What is the most common presenting symptom of genital tuberculosis in the reproductive age group

In reproductive-age individuals, the most common presenting symptom of genital tuberculosis (TB) can vary depending on the specific site of infection within the reproductive system. However, in many cases, genital TB may be asymptomatic or have nonspecific symptoms, making it challenging to diagnose.

That being said, the following symptoms are commonly associated with genital TB in the reproductive age group:

  1. Menstrual irregularities: Genital TB can cause menstrual irregularities, such as irregular or heavy periods, or the absence of periods (amenorrhea). Menstrual abnormalities may occur due to the involvement of the fallopian tubes or endometrium (lining of the uterus) by the TB infection.
  2. Pelvic pain: Persistent or recurrent pelvic pain, often described as a dull ache or discomfort, can be a symptom of genital TB. The pain may be localized to the pelvis or lower abdomen and may worsen during menstruation.
  3. Infertility: Genital TB is a significant cause of infertility in women. It can lead to tubal damage and scarring, which can obstruct the fallopian tubes and interfere with the transport of eggs and sperm. Infertility may be a presenting symptom or a consequence of untreated genital TB.
  4. Vaginal discharge: Some individuals with genital TB may experience abnormal vaginal discharge. The discharge may be persistent, profuse, or blood-tinged. However, it is important to note that vaginal discharge can have multiple causes, and further evaluation is necessary to determine the underlying cause.
  5. Constitutional symptoms: In some cases, genital TB may be associated with constitutional symptoms, such as low-grade fever, fatigue, weight loss, and night sweats. These symptoms may be nonspecific and can occur with other conditions, so it is crucial to consider the overall clinical picture and conduct appropriate diagnostic tests.

It is important to remember that the symptoms of genital TB can vary widely, and some individuals may be asymptomatic. If you suspect you have genital TB or have concerns about your reproductive health, it is recommended to consult with a healthcare professional, such as a gynecologist or infectious disease specialist, who can conduct a thorough evaluation and order the necessary tests for accurate diagnosis and appropriate management.