A couple presents with primary infertility. Hysterosalpingography reveals bilateral proximal tubal blockage with a 'golf club' appearance. Which organism is most likely responsible for this finding?
- A Chlamydia trachomatis
- B Mycobacterium tuberculosis ✓
- C Neisseria gonorrhoeae
- D Mycoplasma genitalium
Correct answer: B. Mycobacterium tuberculosis
Explanation
Genital tuberculosis classically causes proximal tubal blockage with characteristic 'golf club,' 'pipe stem,' or 'beaded' appearance on HSG due to multiple strictures. In India, TB is a leading cause of tubal factor infertility. Chlamydia and gonorrhea typically cause distal tubal damage (hydrosalpinx), not proximal blockage.
Reference: Shaw's Textbook of Gynaecology, 18th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.