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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Is Uterus TB Tested?

Hi!Dr...recently i got to know that my friend was having uterus tuberculosis..bt when she went to another doc again den for confirmation they again sent blood sample for TB.reports was found ok..she has done CT scan for lungs too bt gain no tb infection found...i want to ask u is it possible that if blood,CT scan and sputum reports are ok den is dere a possibility that she may have uterus tb????
Mon, 20 Apr 2015
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Orthopaedic Surgeon 's  Response
Hello
I've read your query and i understand your concern for your friend

From the given history it looks like your friend has been diagnosed with endometrial tuberculosis
The endometrium is the inner mucous membrane lining the uterus.
Endometrial tuberculosis is a subtype of genital tuberculosis.


Genital TB is almost always secondary to TB elsewhere in the body—usually pulmonary and sometimes renal, gastrointestinal, bone, or joint; occasionally it is part of a generalized miliary disease process. If the bacilli are not eradicated, there is a lifelong risk of reactivation, especially in conjunction with diseases or drugs that cause attenuation of T-cell response (e.g. Hodgkin’s lymphoma, AIDS, steroids, stress, or malnutrition). The mode of spread is usually hematogenous or lymphatic and occasionally occurs by way of direct contiguity with an intraabdominal or peritoneal focus. The focus in the lung often heals, and the lesion may lie dormant in the genital tract for years, only to reactivate at a later time.

Yes, it is possible to develop endometrial tb.
But Ct scan in most of the cases would show a healed primary tb lesion

Symptoms of Endometrial TB are
Pelvic pain, irregular vaginal bleeding, vaginal discharge and in severe cases infetility

Take Care
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How Is Uterus TB Tested?

Hello I ve read your query and i understand your concern for your friend From the given history it looks like your friend has been diagnosed with endometrial tuberculosis The endometrium is the inner mucous membrane lining the uterus. Endometrial tuberculosis is a subtype of genital tuberculosis. Genital TB is almost always secondary to TB elsewhere in the body—usually pulmonary and sometimes renal, gastrointestinal, bone, or joint; occasionally it is part of a generalized miliary disease process. If the bacilli are not eradicated, there is a lifelong risk of reactivation, especially in conjunction with diseases or drugs that cause attenuation of T-cell response (e.g. Hodgkin’s lymphoma, AIDS, steroids, stress, or malnutrition). The mode of spread is usually hematogenous or lymphatic and occasionally occurs by way of direct contiguity with an intraabdominal or peritoneal focus. The focus in the lung often heals, and the lesion may lie dormant in the genital tract for years, only to reactivate at a later time. Yes, it is possible to develop endometrial tb. But Ct scan in most of the cases would show a healed primary tb lesion Symptoms of Endometrial TB are Pelvic pain, irregular vaginal bleeding, vaginal discharge and in severe cases infetility Take Care