Is it possible to misdiagnose endometrial tuberculosis?

To diagnose endometrial tuberculosis, some hospital instruments are needed. Experts point out that some patients with endometrial tuberculosis do not go to the hospital for regular physical examinations. Over time, the condition of endometrial tuberculosis worsens. At this time, treatment requires more manpower and material resources, so early diagnosis is the key.

1. Use of diagnostic curettage

How to accurately diagnose endometrial tuberculosis in women? This diagnostic method can clarify the cause of the disease and eliminate malignant lesions. Tuberculosis should be controlled for three days before surgery, and antibiotics should continue to be given to eliminate tuberculosis after surgery. The operation should be gentle during the operation, because the infected uterine wall is fragile and can easily cause uterine perforation. The endometrium of senile endometrial tuberculosis is thin, so more care should be taken when scraping it. Endometrial tuberculosis after abortion may have residual embryonic tissue, which should be carefully and comprehensively scraped, which can often have a therapeutic effect at the same time.

2. Pathological examination

1. Gross examination. Endometrium is swollen and pale

2. Microscopic examination. There are many plasma cells and lymphocytes infiltrating in the endometrial stroma. It is worth mentioning that the presence of a relatively large number of plasma cells is helpful for diagnosis.

3. First look at the clinical manifestations

In mild tuberculosis, no abnormalities may be found in bimanual examination. When there is pyometra, the uterus will be spherical, enlarged, soft and tender, and examination with a speculum will reveal that the cervix is ​​discharging bloody pus with a foul odor.

After a woman has endometrial tuberculosis, there will be obvious changes in her body. If women always hide their illness and avoid seeing a doctor, thinking that endometrial tuberculosis will get better on its own, it will easily delay the best time for treatment. Women should not let endometrial tuberculosis affect their lifelong happiness.