Pregnancy after frozen embryo transfer in mycobacterium tuberculous salpingitis: A case report and literature review
Background: Genital tuberculosis is a common cause of infertility due to blocked and permanently damaged fallopian tubes.
Case: In this case report, we describe one extremely rare case of tuberculous salpingitis in a woman who presented with infertility. She received anti-tuberculosis (TB) treatment 10 yr prior. In vitro fertilization (IVF) and intracytoplasmic sperm injection were carried out in our institute. Then, she underwent a laparoscopic salpingectomy due to bilateral hydrosalpinx and a frozen embryo was transferred, which led to pregnancy and a healthy child.
Conclusion: It was concluded that IVF and frozen embryo transfer provides treatment for tubal TB with a receptive endometrium. Laparoscopic salpingectomy prior to embryo transfer plays a critical role in predicting the occurrence of a pregnancy in a patient with hydrosalpingitis attributed to TB.
Key words: In vitro fertilization, Embryo transfer, Female genital tuberculosis, Salpingitis.
 Gatongi DK, Gitau G, Kay V, Ngwenya S, Lafong C, Hasan A. Female genital tuberculosis. Obstet Gynaecol 2005; 7: 75–79.
 Shahzad S. Investigation of the prevalence of female genital tract tuberculosis and its relation to female infertility: An observational analytical study. Iran J Reprod Med 2012; 10: 581–588.
 Sharma JB. Current Diagnosis and Management of Female Genital Tuberculosis. J Obstet Gynecol India 2015; 65: 362–371.
 Bapna N, Swarankar M, Kotia N. Genital tuberculosis and its consequences on subsequent fertility. J Obstet Gynaecol India 2005; 55: 534–537.
 Organization WH. WHO laboratory manual for the examination and processing of human semen. 5th Ed. World Health Organization Presss, Switzerland; 2010.
 Darwish AM, El Saman AM. Is there a role for hysteroscopic tubal occlusion of functionless hydrosalpinges prior to IVF/ICSI in modern practice? Acta Obstet Gynecol Scand 2007; 86: 1484–1489.
 Jameson LJ, Fauci A, Kasper D, Hauser S, Longo D, Loscalzo J. Harrison’s principles of internal medicine. 20th Ed. Mcgraw Hill, New York; 2015.
 Caliskan E, Cakiroglu Y, Sofuoglu K, Doger E, Akar ME, Ozkan SO. Effects of salpingectomy and antituberculosis treatments on fertility results in patients with genital tuberculosis. J Obstet Gynaecol Res 2014; 40: 2104–2109.
 Malhotra N, Sharma V, Bahadur A, Sharma JB, Roy KK, Kumar S. The effect of tuberculosis on ovarian reserve among women undergoing IVF in India. Int J Gynecol Obstet 2012; 117: 40–44.
 Pereira N, Pryor KP, Voskuilen-Gonzalez A, Lekovich JP, Elias RT, Spandorfer SD, et al. Ovarian response and in vitro fertilization outcomes after salpingectomy: does salpingectomy indication matter? J Minim Invasive Gynecol 2017; 24: 446–454.