Latent genital tuberculosis in Peruvian infertile women

• Autor: Ascenzo Cabello, Jorge
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista SPOG - Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.spog:article/910
• Enlace del recurso: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/910
• Nivel de acceso: acceso abierto

Peru is currently undergoing a massive tuberization in their towns -310 deaths per 100,000 inhabitants and one of tuberization up in their rural areas. Morbidity is about 3%. The methods of diagnosis of genital tuberculosis latent, at present, are still deficient, a fact that is clearly seen by studying clinical frequency between the various ginecopatías, 0.5% to 1.5% for Lima, and compared with the percentage found in the body, for our capital 4.4%, a figure that has yet to be higher for reasons discussed. We have not found any work on matrimonial Peruvian sterility refers to genital tuberculosis. We have found genital latent tuberculosis in 8.1% of women who consult us for double sterility: 9 sick over 110 private patients, after dropping 120 for not having their full studies. All our cases occurred in primary sterile. We obtained full or partial tubal obstruction, without history or previous pelvic gonorreicos phlogistic in 88.8%. Hipermenorrea warned in 44.4% and amenorrhea or oligomenorrhea in 33.3%. We note a history of pleuropulmonary tuberculosis, digestive or bone only 22.2%, and genital hypoplasia with equal frequency. All graphs of the persuflaciones with CO2 partial tubal obstruction were directed stiff, persuflaciones following sub-diagnostic-have-before, rather than an improvement, produced greater tubal blockage or became total obstructions 22.2%. After having the diagnosis, we repair that 1 in 3 of our hysterosalpingography showed evident radiographic signs of genital tuberculosis, that should make us suspect in this eventuality. We have obtained our diagnoses by the following methods: a. By endometrial biopsy in 55.5%. b. By operative findings in 22.2%. c. Culdoscopy by 11.1%. d. By cervix biopsy in 11.1%. None of our cases got pregnant. With the finding we suspended the study of sterility, did the specific treatment and indicate the adoption after intense psychotherapy.