What are the symptoms of fallopian tube tuberculosis

The symptoms of fallopian tube tuberculosis mainly include lower abdominal pain, irregular menstruation, infertility, etc., which need to be improved through anti-tuberculosis treatment and surgical intervention. Fallopian tube tuberculosis is caused by infection with Mycobacterium tuberculosis, which is often secondary to pulmonary tuberculosis or tuberculosis infection in other parts of the body, resulting in damage to the structure and abnormal function of the fallopian tube.

1. Lower abdominal pain is a common symptom of tubal tuberculosis. The pain is usually continuous or intermittent and may be accompanied by discomfort in the lumbar region. The degree of pain varies from person to person. Some patients may feel mild discomfort, while others may experience severe pain. This pain is usually related to inflammation and tubal adhesions, and may affect daily life in severe cases.

2. Menstrual irregularity is another typical manifestation of fallopian tube tuberculosis. Patients may experience menstrual cycle disorders, decreased menstrual flow or amenorrhea. This is due to the damage to ovarian function and abnormal hormone secretion caused by tuberculosis infection. Some patients may also have abnormal secretions such as increased leucorrhea and odor, indicating the possibility of secondary infection.

3. Infertility is one of the serious consequences of tubal tuberculosis. Due to adhesion, obstruction or loss of function of the fallopian tube, sperm and egg cannot combine normally, leading to difficulty in conception. The infertility rate of patients with tubal tuberculosis is high, and a clear diagnosis is required through hysterosalpingography or laparoscopy.

4. The diagnosis of fallopian tube tuberculosis mainly relies on medical history, imaging examinations and laboratory tests. Patients often have a history of tuberculosis or contact history. Imaging examinations such as ultrasound, CT or MRI can show thickening, effusion or adhesion of the fallopian tube. Laboratory tests include tuberculin test, sputum or secretion culture, etc., which are helpful to identify the pathogen.

5. Anti-tuberculosis treatment is the main treatment for fallopian tube tuberculosis. Commonly used drugs include isoniazid, rifampicin, pyrazinamide and ethambutol. The treatment plan is usually 6-9 months, and the dose and course of treatment need to be adjusted according to the patient's specific situation. During treatment, liver and kidney function should be monitored regularly to prevent adverse drug reactions.

6. For patients who are ineffective with drug treatment or whose condition is severe, surgical treatment may be required. Surgical methods include salpingostomy, salpingectomy or pelvic adhesion lysis, which aims to restore the patency of the fallopian tube or remove the lesions. Anti-tuberculosis treatment should still be continued after surgery to prevent recurrence.

7. The key to preventing fallopian tube tuberculosis is early detection and treatment of tuberculosis infection to prevent the disease from spreading to the reproductive system. For women with a history of tuberculosis or contact history, it is recommended to have regular gynecological examinations to detect and deal with potential problems in a timely manner.

The symptoms of fallopian tube tuberculosis are diverse and require comprehensive treatment to improve the condition. Early diagnosis and standardized treatment are the key to improving the cure rate and reducing complications. Patients should actively cooperate with doctors for treatment and follow up regularly to ensure that the condition is effectively controlled.