What doctors can do: At this juncture i.e. -when clinical /
presumed diagnosis is very strong??-1) Firstly, to use
barrier method if seriously considers Koch’s from history. To ask the couple to
use barrier contraceptives till the ATD course is
completed or diagnosis of TB is excluded with reasonable certainty.
2) If one have doubt
one should not hesitant to proceed for Lap-Hysteroscopy (an endoscopy procedure
under anesthesia & peritoneal/ Lymph node biopsy (because
pick up rate of Koch’s seems very high-if hysteroscopy or Laparoscopy is done .
This is an important means of documentation prior to initiation of ATD).
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