What is the differential diagnosis of pelvic tuberculosis?

Pelvic tuberculosis is very harmful to patients and can easily lead to infertility in women. Generally, pelvic tuberculosis is secondary to pulmonary tuberculosis. At this time, it is necessary to conduct a good examination in time, conduct a tuberculosis bacteria examination, an endometrial pathology examination, and a laparoscopy, etc. After a good examination, get a clear confirmation, and then conduct regular treatment to avoid greater harm to your health.

Pelvic tuberculosis often occurs secondary to tuberculosis in other parts of the body, such as pulmonary tuberculosis, intestinal tuberculosis, peritoneal tuberculosis, etc.

Common clinical manifestations of pelvic tuberculosis include lower abdominal distension and discomfort, back pain, frequent urination, increased leucorrhea, dysmenorrhea, menstrual disorders such as scanty menstruation, significantly prolonged menstrual cycle, and even amenorrhea, etc. Some patients may have symptoms of systemic poisoning such as low fever, night sweats, fatigue, and weight loss. The above symptoms may exist alone or in combination. There may also be no obvious symptoms or signs, but pelvic effusion, pelvic masses, cysts may be discovered during physical examination, or the patient may seek medical treatment for infertility.

Because pelvic tuberculosis has a slow onset, long course and difficulty in diagnosis, it causes great physical and mental pain and financial consumption to patients. Many patients go to multiple hospitals and spend a lot of energy. Many people are eventually diagnosed through laparotomy or laparoscopy. Pelvic tuberculosis in adolescent girls often first invades the fallopian tubes.

Due to the lack of specific clinical manifestations, the fallopian tubes have already been severely diseased when the patient finally sees a doctor, leading to primary infertility, ectopic pregnancy, and miscarriage. Infertility is a major event that affects the entire family and causes great psychological pressure on female patients. According to literature reports: Laparoscopic exploration of unexplained infertility revealed that the incidence of pelvic tuberculosis was as high as 5.83%. In addition, fallopian tube and endometrial lesions make the pregnancy rate of assisted reproductive technology lower than that of infertility caused by other reasons. Therefore, the incidence of pelvic tuberculosis should attract the attention of clinical physicians and patients, and should be detected, diagnosed and treated early.