You may suffer from tuberculosis lead to infertility in women?

Mar 23, 2016 | | Say something

You may suffer from tuberculosis lead to infertility in women? ; conditions-genital tuberculosis-facts-THS

Tuberculosis , it can be prevented with early treatment and care. The infection primarily affects the lungs of one, leading to pulmonary tuberculosis and is infectious in nature. But the condition is not restricted only to keep the lungs and can travel to other parts of the body, leading to extrapulmonary tuberculosis or secondary tuberculosis could be equally lethal. India is a country with the highest TB burden representing a fifth of the annual global incidence. ‘Although pulmonary tuberculosis is the most common primary and presentation of tuberculosis in India, there is a significant number of extrapulmonary tuberculosis reported annually, “says Bandita Sinha, Consultant Gynaecologist, the Apollo Clinic, New Bombay.

extrapulmonary or secondary TB is more dangerous for women Although primary TB infection can affect the lungs, extrapulmonary infection can affect anywhere in the body. “The infection is spread through hematogenous route ie mainly through the blood to other body sites such as the urinary tract, genital tract, bones and joints, etc., which infects them. If you arrive to a woman’s genital areas, which could lead to serious consequences and represent infertility , “says Dr. Sinha.

‘genital TB in women is found in about 1 to 2% of gynecologic cases in India. The disease accounts for 5% of all pelvic infections and 10% in the case of pulmonary tuberculosis. primarily it affects women of childbearing age; However, the disease has been reported in post-menopausal and women, “he adds further.

The link between genital tuberculosis and infertility

the biggest challenge in the fight against genital tuberculosis is that it is asymptomatic in nature and shows no signs until it is too late. “There are times when the infection could have affected the genitals and reproductive tract a woman so badly that medical intervention is also of little help. Women of reproductive age often find out about genital tuberculosis once they begin to seek infertility treatments to plan a pregnancy, after several failed attempts, “reports Dr. Sinha. If the infection travels through the genital area a woman from the primary site, which affects the fallopian tubes first, followed by the other organs of the reproductive system. ‘fallopian tubes are affected in almost 100 percent of cases, followed by endometrium (lining the uterus or womb) in 50%, ovaries by 20%, cervix in 5% and vagina and vulva in less than 1% of women infected with pulmonary TB, says Dr. Sinha.

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When the fallopian tubes are affected due to TB infection, prevents a fertilized to enter the tube and into the uterus egg, therefore, affects the chances of getting pregnant a woman. in a similar manner, if bacteria erode the endometrial lining, which makes it difficult for the fertilized egg to implant in the uterus wall, preventing pregnancy. Infection in the ovaries could affect egg quality, while an infection in the cervix, vagina or vulva may cause the chances of pregnancy bleak.

The silent symptoms The problem of genital tuberculosis is showing no visible to initiate early treatment symptom; However, there are subtle signs that could indicate a problem, especially if the woman has suffered from pulmonary tuberculosis in the past. These symptoms are:

  • Pain in the pelvic area
  • The irregularity in menstrual cycles (which suffers from scarce or heavy periods)

Both these symptoms may be indicative of something serious went wrong with the genitals of a woman, especially after suffering an attack of pulmonary tuberculosis. Diagnosis The challenge of genital tuberculosis is that the diagnosis is not smooth like other forms of tuberculosis. “An analysis of normal blood, culture or cough chest radiograph may show that everything is normal. Therefore, you need a detailed diagnosis. A diagnosis of genital tuberculosis usually becomes a part of infertility treatment to determine the cause of it, “says Dr. Sinha. Here are some tests that could help establish the correct diagnosis:

  • endometrial biopsy: ‘An endometrial biopsy usually gives a fair idea if there is something wrong with the inner lining of the endometrium , which is preventing pregnancy. The biopsy helps identify tuberculosis infection in most cases, “says Dr. Sinha
  • Culture of menstrual blood. A culture of menstrual blood is another way to identify infection, especially if it has established itself in the lining of the vagina, cervix or vulva
  • laparoscopy. a detailed lapro-hysteroscopy gives an idea about the magnitude of damage occurred to the reproductive organs due to infection of tuberculosis
  • .

treatment for genital tuberculosis once the diagnostic measures determined should be taken to help women . to reactivate the functioning of the reproductive organs and help fight infertility

  • treatment ATT: the first line of treatment is to put a woman in TB treatment. “It is imperative that the patient to undergo the full course of treatment to prevent infertility and finally conceive naturally,” says Dr. Sinha.
  • Restorative Surgery: There are times when the bacteria have damaged the reproductive system to the point that reconstructive surgery becomes the only resort. ‘Through specialized surgeries, reproductive organs of women are restored and reconstructed to help conceive and deliver naturally, while the fight against TB infection, “reports Dr. Sinha.

ways to prevent Although genital tuberculosis is a matter of concern especially for women of childbearing age, preventing them begins with the treatment of early infection. ‘As extrapulmonary tuberculosis spreads after the bacteria have infected the lungs, it is imperative to start the treatment of the condition core shortly after it is detected. it is crucial to complete the course of treatment to ensure a smooth recovery. Very often, people leave treatment once symptoms disappear. This is when the bacterial strain will mutate and become resistant to drug treatment. in addition, untreated primary infection is the major cause of extrapulmonary tuberculosis’, reports Dr. Sinha. In very rare cases, sexual intercourse with a partner who has genital tuberculosis could also lead to it. “However, this phenomenon is very rare. However, if your partner is recovering from tuberculosis, it is best to practice the method of safe sex,” reports Dr. Sinha.

To prevent genital tuberculosis, should take steps to preventing the onset of pulmonary tuberculosis . Simple hygiene practices and consumption of nutritious immunity functioning others can go a long way in providing protection against bacterial infections food. Because TB is highly contagious and is spread through droplets from coughing while sneezes, infected people should stay away from the spread of infection and follow an appropriate course of treatment to reduce the incidence of tuberculosis multidrug resistant.

word of caution The chances of pregnancy in women with genital tuberculosis are very poor even after completing the full treatment. Most times require assistance from artificial reproduction technology. IVF treatment is definitely a ray of hope for them. However, in some cases, when the disease has damaged the reproductive organs largely, many have to opt for surrogacy to enjoy the joys of motherhood. Image source: Shutterstock

This article was originally published on thehealthsite, Read the original article here

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Posted in: Diseases & Conditions, Endometriosis, Infertility, Tuberculosis, World Tuberculosis Day

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