Comparison of clinical and laparascopic features of infertile women suffering from genital tuberculosis (TB) or pelvic inflammatory disease (PID) or endometriosis

Bilal Iqbal Avan, Z Fatmi, S Rashid

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVE: The objective of the study was to analyze the clinical and laparoscopic features, which may help to differentiate between infertility in females due to Genital Tuberculosis from Pelvic Inflammatory Disease (PID) and Endometriosis. METHODS: This case control study was carried out in a teaching tertiary care hospital. Medical records were searched from 1st January 1987 to 31st December 2000 and 43 infertile women with biopsy proven genital tract tuberculosis were found. Equal number of infertile females with diagnosed PID and Endometriosis were randomly selected. Comparisons were done between features of Genital Tuberculosis with PID and Endometriosis separately and also genital tuberculosis with combined controls of PID and Endometriosis. RESULTS: Patients with genital tuberculosis commonly had primary infertility. PID and Endometriosis patients had early menarche and increased duration of menstruation. On physical examination, patients with Genital Tuberculosis were found to have short heights. No significant findings were observes in the pelvic examination and menstruation history between the comparison groups. Laparascopic examination revealed that fallopian tubes were abnormal, tortuous, bilaterally blocked and thickly adherent more commonly in Genital Tuberculosis when compared to other groups. CONCLUSION: The primary infertility patients with chronic malnutrition and massive adhesive fallopian tubes on laproscopic examination should be evaluated for genital tuberculosis.
Original languageEnglish
Pages (from-to)393-9
Number of pages7
JournalJPMA. The Journal of the Pakistan Medical Association
Volume51
Issue number11
Publication statusPublished - 1 Nov 2001

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Pelvic Inflammatory Disease
Endometriosis
Tuberculosis
Menstruation
Fallopian Tubes
Infertility
Female Infertility
Gynecological Examination
Menarche
Tertiary Healthcare
Tertiary Care Centers
Teaching Hospitals
Malnutrition
Adhesives
Physical Examination
Medical Records
Case-Control Studies
Biopsy

Keywords

  • Adolescent
  • Adult
  • Case-Control Studies
  • Chi-Square Distribution
  • Endometriosis
  • Female
  • Humans
  • Infertility, Female
  • Pakistan
  • Pelvic Inflammatory Disease
  • Tuberculosis, Female Genital

Cite this

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title = "Comparison of clinical and laparascopic features of infertile women suffering from genital tuberculosis (TB) or pelvic inflammatory disease (PID) or endometriosis",
abstract = "OBJECTIVE: The objective of the study was to analyze the clinical and laparoscopic features, which may help to differentiate between infertility in females due to Genital Tuberculosis from Pelvic Inflammatory Disease (PID) and Endometriosis. METHODS: This case control study was carried out in a teaching tertiary care hospital. Medical records were searched from 1st January 1987 to 31st December 2000 and 43 infertile women with biopsy proven genital tract tuberculosis were found. Equal number of infertile females with diagnosed PID and Endometriosis were randomly selected. Comparisons were done between features of Genital Tuberculosis with PID and Endometriosis separately and also genital tuberculosis with combined controls of PID and Endometriosis. RESULTS: Patients with genital tuberculosis commonly had primary infertility. PID and Endometriosis patients had early menarche and increased duration of menstruation. On physical examination, patients with Genital Tuberculosis were found to have short heights. No significant findings were observes in the pelvic examination and menstruation history between the comparison groups. Laparascopic examination revealed that fallopian tubes were abnormal, tortuous, bilaterally blocked and thickly adherent more commonly in Genital Tuberculosis when compared to other groups. CONCLUSION: The primary infertility patients with chronic malnutrition and massive adhesive fallopian tubes on laproscopic examination should be evaluated for genital tuberculosis.",
keywords = "Adolescent, Adult, Case-Control Studies, Chi-Square Distribution, Endometriosis, Female, Humans, Infertility, Female, Pakistan, Pelvic Inflammatory Disease, Tuberculosis, Female Genital",
author = "{Iqbal Avan}, Bilal and Z Fatmi and S Rashid",
year = "2001",
month = "11",
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volume = "51",
pages = "393--9",
journal = "JPMA. The Journal of the Pakistan Medical Association",
issn = "0030-9982",
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}

TY - JOUR

T1 - Comparison of clinical and laparascopic features of infertile women suffering from genital tuberculosis (TB) or pelvic inflammatory disease (PID) or endometriosis

AU - Iqbal Avan, Bilal

AU - Fatmi, Z

AU - Rashid, S

PY - 2001/11/1

Y1 - 2001/11/1

N2 - OBJECTIVE: The objective of the study was to analyze the clinical and laparoscopic features, which may help to differentiate between infertility in females due to Genital Tuberculosis from Pelvic Inflammatory Disease (PID) and Endometriosis. METHODS: This case control study was carried out in a teaching tertiary care hospital. Medical records were searched from 1st January 1987 to 31st December 2000 and 43 infertile women with biopsy proven genital tract tuberculosis were found. Equal number of infertile females with diagnosed PID and Endometriosis were randomly selected. Comparisons were done between features of Genital Tuberculosis with PID and Endometriosis separately and also genital tuberculosis with combined controls of PID and Endometriosis. RESULTS: Patients with genital tuberculosis commonly had primary infertility. PID and Endometriosis patients had early menarche and increased duration of menstruation. On physical examination, patients with Genital Tuberculosis were found to have short heights. No significant findings were observes in the pelvic examination and menstruation history between the comparison groups. Laparascopic examination revealed that fallopian tubes were abnormal, tortuous, bilaterally blocked and thickly adherent more commonly in Genital Tuberculosis when compared to other groups. CONCLUSION: The primary infertility patients with chronic malnutrition and massive adhesive fallopian tubes on laproscopic examination should be evaluated for genital tuberculosis.

AB - OBJECTIVE: The objective of the study was to analyze the clinical and laparoscopic features, which may help to differentiate between infertility in females due to Genital Tuberculosis from Pelvic Inflammatory Disease (PID) and Endometriosis. METHODS: This case control study was carried out in a teaching tertiary care hospital. Medical records were searched from 1st January 1987 to 31st December 2000 and 43 infertile women with biopsy proven genital tract tuberculosis were found. Equal number of infertile females with diagnosed PID and Endometriosis were randomly selected. Comparisons were done between features of Genital Tuberculosis with PID and Endometriosis separately and also genital tuberculosis with combined controls of PID and Endometriosis. RESULTS: Patients with genital tuberculosis commonly had primary infertility. PID and Endometriosis patients had early menarche and increased duration of menstruation. On physical examination, patients with Genital Tuberculosis were found to have short heights. No significant findings were observes in the pelvic examination and menstruation history between the comparison groups. Laparascopic examination revealed that fallopian tubes were abnormal, tortuous, bilaterally blocked and thickly adherent more commonly in Genital Tuberculosis when compared to other groups. CONCLUSION: The primary infertility patients with chronic malnutrition and massive adhesive fallopian tubes on laproscopic examination should be evaluated for genital tuberculosis.

KW - Adolescent

KW - Adult

KW - Case-Control Studies

KW - Chi-Square Distribution

KW - Endometriosis

KW - Female

KW - Humans

KW - Infertility, Female

KW - Pakistan

KW - Pelvic Inflammatory Disease

KW - Tuberculosis, Female Genital

M3 - Article

VL - 51

SP - 393

EP - 399

JO - JPMA. The Journal of the Pakistan Medical Association

JF - JPMA. The Journal of the Pakistan Medical Association

SN - 0030-9982

IS - 11

ER -