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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could mycobacterium tuberculosis of the uterus be preventing pregnancy?

i am27 years old with a perfectly healthy life style. i have been married for the last 2.5 years we have not been able to conceive for the last one year. i have been diagnosed with Mycobacterium tuberculosis of the uterus. what is this about and what are the chances of having a normal pregnancy after its cure .. is this 100 curable ??
Thu, 18 Aug 2016
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OBGYN 's  Response
Hallow Dear,

Mycobacterium tuberculosis of the uterus indicates that you are having tuberculosis (TB) of the uterus. It destroys the uterine lining (endometrium) and thus hinders the conception. Along with uterine affection, usually the tubes also get infected which create anatomical and functional block in the tubes leading to infertility.

Genital tuberculosis can be definitely treated completely, though it is a prolonged treatment of about 6-9 months. However, it destroys the function of the genital tract. Hence, even though genital tuberculosis is cured completely, pregnancy after that is a very rare possibility.

You may think of adoption of a baby.

Dr. Nishikant Shrotri
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OBGYN Dr. Zenab Tambawala's  Response
Tuberculosis can affect any organ of the body.Unfortunately it has affected your uterus.Did they take a sample of the uterine lining by which this diagnosis was made?
You will have to take antitubercular medications,which have to be taken for 6-8 months, for them to effective. They definitely help in terms of treating the tuberculosis.
After this duration we will have to see if the uterine lining is affected or not with any residual damage.
In most cases ,the lining recovers and there is no problem having a baby.But in a few the lining gets scarred ,for which surgery such as hysteroscopy can help.
Only time can tell how much the tuberculosis has affected the uterine lining.But ,please take the medications against tuberculosis regularly as drug resistance in TB is becoming more and more common.
Hope this helps.
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