When to suspect TB dieases has affected one of your relative? What may be her symptoms??

So, Ladies and Gentlemen, when to suspect Genital Kochs –which is commonly termed as TB? We just can’t investigate all symptomatic women for Kochs.

2. When to suspect that one is suffering from Kochs? The index of suspicion will be high in following clinical situations:-

1) Family of Kochs or else H/O contact with Koch’s in office settings or close relatives particularly in close family members,

 2) Next index of suspicion:  unexplained slow response in cases with antibiotics in a clinically diagnose PID,

3) Unexplained long lasting Low back pain for which no cause is demonstrable, (LBP or say CPP i.e. Chr. Pelvic pain 3) Hypomenorrhoea,(scanty periods)  / Long standing white discharge –resistant to conventional TR and or unexplained menorrhagia. 4) resident / domiciled in endemic areas, 5) unexplained (non-neoplastic unilateral Adnexal Mass, 6) unexplained subfertility, 7) persistent demonstration of free fluid in POD even in unmarried girsl.etc, etc)—9) Persistent Thin ET and no withdrawal bleeding / In ART settings if Receptivity of Endometrium is suboptimal / Rec implantation failure.10) During Hysteroscopy if Synechiae is visible or at Diag Lap for some other easy tubercles are observed at gut wall, POD, on the surfaces of F Tube. 11) Exacerbation of PID component after ant uterine / Tubal procedures –say HSG .9) TC of Blood, raised Lymphocytes count, and ESR, 10) raised MT > 10 mm if her age is < 20 yr