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Genital Tuberculosis – A Reason For Infertility Among Women

Tuberculosis continues to be a major health problem throughout the world affecting about 9.4 million people annually with about two million deaths. Over 95 % of new TB cases and deaths occur in developing countries with India and China together accounting for 40 % of the world’s TB burden.

Tuberculosis infection doesn’t always remain restricted to the lungs but can also travel to other parts of the body such as bones, joints, urinary tract and genital tract, etc. If it reaches the genital areas of a woman, it could lead to infertility. In developing countries like India Genital tract tuberculosis is identified as an important cause of infertility.

 

In such cases, IVF treatment from IVF centre becomes a ray of hope. Genital TB mainly affects females in the reproductive age group, but it is also reported in post-menopausal females.

How Genital Tuberculosis infection affects women’s chances of getting pregnant?

How Genital Tuberculosis infection affects women’s chances of getting pregnant?

 

  • When tuberculosis infection affects fallopian tubes, it may cause obstruction or dysfunction. This prevents the entry of fertilized egg into the uterus from tubes.
  • On the other hand, if bacteria erode lining of endometrium, it will become difficult for the fertilized egg to implant itself on uterus wall and hence again averting pregnancy.
  • Infection in the ovaries would affect quality of ovum or lead to failure in ovulation.
  • Infection in the cervix, vagina or vulva could also make chances of pregnancy bleak.

 

What are the symptoms of Genital tuberculosis?

 

Genital tuberculosis doesn’t show any visible symptoms usually. If a woman has suffered from pulmonary TB in the past then it can show following signs which can indicate sub-fertility.

 

  • Irregularity in menstrual cycles such as suffering from scanty or heavy periods
  • Pain and heaviness in the pelvic area
  • Cysts in pelvic area

 

How can Genital Tuberculosis be diagnosed?

Female Genital TB is usually asymptomatic and hence gets diagnosed when a female presents with infertility and all other causes have been ruled out. Some tests used for diagnosis are:

  1. endometrial biopsy
  2. culture of menstrual flow and laparoscopy
  3. polymerase chain reaction for the specific bacteria
  4. hysterosalpingographic study (HSG)

 

Treatment for Genital Tuberculosis

Usually treatment is by giving daily therapy of rifampicin (R), isoniazid (H), pyrazinamide (Z) and ethambutol (E) for 2 months followed by daily 4 month therapy of rifampicin (R) and isoniazid (H). 

Treatment for Genital Tuberculosis

Anti Tuberculosis Treatment (ATT) has an excellent recovery/cure rate, so patients should not lose hope after being diagnosed with the disease. 

Treatment must be given by an experienced physician and self medication is to be strictly avoided.

Post ATT treatment IVF-ET helps conceive if the endometrium of the patient is still healthy. However, if endometrium has been affected due to TB then adoption and surrogacy are the only options left. Best infertility clinic in Chandigarh, Panchkula and Mohali provide test tube baby treatment and surrogacy to such patients.

 

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

How is Diabetes linked to Male Fertility?

Most people are well aware of the effects of diabetes on heart, kidney, eyes, digestion, and nerves. However, many of us do not know that it can have a negative impact on fertility as well. Many fertility treatments are there for infertile couples. IVF technology has resulted in higher success rates. You can get the best fertility treatment at Chandigarh IVF centres.

Common causes of male infertility which are linked to diabetes

Common causes of male infertility which are linked to diabetes-

Men can experience following infertility issues due to high glucose levels.

Erectile dysfunction –

One of the well-known risk factors for developing erectile dysfunction is diabetes. We all know that high blood glucose level affects the nerves and blood vessels throughout the body. Blood vessels and nerves present in the penis also get affected. It causes damage to the nerves which results in decreased sensation and arousal. Decreased blood flow to the penis may cause difficulty in achieving or maintaining firm erections.

Retarded and retrograde ejaculation –

Damaged nerves in the penis may lead to ejaculation problems. Retarded ejaculation is difficulty in achieving ejaculation which may occur due to lack of nerve sensitivity. Retrograde ejaculation is another problem which may result due to damaged nerves. It occurs when nerves fail to control the urinary bladder muscles from closing at the point of ejaculation. Due to this, semen enters the bladder instead of exiting through the penis.

If there is a problem in conception via intercourse, then assisted reproduction technology (ART) such as IVF can help in treating infertility. Cost of IVF in Chandigarh is affordable. So if you are looking for low-cost IVF treatment, then you can go there.

Chandigarh IVF centres

Reduced sperm quality –

Research has shown that diabetes may lead to reduced sperm quality. Semen volume, motility, and DNA integrity- all can get hampered with diabetes. Hormonal abnormalities like low testosterone levels, which are common in diabetic men, may also decrease libido and worsen erectile dysfunction.

No doubt, the treatments, including IVF in Chandigarh, are available for an infertile diabetic male. Yet, tight control of blood sugar levels is the best management of diabetes. You can manage diabetes to some extent by making some lifestyle changes such as daily exercise, eating low glycemic index containing foods, oral hypoglycemic agents, insulin and regular follow up with your doctor.

You can also visit our website Jannee Fertility Centre and follow us on Google Plus, Pinterest, Facebook, Twitter and YouTube for the latest blog on fertility issues. 

IVF Chandigarh

IVF Chandigarh