Comprehensive analysis of endometrial tuberculosis

Endometrial tuberculosis is an inflammation of the endometrium caused by Mycobacterium tuberculosis. It is usually a part of pelvic tuberculosis and also a part of systemic tuberculosis. The main source of infection is pulmonary or peritoneal tuberculosis. Endometrial tuberculosis accounts for about 50% of genital tuberculosis. It often spreads from fallopian tube tuberculosis to the uterus, and the lesions are mostly confined to the endometrium.

Endometrial tuberculosis is usually caused by the spread of fallopian tube tuberculosis. When tuberculosis bacteria infect the body, the disease usually does not occur immediately, but after a period of incubation. During the incubation period, when the body's resistance is poor, tuberculosis bacteria can invade the endometrium and eventually affect the basal layer of the endometrium.

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.