Tuberculous Pelvic Inflammatory Disease

Female genital inflammation caused by tubercle bacilli is called genital TB, also known as tuberculous pelvic inflammatory disease. It is mostly found in women aged 20-40, also in postmenopausal women. Tubal TB is most common (85-95%), then endometrial TB. Most are secondary to pulmonary, intestinal, peritoneal, or mesenteric lymph node TB; rarely to bone/joint or urinary TB. Primary genital TB is rare. Treatment is mainly supportive and anti-TB therapy; it is curable but requires a long course and regular follow-up; surgery is recommended if the condition changes. Prevention hinges on overall TB control; for genital TB, early detection and standardized anti-TB treatment are key, through building fitness, BCG vaccination, and treating pulmonary/lymph node/intestinal TB.

Common Symptoms

Station doctor; menstrual changes; lower abdominal heaviness; lower abdominal distending pain; night sweats; night sweats; fatigue; low fever; pelvic pain; lower abdominal pain

Causes and Pathogenesis

Female genital TB is generally considered secondary to pulmonary or peritoneal foci. It usually first affects the fallopian tubes, then spreads to the endometrium; cervical and ovarian involvement is less common.

Treatment

Drug therapy, supportive therapy

Preventive Measures

Prevention hinges on overall TB control; for genital TB, early detection and standardized anti-TB treatment are key, through building fitness, BCG vaccination, and treating pulmonary/lymph node/intestinal TB.

Department to Visit

It is recommended to visit the Infectious Diseases department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.