Abstract
Introduction: Infertility is a stressful event especially for women having both psychological and social impact.
Causes can be broadly classified under genetic, unknown etiology, environmental factors or of infectious origin.
Aim: Retrospective analysis for cause of unexplained infertility in women.
Materials and methods: Between 2008-2010, 200 female patients between age group 18 to 80 (mean age - 30.03) presenting with recurrent urinary tract infection not responding to antibiotics, irregular period and unexplained infertility were clinically evaluated.
Investigations included radiological and routine laboratory workup, monteux test, with screening for presence of Acid fast bacilli (AFB) done on early morning urine sample for three consecutive days.AFB culture was not done.
Result: Of the total 200 patients AFB was positive in (n- 120) 60% of female patients, of which (39%)were in productive age group of 18 to 25 years with history of infertility, apart from chronic urinary tract infection.
Risk factors in older age group seen was Diabetes and other constitutional disorders.
Monteux positivity correlated with AFB positive patients.
Treatment with Anti TB treatment (ATT) under DOTS had a positive response with (n-15) 12.5% (age group 18-25) having reversal of symptoms and subsequent conception.
Conclusion: Thus early detection and treatment can have a positive impact on prognosis.
Education on healthy life style management for women can help in restoring their health.
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