Abstract

Genital tuberculosis (tbc) is an important cause of female infertility and in recent years, more women are being diagnosed with genital tbc in primary and secondary infertility evaluation. This paper presents the diagnosis of endometrial tbc in two women with tubal factor infertility that underwent several assisted reproductive treatment cycles previously. Two women, who underwent several failed assisted reproductive treatment cycles previously in other hospitals due to tubal factor infertility, were evaluated with laparoscopy and hysteroscopy in order to reveal the cause of implantation failure.  Office hysteroscopy was scheduled in both women in order to reveal the cause of recurrent implantation failure. Endometrial biopsy was taken at the end of the procedure and histopathological examination revealed granulomatous endometritis in both of the cases. Mycobacterium tuberculosis was shown with endometrial tissue culture in one of the cases. Anti-tuberculosis therapy was initiated in both women. In cases with bilateral tubal factor infertility, genital tbc should be considered in the differential diagnosis. Endometrial cavity should certainly be evaluated in women with bilateral blocked tubes and endometrial biopsy be taken for histopathological examination.
Key Words: Genital Tuberculosis; Infertility; Tubal Factor; Assisted Reproductive Treatment (ART).