Hysterosalpingographic findings in infertile women with genital tuberculosis.
OBJECTIVE
To evaluate the hysterosalpingographic findings from infertile women who were subsequently diagnosed with genital tuberculosis.


METHODS
A retrospective study of 70 infertile women who underwent hysterosalpingography to investigate infertility and were subsequently diagnosed with genital tuberculosis.


RESULTS
The mean age of the women was 27.3 years and the mean duration of infertility was 6.1 years. A total of 57 (81.4%) women had primary infertility while 13 had secondary infertility. Diagnosis of genital tuberculosis was made by polymerase chain reaction (54.3%), tuberculous granuloma on biopsy (22.8%), acid-fast bacilli culture (2.8%), and at laparoscopy or hysteroscopy (20%). Hysterosalpingographic findings were a normal uterine cavity observed in 57.1% of women, an irregular cavity in 18.5%, a shrunken cavity in 2.8%, and an irregular filling defect in 18.5%. Synechiae were observed in 17.1% of women.


CONCLUSIONS
Genital tuberculosis is a common cause of infertility in India, causing significant uterine and tubal pathologies.
Sharma
Jai Bhagwan
JB
Departments of Obstetrics and Gynecology, and Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India. jbsharma2000@gmail.com
Pushparaj
Mohanraj
M
Roy
Kallol Kumar
KK
Neyaz
Zafar
Z
Gupta
Nupur
N
Jain
Sunesh Kumar
SK
Mittal
Suneeta
S
D000328:Adult; D015331:Cohort Studies; D005184:Fallopian Tube Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007194:India; D007247:Infertility, Female / Q000000981:diagnostic imaging* / Q000382:microbiology*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014384:Tuberculosis, Female Genital / Q000150:complications / Q000175:diagnosis*; D014591:Uterine Diseases / Q000150:complications / Q000000981:diagnostic imaging*