Genital tuberculosis: a leading cause for infertility in women seeking assisted conception in North India
| Autor: | Neeta Singh, Gurunath Sumana, Suneeta Mittal |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Infertility
medicine.medical_specialty Tuberculosis Population India Endometrium Hypomenorrhea Prevalence medicine Humans education reproductive and urinary physiology Retrospective Studies Gynecology education.field_of_study business.industry Obstetrics Incidence Incidence (epidemiology) Obstetrics and Gynecology Retrospective cohort study General Medicine Fallopian Tube Diseases Tubal factor infertility medicine.disease Tuberculosis Female Genital female genital diseases and pregnancy complications medicine.anatomical_structure Female medicine.symptom business Infertility Female |
| Zdroj: | Archives of Gynecology and Obstetrics. 278:325-327 |
| ISSN: | 1432-0711 0932-0067 |
| DOI: | 10.1007/s00404-008-0590-y |
| Popis: | Genital tuberculosis is a major cause of tubal factor infertility in developing countries. Data regarding the current prevalence of tuberculosis in the infertile population are sparse. To determine the incidence of tubal factor infertility in an infertile population seeking assisted reproduction and the prevalence of genital tuberculosis in this sub-group of patients and their symptomatology. A retrospective analysis of case records of infertile patients registered for in-vitro fertilization (IVF) between January 2007 and June 2007. Hundred and forty women with an indication for IVF were analyzed. Of these, 70 patients (50%) had tubal factor infertility. The prevalence of genital tuberculosis in tubal factor infertility was 34 out of 70 (48.5%). 82.8% of patients with tubal factor had history of prior treatment for tuberculosis. Menstrual abnormalities were seen in only 8 patients: hypomenorrhea (7) and secondary amenorrhea (1). A diagnostic hysteroscopy showed that 11 had uterine adhesions (18.9%) and 1 patient had pale endometrium. Twenty patients out of 70 cases (28.5%) showed evidence of extra genital tuberculosis. Genital tuberculosis is the major causative factor for severe tubal disease requiring assisted reproduction in developing countries like India. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink