Infertility problem. Right tub be blocked and left partially open. Menstrual blood test done which was negative. Prolactin is high. Suggestion?
Patient: hello dr i am having infertility problem .my right tube is block and left one is partially open . i had my tb test done by menstrual blood test which was negative .now my doctor had prescribed me to go for tb treatment as he think tb to be the reason of tubal blockage .my prolactin is little high .what should i do .please suggest. Doctor: Hi,Thanks for consulting us.This is true that Tuberculosis is very common in certain parts of the world. When this involves the genital tract,  subfertility may result.I don't think it would be justifiable to start ATT ( anti-tuberculous treatment ) without confirming the diagnosis first. I think you should take a second opinion before starting ATT, as this is not a standard practice to start treatment without lab evidence of the disease & there are better treatment options to help women with tubal blockage. Women with borderline raised prolactin do not need treatment. So, better search for a good fertility specialist in your area.Wish you good health.Best of luck.