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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tuberculosis

I got married 1 and half year back But last month I contacted gynpcologist who advised me to undergo tbbpcr test..which outcome was positive..but to confirm Tb infection I undergo tbplatina igra test which was negative.but doctor still recomending for akt4 for 2 mo n th.my menses also not proper.shold I start akt4 for anti Tb drug.cann I conceive after full course of akt4. Little bit blockage is also there in my falopion tube inn hsg.can it be cured fully...i m very depressed after came to know Tb infection. Nisha 27 years
Mon, 6 Apr 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Tuberculosis of fallopian tunes is common cause for blockage of tuberculosis and infertility, especially in India.
And your TB PCR is also positive, this also favour possibility of tuberculosis more.
So better to start anti tb treatment.
It is having two phases.
1. Intensive phase consists of four drugs (rifampicin, isoniazid, ethambutol, pyrazinamide) for 2 months.
2. Continuation phase consists of two drugs (rifampicin and isoniazid) for at least 4 months.
So you need to take at least 6 months of treatment.
And you can expect reversal of tube blockage only after 2-3 months of treatment.
So don't worry much, start anti tb treatment and get done follow up after 2-3 months.
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Suggest Treatment For Tuberculosis

Thanks for your question on HCM. I can understand your situation and problem. Tuberculosis of fallopian tunes is common cause for blockage of tuberculosis and infertility, especially in India. And your TB PCR is also positive, this also favour possibility of tuberculosis more. So better to start anti tb treatment. It is having two phases. 1. Intensive phase consists of four drugs (rifampicin, isoniazid, ethambutol, pyrazinamide) for 2 months. 2. Continuation phase consists of two drugs (rifampicin and isoniazid) for at least 4 months. So you need to take at least 6 months of treatment. And you can expect reversal of tube blockage only after 2-3 months of treatment. So don t worry much, start anti tb treatment and get done follow up after 2-3 months.