Genital tuberculosis role in female infertility in Portugal
| Autor: | Carlos Calhaz-Jorge, Catarina Reis-de-Carvalho, J. H. Monteiro |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Infertility
DNA Bacterial Pediatrics medicine.medical_specialty Tuberculosis media_common.quotation_subject Population Fertility Context (language use) Disease Polymerase Chain Reaction Endometrium Pregnancy Medicine Humans education media_common Retrospective Studies education.field_of_study Portugal business.industry Female infertility Obstetrics and Gynecology General Medicine Mycobacterium tuberculosis medicine.disease Tuberculosis Female Genital Etiology Female business Endometritis Infertility Female |
| Zdroj: | Archives of gynecology and obstetrics. 304(3) |
| ISSN: | 1432-0711 |
| Popis: | Genitourinary tuberculosis is the fourth most common cause of extrapulmonary tuberculosis, although often underestimated by clinicians due to its rare and non-specific symptoms. One of the disease’s complications is infertility. Although Portugal is one of the European countries with the highest prevalence of tuberculosis, its impact on Portuguese female fertility is unknown. With this study, we intend to evaluate the prevalence of genital tuberculosis, its presenting symptoms, and pregnancy outcomes in infertile women followed in a Portuguese tertiary hospital. Retrospective and descriptive study, performed using an electronic database and consultation of clinical files. Studied population: infertile women followed from 2000 until 2019 at the reproductive unit of a Portuguese tertiary hospital, who underwent endometrial biopsy/curettage in the context of their etiological investigation. The diagnosis of genital tuberculosis was based on histological criteria. Over the 19 years, 2653 endometrial specimens were analyzed. Pathological evaluation was positive for tuberculosis in 19 cases (0.72%). There was a decrease in new diagnoses throughout the observation period. Despite being one of the European countries with the highest prevalence of tuberculosis, genital TB does not appear to have a significant impact on the etiology of female infertility in Portugal. Nevertheless, it is a diagnosis to be considered in selected patients. |
| Databáze: | OpenAIRE |
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