Background: Tuberculosis (TB) is an infectious disease caused by
Mycobacterium tuberculosis
. Genital TB (GTB) is a form of extrapulmonary TB that occurs more
frequently in women, in whom it classically presents in association with menstrual
irregularity, pregnancy loss and short and long-term sequelae especially infertility in
infected women. Patients with GTB are usually young women diagnosed during
workup for infertility. GTB is rare in postmenopausal women and responsible for
only approximately 1% of postmenopausal bleeding. In this study, we aimed to
evaluate the laboratory, clinical and demographic characteristics of female GTB
cases.
Case: We presented four female GTB cases with distinct clinical symptoms. All
patients have no history of TB, and no acid-fast bacilli were seen in smears prepared
from the clinical materials of the patients. Histopathological examinations revealed
granulomatous inflammation in all patients.
Conclusion: In the light of the clinical features of these cases we aimed to
emphasize that, female GTB must be taken into account in the patients with different
clinical symptoms like postmenopausal bleeding, menometrorrhagia, infertility, and
menstrual irregularities. We believe that these symptoms will be helpful for the
diagnosis and treatment of female GTB.