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Original ArticleOpen Access
Female Genital Tuberculosis : Clinical Features and Trend
Weerakiet S 
,
Rojanasaku A ,
Roclzanawutanon M
,
Rojanasaku A ,
Roclzanawutanon M A retrospective study of genital tuberculosis in women attending the Department of
Obstetrics and Gynecology between January 1986 and December 1997 revealed II patients with
a mean age of 38 years (range 23-77). Two patients had genital tuberculosis and tuberculous
peritonitis. The incidence was 0.01 per cent of outpatients and 0.05 per cent of ippatients. Eight
cases occurred during the last six years. Although the incidence was quite low, a rising trend was
observed. Of the clinical features, infertility was the commonest initial symptom (3 cases). The
most common site of infection was the endometrium (5 cases) followed by fallopian tube and
ovary (3 cases). Chest X-ray of all patients showed no lung infiltration while AFB staining and
PCR for tuberculosis were positive in two out of five and one out of two respectively. Six patients
received medical treatment only, and three were treated with antituberculous drugs after surgery;
all with good results. Tubal reconstructive surgery was performed in two patients without
medical treatment. Gynecologists should be aware of this disease to facilitate early diagnosis and
treatment.
Key word: Genital Tuberculosis - Female - Clinical Features - Trend
Obstetrics and Gynecology between January 1986 and December 1997 revealed II patients with
a mean age of 38 years (range 23-77). Two patients had genital tuberculosis and tuberculous
peritonitis. The incidence was 0.01 per cent of outpatients and 0.05 per cent of ippatients. Eight
cases occurred during the last six years. Although the incidence was quite low, a rising trend was
observed. Of the clinical features, infertility was the commonest initial symptom (3 cases). The
most common site of infection was the endometrium (5 cases) followed by fallopian tube and
ovary (3 cases). Chest X-ray of all patients showed no lung infiltration while AFB staining and
PCR for tuberculosis were positive in two out of five and one out of two respectively. Six patients
received medical treatment only, and three were treated with antituberculous drugs after surgery;
all with good results. Tubal reconstructive surgery was performed in two patients without
medical treatment. Gynecologists should be aware of this disease to facilitate early diagnosis and
treatment.
Key word: Genital Tuberculosis - Female - Clinical Features - Trend
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