What are the types of endometrial tuberculosis?

Endometrial tuberculosis is an inflammation of the endometrium caused by Mycobacterium tuberculosis. Infectious diseases of the female reproductive organs caused by Mycobacterium tuberculosis often invade the fallopian tubes first, then gradually invade the endometrium and ovaries, and rarely involve the cervix, vagina, and vulva. It is often a part of pelvic tuberculosis, often secondary to pulmonary tuberculosis, renal tuberculosis, gastrointestinal tuberculosis, bone or joint tuberculosis, etc., and occasionally it can also be a part of systemic miliary tuberculosis.

Clinical manifestations

1. Irregular menstruation

Due to the influence of tuberculosis, the endometrium may become congested or form ulcers in the early stage, resulting in menorrhagia; in the late stage, the endometrium is damaged, affecting its function, causing infrequent menstruation or even amenorrhea.

2. Infertility

Because tuberculosis of the endometrium destroys the environment for the implantation and development of the fertilized egg, or tuberculosis of the fallopian tubes blocks the fallopian tubes and causes infertility, many patients come to the hospital for examination because of infertility, and are finally diagnosed with endometrial tuberculosis.

3. Lower abdominal pain

It is usually caused by pelvic tuberculosis, which leads to pelvic congestion, adhesion or abscess formation, causing lower abdominal pain.

4. Systemic symptoms

In severe cases, systemic symptoms such as fatigue, night sweats, low fever, weight loss and loss of appetite may occur.

5. Gynecological examination

It is often found that the patient's uterus is poorly developed, small or deformed. If combined with pelvic tuberculosis, positive signs such as pelvic masses or tenderness can be felt.