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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Infertility, Diagnosed Tuberculosis Twice, Endometrium, Pleural Effusion, Torch Test Reactive, Severe Joint Pains. Solution?

Hi, i have a history of infertility, diagnoised with tuberclosis twice, once endometrium and other was pleural effusion, later took TORCH TEST and all elements of torch are very reactive..either IGG or IGM is very high. Since last 3-4 months experiencing joint pains especially lower limbs, knee..ankle, and heaviness..unable to do routine chores dueto pain as it exceeds after exertion....lower back n wrist, elbow n shoulder joints too trouble....pls help
Tue, 3 Sep 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Your history of illness as stated in the query is very ambiguous as on the one hand there is INFERTILITY , while TORCH test is positive i.e. either you are not pregnant , if pregnant then there is no infertility( as in torch test, infection can be spread from a woman to her developing fetus).
As you mentioned that you are feeling excruciating joints pain , may be due to rheumatoid arthritis so please get Rheumatic factor blood test for confirmation.
As you mentioned that you diagnosed as tubercular patient twice and also pleural effusion ( as all are usually due to tuberculosis).
In my opinion please get in ultrasound of uterus and first of all confirm pregnancy . ( whether fetus is in uterus or not).
Get in pregnancy test blood as well urine then consult a gynaecologist .
Consult a physician and get his opinion for tuberculosis as sometimes there may be tubercular arthritis.
In my opinion it is very difficult to evaluate disease according to this query.
Good luck.
Dr. HET
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History Of Infertility, Diagnosed Tuberculosis Twice, Endometrium, Pleural Effusion, Torch Test Reactive, Severe Joint Pains. Solution?

Hello, Thanks for the query to H.C.M. Forum. Your history of illness as stated in the query is very ambiguous as on the one hand there is INFERTILITY , while TORCH test is positive i.e. either you are not pregnant , if pregnant then there is no infertility( as in torch test, infection can be spread from a woman to her developing fetus). As you mentioned that you are feeling excruciating joints pain , may be due to rheumatoid arthritis so please get Rheumatic factor blood test for confirmation. As you mentioned that you diagnosed as tubercular patient twice and also pleural effusion ( as all are usually due to tuberculosis). In my opinion please get in ultrasound of uterus and first of all confirm pregnancy . ( whether fetus is in uterus or not). Get in pregnancy test blood as well urine then consult a gynaecologist . Consult a physician and get his opinion for tuberculosis as sometimes there may be tubercular arthritis. In my opinion it is very difficult to evaluate disease according to this query. Good luck. Dr. HET