Trying to conceive. Had PCOD. Do patients who have suffered from endometrial tuberculosis face problems while conceiving through IVF?
Patient: Hello Doctor. I am a 31 year old female trying to conceive since the last 1 year. After starting my infertility treatment, my doctor suggested IUI. We did two 2 IUI but they did not turn positive. Since I had PCOD, my doctor advised for laproscopic ovarian drilling and hysteroscopy. The endometrial biopsy post hysteroscopy revealed endometrial tuberculosis. I underwent anti tubercular treatment for 6 months. Have now been trying to conceive with IVF.HCG number post 1st IVF was 77 which later dropped.Awaiting result for 2nd IVF cycle.My question to you is that do patients who have suffered from endometrial tuberculosis face problems while conceiving through IVF? Doctor: Hi, Endometrial tuberculosis affects the uterine lining essential for implantation and as such, spontaneous conception is affected. This is why IUI also had perhaps failed. Added to this, you suffer from PCOD, a deficient ovulation condition. Tuberculosis usually affects the fallopian tubes first, so tubal blocks should also be assessed. Endometrial tuberculosis may lead to endometrial or uterine adhesions and in such a case, IVF also may not give good results. A hysteroscopy is necessary to diagnose this. Please wait for your next cycle and follow your doctor's instructions. Take care.