Alhamdulillah....an excellent research work on "Female Genital Tuberculosis and Subfertility : Nobel Approaches for Successful Reproductive Outcome with Anti Tubercular Drug Therapy in Bangladesh Perspective....dony by our Honorable Chairman Professor Jesmin Banu Madam has been published on International Scholars Journal of Applied Medical Sciences on 25.9.2023.
Female Genital Tuberculosis is one of the important causes of infertility in Bangladesh. Because there is no gold standard, the diagnosis of Genital TB presents a dilemma to clinicians and there remains a high index of suspicion. In Women with advanced disease, who have extensive tubal damage and extensive adhesions in the pelvis and uterus, the reason for the poor fertility prognosis is obvious. The rate of conception is very poor, and when conception does occur, the pregnancy is more likely to be ectopic or result in a spontaneous abortion.There is even a role for latent Genital TB in infertility because dormant mycobacteria present in the basal endometrium may impair the endometrial and sub endometrial blood flow.
In low-income countries like Bangladesh where IVF is costly, Anti Tubercular Therapy may be started even on the basis of positive DNA PCR result or on the basis of laparoscopic and hysteroscopic findings. Effective anti- tubercular therapy can provide successful reproductive outcome in infertile patients with Genital TB.
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