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Could TB Be The Reason For Fallopian Tube Blockage?
We are married in June 2009 and have been trying for kids. We underwent(especially my wife) lot of medical tests
regarding concieving. I am giving some important medical test results below. I request for clarification on below
several doubts I have:
1) Does my wife has TB based on below reports? Some doctors say she has TB while some say she does not have.
2) In case she has TB based on below report findings, is that the reason for the right fallopian tube blockage?
Will it also cause problems for fertilization when egg is released in normal tube.
3) Also I would like to know if one tube is blocked, then does the egg always get released on the open tube? Or is
it irregular in which tube egg gets released or is that alternative in each period cycle?
4) After marriage can RUBELLA virus vaccination be taken?
My (Husbands) report: Semen Analysis: Liquification: 35 min; Actively motile: 70%; Sluggishly motile: 10%; Non
motile: 20%; Sperm count: 96 millions/ml; Morpholpgy: Normal-80% Abnormal-20%; Other findings: 5-6 pus cells and
occassional epithelial cells/HPF
Wife health/ reports: Suffered Double Typhoid in Sep 2009. Later had imperofrated hymen surgery in Sep 2010 on a a
doctors advice. Other medical reports taken in last 30-60 days:
1) HSG XRAY: Right Fallopian tube is not opacified S/O CORNUAL BLOCK. Uterus retroverted normal in size. Left
Fallopian tube is normal in calibre with peritoneal spillage of contrast.
2) Holecular Study: Egg rupture on 20th day during period cycle. (Genrally Having 30 day cycle regularly).
3) TB IgM: 2.1 (Postive)
4) TB IgG: 120 U/mL
5) Estradiol (ELFA): 18.96 /mL (sample taken on 4th day of period)
6) CMV IgG Antibody: 8.17 IU/ML (Positive)
7) CMV IgM Antibody: 0.48
8) RUBELLA VIRUS-IgG: 14.96 (Positive)
9) RUBELLA VIRUS-IgM 0.45
10) Endometrium for HPE: Section shows endometrial glands with stroma. The glands are dilated and lined by a
single layer of epithelial cells. Subnuclear vaculoation is seen. HISTOLOGICAL DIAGNOSIS: Early Secretory Phase/
2nd post ovulatory day.
11) TOXOPLASMA GONDII - IgG 2.12
12) TOXOPLASMA GONDII - IgM 0.36
13) FSH (ELFA) : 2.64 Miu/ML
14) LH (ELFA): 1.70 Miu/ML
15) Prolactin (ELFA): 10.48 ng/mL
16) Testosterone (ELFA): 0.10 ng/mL
regarding concieving. I am giving some important medical test results below. I request for clarification on below
several doubts I have:
1) Does my wife has TB based on below reports? Some doctors say she has TB while some say she does not have.
2) In case she has TB based on below report findings, is that the reason for the right fallopian tube blockage?
Will it also cause problems for fertilization when egg is released in normal tube.
3) Also I would like to know if one tube is blocked, then does the egg always get released on the open tube? Or is
it irregular in which tube egg gets released or is that alternative in each period cycle?
4) After marriage can RUBELLA virus vaccination be taken?
My (Husbands) report: Semen Analysis: Liquification: 35 min; Actively motile: 70%; Sluggishly motile: 10%; Non
motile: 20%; Sperm count: 96 millions/ml; Morpholpgy: Normal-80% Abnormal-20%; Other findings: 5-6 pus cells and
occassional epithelial cells/HPF
Wife health/ reports: Suffered Double Typhoid in Sep 2009. Later had imperofrated hymen surgery in Sep 2010 on a a
doctors advice. Other medical reports taken in last 30-60 days:
1) HSG XRAY: Right Fallopian tube is not opacified S/O CORNUAL BLOCK. Uterus retroverted normal in size. Left
Fallopian tube is normal in calibre with peritoneal spillage of contrast.
2) Holecular Study: Egg rupture on 20th day during period cycle. (Genrally Having 30 day cycle regularly).
3) TB IgM: 2.1 (Postive)
4) TB IgG: 120 U/mL
5) Estradiol (ELFA): 18.96 /mL (sample taken on 4th day of period)
6) CMV IgG Antibody: 8.17 IU/ML (Positive)
7) CMV IgM Antibody: 0.48
8) RUBELLA VIRUS-IgG: 14.96 (Positive)
9) RUBELLA VIRUS-IgM 0.45
10) Endometrium for HPE: Section shows endometrial glands with stroma. The glands are dilated and lined by a
single layer of epithelial cells. Subnuclear vaculoation is seen. HISTOLOGICAL DIAGNOSIS: Early Secretory Phase/
2nd post ovulatory day.
11) TOXOPLASMA GONDII - IgG 2.12
12) TOXOPLASMA GONDII - IgM 0.36
13) FSH (ELFA) : 2.64 Miu/ML
14) LH (ELFA): 1.70 Miu/ML
15) Prolactin (ELFA): 10.48 ng/mL
16) Testosterone (ELFA): 0.10 ng/mL
Tue, 11 Jul 2017
hi there,I have understood your concern and I will suggest you the best possible treatment options.
I will suggest that your wife should undergo laparoscopy and hysteroscopy for evaluating the reproductive organs.
Please get M.Tb. PCR test done on 24 hours urine and endometrial sample. IgA antibodies are indicative of active infection in tuberculosis.
Rest of the tests where IgG antibodies are present, it indicates past infection and bodied resistance against the germs.
Rubella IgG antibodies are positive,so she need not take vaccine for the same.
Your semen analysis shows pus cells and I will suggest you to get culture and sensitivity test done.So it will guide to know about infective organisms and appropriate antibiotics.
Egg release can occur from any ovary. It has no relation to the patency of the fallopian tubes.
I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgankar
I will suggest that your wife should undergo laparoscopy and hysteroscopy for evaluating the reproductive organs.
Please get M.Tb. PCR test done on 24 hours urine and endometrial sample. IgA antibodies are indicative of active infection in tuberculosis.
Rest of the tests where IgG antibodies are present, it indicates past infection and bodied resistance against the germs.
Rubella IgG antibodies are positive,so she need not take vaccine for the same.
Your semen analysis shows pus cells and I will suggest you to get culture and sensitivity test done.So it will guide to know about infective organisms and appropriate antibiotics.
Egg release can occur from any ovary. It has no relation to the patency of the fallopian tubes.
I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgankar
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