A 30-year-old woman is investigated for secondary infertility. Hysterosalpingography shows a pipe-stem pattern of bilateral fallopian tubes and calcified pelvic lymph nodes. Endometrial curettage histology shows caseating granulomas. The first-line antitubercular regimen duration for genital tuberculosis under the Indian NTEP is:
- A 2 months intensive (HRZE) plus 4 months continuation (HR) — total 6 months ✓
- B 2 months intensive (HRZE) plus 7 months continuation (HR) — total 9 months
- C 12 months of HRZE throughout
- D 2 months intensive (HRZE) plus 10 months continuation — total 12 months
Correct answer: A. 2 months intensive (HRZE) plus 4 months continuation (HR) — total 6 months
Explanation
Genital tuberculosis is treated with the standard NTEP regimen: 2 months of intensive phase (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) followed by 4 months of continuation phase (Isoniazid, Rifampicin) — total 6 months. This is the same as pulmonary TB. Extended 9- or 12-month regimens are reserved for drug-resistant or CNS TB under specific indications.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.