertility was seen in 33 (66%) women, while secondary infertility was seen in 17 (34%) women. Normal cycles were seen in 50 women, menorrhagia in 10, hypomenorrhea in 30, oligomenorrhea in 5, primary amenorrhea in 3 and secondary amenorrhea in 2 women. There was no difference in the serum FSH concentration levels. However AMH and AFC were significantly lower.
Conclusion: Both laparoscopy and molecular tests are complementary tests and together can effectively confirm the diagnosis of Genital TB. Very often, it is the HSG finding that alerts the clinician as to the presence of GTB. Though imaging findings may be highly suggestive of TB, some of the features such as tubal block and hydrosalpinx are not specific for TB and may be seen in other infective causes of tubal damage also.
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