Hi, I am 35 year old woman and recently gone through menstural blood pcr test and mycobacterial have been detected. My doctor said, I will not get pregnant because of this situation and suggested some medication for 3 months. and also said if I wont conceive in these 3 months, she needs to do some tube test. I am really scared that I will never get pregnant. I desperately want a baby. Can you share your thoughts on the above? Thanks
Hello premenstrual blood PCR positive for mycobacterium suggests endometrial tuberculosis. In the woman, it causes tuberculous enteritis (infection of the uterus) and salpingitis (infection of the tubes). This infection can often be silent, and may not cause any symptoms or signs. Once the histologic diagnosis of TB endometriosis has been made(like in your case), then treatment with antitubercular medicine must be started to prevent further progression of the disease. However, usually with TB endometriosis, infection of the fallopian tubes also occurs, and the damage caused to the tubes (TB salpingitis) is irreversible. Infection of tubes might result in irreversible tubal infertility, and the only treatment option available then to conceive would be IVF. In the past some doctors would try to do surgery to repair the tubes, but this is futile surgery, because the tubes never work properly once they have been infected. Tubes which have been severely damaged may form a HY Chat Doctor. Although antitubercular chemotherapy is the mainstay of treatment, surgery may be indicated where medical therapy has failed to resolve symptoms and in presence of a persistent pelvic mass. So I suggest for now you continue with your antitubercular 