Thursday, April 28, 2011

A female has a history of uterine tuberculosis, can she conceive


A female has a history of uterine tuberculosis, can she conceive?

Infectious Diseases - 1 Answers
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That depends on the condition of the uterus and Fallopian tubes. While TB damages the Fallopian tubes irreparably, it also damages the endometrium. In most women, if the diagnosis is made quickly and the infection treated promptly, the uterus heals well, partly because the old uterine lining is shed every month in the menstrual period and a new, healthy one regenerates. However, in severe cases, the TB endometritis does not heal, and leads to scarring and severe fibrosis and intrauterine adhesions (Asherman's syndrome). Periods become scanty and can stop altogether. There's no effective treatment for this as endometrial tissue after TB can become very avascular. The condition of the uterus can be determined by hysteroscopy



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