Hysterosalpingographic findings in infertile women with genital tuberculosis.

OBJECTIVES

To evaluate the hysterosalpingographic findings from infertile women who were subsequently diagnosed with genital tuberculosis.

METHODS

A retrospective study of 70 infertile women who underwent hysterosalpingography to investigate infertility and were subsequently diagnosed with genital tuberculosis.

RESULTS

The mean age of the women was 27.3 years and the mean duration of infertility was 6.1 years. A total of 57 (81.4%) women had primary infertility while 13 had secondary infertility. Diagnosis of genital tuberculosis was made by polymerase chain reaction (54.3%), tuberculous granuloma on biopsy (22.8%), acid-fast bacilli culture (2.8%), and at laparoscopy or hysteroscopy (20%). Hysterosalpingographic findings were a normal uterine cavity observed in 57.1% of women, an irregular cavity in 18.5%, a shrunken cavity in 2.8%, and an irregular filling defect in 18.5%. Synechiae were observed in 17.1% of women.

CONCLUSION

Genital tuberculosis is a common cause of infertility in India, causing significant uterine and tubal pathologies.