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Endometrial Mycobacterium, DNA-PCR, Laparoscopy. Conceive?

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Posted on Wed, 23 May 2012
Question: sir laproscopydone . tube are open but endometrial tissue dectect in mycobacterial dna pcr . species mt complex . what types treatment need and can she concive
doctor
Answered by Dr. Rhea Chanda (1 hour later)
Hello,

Thanks for the query.

If the endometrial tissue shows mycobacteria then that indicates genital tuberculosis.
In most cases,it depends on how much damage was done to the endometrium and how long the infection persists.Since the implantation will take place on the endometrium,its condition is important.Anti tuberculosis medicines are given for a period of 9 months to 1 year.Most infections clear up by the time the medicines are completed.
She could trying getting pregnant after that but the success rate can be variable depending on how much damage was already done.In severe endometritis there can be long term damage,like fibrosis,scarring,adhesions etc.These can cause deifficulty in conception.

On another note,diagnosis of genital tb is very difficult.Only a endometrial tissue biopsy showing tubercles can be confirmative of the infection.
Many doctors start empirical anti tb treatment before biopsy.

Hope that answers your question.
Follow ups are welcome.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rhea Chanda (22 hours later)
why genital tb in women mostly . can i reamdy natural way.and mam i have semen analysis done i have pus 20-30 how can i reduce . i eaten some tablet for 10 day like zethrin /oxificin etc
doctor
Answered by Dr. Rhea Chanda (10 minutes later)
Hi again,

Thanks for getting back to me.

Genital TB can happen in both men and women but since its difficult to diagnose less cases are reported.Since fertility is a issue in these cases,women are generally diagnosed.

In your case,pus cells in the semen indicates infection/prostatitis.Antibiotics is the treatment.If you have taken them,repeat the semen analysis after a month.
There is no natural remedy for TB to my knowledge.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Rhea Chanda

OBGYN

Practicing since :2005

Answered : 3161 Questions

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Endometrial Mycobacterium, DNA-PCR, Laparoscopy. Conceive?

Hello,

Thanks for the query.

If the endometrial tissue shows mycobacteria then that indicates genital tuberculosis.
In most cases,it depends on how much damage was done to the endometrium and how long the infection persists.Since the implantation will take place on the endometrium,its condition is important.Anti tuberculosis medicines are given for a period of 9 months to 1 year.Most infections clear up by the time the medicines are completed.
She could trying getting pregnant after that but the success rate can be variable depending on how much damage was already done.In severe endometritis there can be long term damage,like fibrosis,scarring,adhesions etc.These can cause deifficulty in conception.

On another note,diagnosis of genital tb is very difficult.Only a endometrial tissue biopsy showing tubercles can be confirmative of the infection.
Many doctors start empirical anti tb treatment before biopsy.

Hope that answers your question.
Follow ups are welcome.

Regards,