Genital tuberculosis, infertility and assisted reproduction.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2023-06-01 DOI:10.1097/GCO.0000000000000866

Nousheen Mir, Lubna Pal

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引用次数: 2

Abstract

Purpose of review: The goal of this review is to familiarize a global readership on the subtilities of clinical presentation and the mayhem that a missed diagnosis of genital tuberculosis (GTB) is capable of inflicting on the health and wellbeing of infertile women with untreated GTB attempting to conceive with assisted reproductive technology (ART).

Recent findings: Emerging and recent literature relating to the epidemiology and clinical presentation of GTB and reporting of unique risks of ART for maternal and fetal morbidity in untreated cases of GTB are reviewed. Evidence relating to a broadening spectrum of screening methodologies for GTB detection of GTB is additionally considered.

Summary: Genital TB must be considered as a mechanism for couple's infertility in at-risk populations. Attempting to treat female GTB-related infertility with in-vitro fertilization poses unique and potentially life-threatening risks, both to the mother and to the conceptus; these risks can be avoided through vigilance, appropriate screening and timely treatment prior to proceeding with IVF.

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生殖器结核、不孕症和辅助生殖。

综述的目的:本综述的目的是让全球读者熟悉临床表现的微妙之处，以及生殖器结核病(GTB)的漏诊可能对患有未经治疗的GTB的不孕妇女的健康和福祉造成的伤害，这些妇女试图通过辅助生殖技术(ART)怀孕。最新发现:本文回顾了有关GTB的流行病学和临床表现以及未经治疗的GTB病例中母体和胎儿发病率的抗逆转录病毒治疗的独特风险报告的新兴和近期文献。此外，还考虑了与扩大筛查方法范围以检测GTB有关的证据。总结:生殖结核病必须被认为是高危人群夫妻不育的一种机制。试图通过体外受精治疗女性gtb相关不孕症对母亲和胎儿都有独特的潜在威胁生命的风险;这些风险可以通过警惕、适当的筛查和在进行体外受精前及时治疗来避免。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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