Tuberculous Salpingitis?

, I am a 35 year old woman, married with 1 child (6 years old), April 2018 I was diagnosed with TB salpingitis based on a transvaginal ultrasound 17 April 2018: There were no myoma or adenomyosis masses. There is a dominant follicle of 12×11 mm on the left ovary. In both adnexes, there is an elongated mass, ekho not homogeneous, partly visible motion of the fluid in it. Size on right 31x13x17 mm, left 35x13x8. Both masses came from salpingitis. In the background (cavum douglasi) ascites with fibrin2 appears, which may be due to a tuberculous specific process. Clinical symptoms: heartburn like menstruation for about 2 weeks ago disappeared and appeared. Heartburn and discomfort in the stomach is felt a few days after menstruation ends for a period of approximately 5 – 7 days.

1 Answer:

Good morning, thanks for asking at HealthReplies.com. Tuberculosis (TB) is a disease that is a problem all over the world, although with the development of technology and medical science, the negative effects it gives have been greatly suppressed and the cure rate has increased considerably. In TB disease, there is a term known as pulmonary TB, or TB which is commonly known by people when someone experiences symptoms of a long cough, bloody cough and so on, and extra pulmonary TB, which is the same bacterial infection, but in other organs outside the lungs, such as bones, genitals, glands and brain.

TB that attacks the genitals is called genital TB. Genital tuberculosis is then divided again because it has many types, such as cervicitis (cervix), oophoritis (ovaries / ovaries), endometritis (lining of the uterus), epididymitis (sperm duct) and salpingitis (fallopian tubes that connect the ovaries and uterus). Symptoms that arise when a person experiences this condition include irregular menstruation, too much menstrual bleeding, too little, no menstruation at all, unusual vaginal discharge, pelvic pain or bleeding outside the menstrual cycle.

Factors that increase your risk of developing this condition are:

History of TB infection Living in a house with a person with HIV Living in a house with a person with TB Often in contact with or meeting someone with TB Live in slum areas Go to TB endemic areas Decreased body resistance

This condition is quite rare, and without a physical examination and proper support, it can look very similar to other diseases, such as pelvic inflammation, appendicitis, cancer, cysts, as well as pregnancy outside the uterus. So to diagnose this condition, ideally the doctor will need to perform various tests, such as blood tests, ultrasound, HSG (fallopian tube imaging), chest X-rays, biopsy, bacterial culture, serological tests and so on.

Regarding your question, what you need to know is that in order to make an ideal diagnosis, there are often many hindering external factors, such as unavailability of equipment, limits on the use of health insurance, waiting time that is too long even though the signs are very clear, and so on. So maybe your doctor feels that a biopsy examination is not necessary because indeed other signs are very supportive and based on his experience and physical examination and history of you, the condition that you show is typical of TB salpingitis.

The fact that your cure rate differs from that of other patients does not necessarily indicate that your treatment has failed or that you have been misdiagnosed. Because there are various other factors such as age, endurance, time to start treatment, whether the type of bacteria is resistant or common, a history of illness and so on that affect your recovery.

So our advice, because TB treatment does take a long time, you should stick to the treatment plan provided by your doctor, and take medication regularly. If later, after this time, the changes appear insignificant, your doctor may do a re-evaluation and involve examining a biopsy on you.

Meanwhile, avoid stress, cigarette smoke, and adopt a healthy lifestyle to further support your recovery by drinking lots of water, making sure the house has good air circulation and the sun enters the room, regular exercise, consuming lots of fruits and vegetables and getting enough rest. . Get well soon.

That's all, hope it helps.

dr. Amadeo D. Basfiansa

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