Clinicopathological Study of Female Genital Tuberculosis in a Tertiary Care Hospital

Background: This study aimed to describe the various clinical presentations of female genital tuberculosis and study the different methods of diagnosis and treatment. Materials and Methods: This retrospective study was conducted in the postgraduate department of obstetrics and gynaecology, GMC Jammu from January 2018 to January 2020. Results: Genital tuberculosis was diagnosed in 28 females over 3 years. The majority of the women (40.6%) belonged to the age group 21-29 years. Most of the women (46 %) presented with infertility followed by secondary amenorrhea (32%). 16 females who underwent diagnostic hysterolaparoscopy as a part of evaluation for infertility were diagnosed to have genital tuberculosis. Endometrial samples were sent in all cases and CBNAAT was the most valuable tool showing positive results in about 39.28% of cases. All cases were treated with anti-tubercular drugs. Conclusion: Female genital tuberculosis is an underestimated disease mainly due to its asymptomatic nature and lack of sensitive tests. Social, familial, ethical issues continue to haunt the clinician in addition to the clinical challenges faced with a case of female genital tuberculosis.