Brief Answer:
Telangiectasia means increased vascularity observed.

Detailed Answer:
Hi Ms. XXXXXXX

Thanks for posting your query.

Hope you are keeping better health now. I have gone through the sonogram report. Here are your answers:

1. ATT is usually given for one year in treating pelvic tuberculosis. This decision is also based on the response. Thus, I think your doctor is the better judge.

2. The sonogram report suggests adhesion of both the ovaries to the sides of the uterus. If this is causing any symptoms, treatment should be planned. This can be done through laparoscopic removal of adhesions. Several sittings may be needed, since the body's reaction to surgery varies from individual to individual. Some have a higher tendency to form adhesions. Further treatment is planned depending on the postoperative recovery.

3. Getting an MRI can be of use when further management is being planned. In the current scenario, since you are already in the recovery phase, you may not need it.

4. Scar formation is the result of the body's reaction while healing. Of course, scar formation is a feature of healing in tuberculosis. This can be the reason for the adhesion of the ovaries. I also remember that you were reported as having post-operative adhesions. In that case, these adhesions might have added to the current sonogram picture.

5. Tuberculosis bacteria do not remain in adhesions, as far as my knowledge goes. Research has shown them to sustain in the mediastinal region for years and flare up when there is an immunodeficiency in the body.

6.The presence of multiple follicles in the ovaries suggests polycystic ovaries, but, according to the latest standards, the follicle number should be at least 26, more than 2 mm. in size and the ovarian volume should be more than 10 ml. to diagnose polycystic ovarian disease. Since you seem to be attaining regular menstrual cycles, observation is needed.

7. Telangiectasia means dilatation of the capillaries, usually seen as a spider web on the skin surface. In the report, the ovaries seem to have increased circulation and this is likely to have resulted in this picture. Most often, this condition is benign. Follow up is sufficient.

Hope your queries have been clarified. Please feel free to contact for further information. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
A general surgeon with good laparoscopic experience.

Detailed Answer:
Hello,

Thanks for writing back.

Here are your answers:

1. Low immunity is caused by the disease itself. Though you are on treatment, due to the lowered immunity it is common to see associated fungal or other infections. You need to try and improve immunity in every way possible-through diet, rest, breathing exercises and nutritional supplements.

2. Since you were put on Ethambutol, you need to have regular eye care from an ophthalmologist, at least every six months. Since steroids cannot be given freely due to the underlying infection, treatment of keratitis takes time.

3. It is possible to have a left suture or tissue induration. Investigation like a contrast CT or MRI will usually show this.

4. Medication to treat adhesions are being tried in allopathy but with not so much benefit. I am not sure of such medications in ayurveda and homeopathy. You need to consult specialists in the respective fields. It is true that there is a chance of adhesions continuing to grow and cause discomfort or obstruction.

5. A general surgeon with ample operative laparoscopic experience is a good choice if you wish to go for any operative procedure. Medications are not of much use, sorry to say.

Hope your queries have been answered. Please contact for further help. I will be glad to oblige.

regards,
Shanti.V.

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