Symptoms of ovarian tuberculosis female friends must know

The twenties are the most beautiful age for women, but it is also the age when ovarian tuberculosis is most prevalent. Therefore, female friends must understand the symptoms of ovarian tuberculosis so that they can detect it early and treat it early, so as not to leave themselves with lifelong regrets. Let’s take a look at the symptoms of ovarian tuberculosis!

Tubal and ovarian tuberculosis usually occurs in women of childbearing age, and 80% to 90% of patients are first diagnosed between the ages of 20 and 40. Its main clinical manifestations are infertility (45%-55%), pelvic pain (50%), and systemic wasting symptoms (25%). Menstrual abnormalities rarely occur when the endometrium is not invaded.

Tuberculosis of the fallopian tubes and ovaries usually has no obvious symptoms and is often discovered when seeking medical treatment for infertility. According to literature statistics [2], infertility accounts for

Among infertile patients, genital tuberculosis accounts for 40% to 76%, while genital tuberculosis accounts for 1% to 16%. Primary infertility is the most common. According to statistics, 85% of patients with genital tuberculosis have never had

Conception. 40% to 50% of patients experience lower abdominal pain, which is caused by extensive adhesions caused by the lesions or the formation of tuberculous fallopian tube and ovarian abscesses. Tuberculosis Live

During the active period, some patients may have systemic symptoms such as low-grade fever in the afternoon and weight loss. Menstrual disorders are rare in tubal and ovarian tuberculosis.

In the early stage, endometrial congestion or ulceration may lead to increased menstrual flow, prolonged menstrual period or irregular bleeding; in the late stage, endometrial fibrosis and scar formation may occur.

The symptoms are decreased menstrual flow or even amenorrhea.

Auxiliary examinations for tuberculosis include chest X-ray (8% to 15% of pulmonary tuberculosis patients have genital tuberculosis), tuberculin skin test (PPD), erythrocyte sedimentation rate (the degree of increase is parallel to the activity of tuberculosis lesions), etc. The specificity of the tuberculin test is 85% and the sensitivity is only 55%, but it can still be used as a screening method in areas with low tuberculosis incidence.

The localization diagnosis method of fallopian tube and ovarian tuberculosis mainly relies on B-ultrasound, hysterosalpingography, laparoscopy and laparoscopic biopsy pathological examination. When endometrial tuberculosis is suspected, diagnostic curettage or endometrial biopsy pathological examination and hysteroscopic biopsy pathological examination are of great significance. If the peritoneum is involved, CA125 may be elevated. When combined with ascites, ascitic tuberculosis culture and acid-fast staining to detect tuberculosis are helpful for diagnosis.