Hello and thanks for the query,
I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries.
There are so many questions and I do understand your concern. Unfortunately
tuberculosis of the genital tract is the most difficult to treat condition. It is possible to treat the infection but the effects that it leaves on the genital system make
pregnancy difficult.
I understand that you have a
tubal block, please also confirm if the endometrium was also affected or not. If the endometrium is unaffected and one tube is open, there are good chances of getting pregnant.
A 6-9 months course of treatment is usually given to kill the bacteria. What needs to be dealt with is the
scars that it leaves. Please take this treatment completely after it is started as incomplete treatment leads to emergence of tb that cannot be cured by the drugs used earlier and so longer duration and more drugs are needed. So please take complete treatment. After that you may try spontaneous conception for 6 months using ovulation kits or ovulation study to predict ovulation. If this is not successful, the blocked tube may be tried to open by a surgery called
tuboplasty if possible and if endometrium is normal.
If endometrium is affected, chances of pregnancy are unfortunately very very low 4-5% only as the baby cannot get attached to the
uterus.
I do understand that all of this sounds negative, but it is my duty to inform all the facts to you. The chances of pregnancy are there and they are not zero as I have seen women conceive after being treated for genital tb.
Regarding the intercourse, usually most of the bacteria are killed in 14 days. It is best to discuss this with your doctor as he will have an idea of the burden of infection and the severity so will provide better suggestions.
I hope that I have clarified the matters. Wish you all my good wishes for future pregnancy.
Thanks for using HCM.
Have a good day.
Dr Nilajkumar Bagde
Consultant Obstetrics and Gynecology