Hi, PCR test is a very sensitive test, so false +ve reports may occur. That is why diagnosis of tuberculosis of reproductive system a clinical examination, laboratory testing of blood, histopathology of endometrium ,examination of uterine cavity with Histerosalpingogram are considered along with PCR test. Endometrial tuberculosis is a notorious condition as far as conception is concerned. Of course, in these days of modern medicine any type of problem is treatable. The only thing needed is earliest diagnosis & prompt &complete treatment under an experts guidance for specified period (minimum for 6 months) along with nutritive diet, vitamin/iron supplements for maintaining good general condition. You will need a combined care of a TB specialist & a Gynecologist. Now your queries- 1) Chances of adhesions and & tubal blockage can be prevented by regular & sufficient medication . 2) In uncomplicated & cured TB endometritis, natural conception is possible. Due to adhesions, possibility of tubal pregnancy is raised in Genital TB. To avoid tubal pregnancy, one can be careful & get all the investigations including Hystero salpingography done before planning for pregnancy 3)In fact,TB treatment, taken in a proper way, for sufficient period prevents any damage in reproductive organs. 4) Yes, after a complete & successful treatment of TB, & it s reassessment you can plan for pregnancy. Thank you.