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STUDY OF ENDOMETRIAL TUBERCULOSIS FROM RURAL, INDUSTRIAL & ADIVASI AREAS – A COMPARATIVE ANALYSIS

BACKGROUND: Endometrial tuberculosis is found to be very important cause of subfertility due to damage to endometrium & fallopian tube as well as pelvic organs.

MATERIALS & METHODS: This study was conducted at Gice Clinic Kalyani, from 2015 April to 2021 December. 300 cases were selected for study from different areas in and around Kalyani, West Bengal. The participants were subjected to menstrual blood TB-RTPCR on Day 2 of menstruation and endometrial biopsy on Day 19-21 respectively.

OBSERVATION: It is significant to note that, out of 300 cases, 52 cases were found to be TB-PCR positive which included adivasi (26%), industrial (18%), & rural (8%) areas, whereas endometrial granuloma were seen in adivasi 6 (23%), industrial 4 (22.2%), & rural 2 (25%) – which may be important causative factors for subfertility.

CONCLUSION: Hence TB-PCR test as well as endometrial biopsy was found to be very important procedures for diagnosis & treatment of subfertility, chronic pelvic diseases & ill health, especially in low resources areas. 

KEY WORDS:  Menstrual blood, TB PCR test, Endometrial Biopsy, Endometrial tuberculosis.


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