J:\งาน powerpoint and word\งานต๊อก\slide present\pp.fgtb\success preg in fgtb

$: J:\งาน powerpoint and word\งานต๊อก\slide present\pp.fgtb\success preg in fgtb$
Successful pregnancySuccessful pregnancy

after treatmentafter treatment

female genital tuberculosisfemale genital tuberculosis ( BKK, Thailand ) ( BKK, Thailand ) 02 Aug. 201002 Aug. 2010

Viriya Lekprasert, obgyn, 18745morsutenare.page4.me/

case reportcase report female genital TB female genital TB

• By : Dr. Viriya Lekprasert

• Thai Obstetrics and

Gynecologist Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me/

Thai female, 27 yr.

CC : Lt. Lower quadrant pain

with vagina D/C

PI : Had vaginitis 1 wk. ago and

failed oral medical treatmentViriya Lekprasert, Obgyn, 18745morsutenare.page4.me/

case report female genital TB

case report FGTB

• PV. : PID was found (triad tenderness)

• Pt. denied for admission

• Few days later, she agreed to admit

• Treatment PID and PPD test was done on 16 February 2004, ppd test was neg.

Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me/

• 24 January 2005 • CC : metrorrhagia from December

– UPT negative– Progesterone challenge test negative– Blood for HCG , prolactin , TSH ,

E2 , PTT


Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me


Estrogen + ProgesteroneEstrogen + Progesterone challenge test challenge test

ResultResult : Negative : Negative

Advice coc pills for 3 monthsAdvice coc pills for 3 months

Viriya Lekprasert, Obgyn, 18745morsutenare.page4.me/

• 12 January 200612 January 2006

• CCCC : metrorrhagia with pelvic pain for : metrorrhagia with pelvic pain for one year one year

• ppd testppd test result “positive” result “positive”

• ImpressionImpression ; female genital TB ; female genital TB




Patient denied anti- TB drugPatient denied anti- TB drug

Internist adviced Internist adviced second ob – gyn. opinionsecond ob – gyn. opinion

• 17 April 2006, mother-in-law was 17 April 2006, mother-in-law was pulmonary TBpulmonary TB


Pt. received Pt. received hormonal treatmenthormonal treatment for for metrorrhagiametrorrhagia with second ob-gyn. with second ob-gyn. opinion about one yearopinion about one year

But couldn’t control normal cycle But couldn’t control normal cycle 19 April 200719 April 2007, , came back came back with with

metrorrhagia and pelvic painmetrorrhagia and pelvic pain




19 April 200719 April 2007, , came back came back with with metrorrhagia and pelvic painmetrorrhagia and pelvic pain

Culture D/CCulture D/C from uterine cavity for TB from uterine cavity for TB AFB stain D/CAFB stain D/C from uterine cavity from uterine cavity Hystero – salpingography was done Hystero – salpingography was done



Culture D/CCulture D/C from uterine cavity for TB from uterine cavity for TB AFB stain D/CAFB stain D/C from uterine cavity from uterine cavity Hystero – salpingographyHystero – salpingography

** All result are ** All result are negativenegative


hystero - salpingographyhystero - salpingography

Normal hsytero – salpingography of patientNormal hsytero – salpingography of patient



• Patient accepted for admission for pelvic pain treatment

• and patient accepted anti-TB drug (INH, rifampicin and pyroidoxine) treatment


• Patient was well complianced for anti-TB drugs

• After anti-TB drugs with progesterone ;

• She had regular menstruation and still having pelvic pain, but decreased severity




• She was continued drugs for five months, then loss follow up for two months

• She came back to start cycle 5th again on 18 December 2007


28 April 2008, 28 April 2008, completed 9 cycles of completed 9 cycles of anti-TB drugsanti-TB drugs

LMP 12 March 2008, LMP 12 March 2008, missed period missed period about 6 wk.about 6 wk.

Transvaginal USG was done, Transvaginal USG was done, revealed revealed IUP 6 wk.IUP 6 wk.



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