Genital Tuberculosis

Causative organisms-. Mycobacterium tuberculosis or  Mycobacterium bovis.
Gentile tuberculosis is almost always a secondary infection, spread hemaatogenously,and the infection become located in the ovarduct.subsequentaly the bacilli usually spread to the endometriom and less commonly to the ovaries.However, the oviduct are the primary and predominant site of pelvic tuberculosis.In fallopian tube most common affected part is ampulla and encountered pathology is endosalpingitis.
Incidence- 
Most common age groups is 20 to 30 years
Most common symptoms is infertility.
If patients conceive spontaneously, Ectopic pregnancy is the most likely outcome.
Second most common site of involvement; uterus
Tube -90-100%
Uterus-50-60%
Ovaries -20-30%
Vagina and Vulva-1-2%
Symptoms-
Pyometra-pus-filled Uterine cavity.
Menstrual irregularities
   Oligomeorrhea,Amerorrhea
   Menorrhagia
Infertility
Constitution symptoms
Pelvic examination
Normal pelvic examination
Tenderness
Bilateral adnexal mass in adolescents girls.
Diagnosis-
PCR
Culture
Blood test
Chest x-ray
Hysterosalpingography in TB
......etc
Treatment-

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Third Complications of labor

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Anatomy and physiology of Vagina to prevent infection

चित्र
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