Genital tuberculosis in a woman of reproductive age most frequently involves which anatomical site?
- A Endometrium
- B Fallopian tubes (bilateral endosalpingitis) ✓
- C Ovaries
- D Cervix
Correct answer: B. Fallopian tubes (bilateral endosalpingitis)
Explanation
In genital tuberculosis, the fallopian tubes are involved in virtually all cases (95–100%) as the primary site of infection, reached by haematogenous spread from pulmonary or intestinal TB. From there, TB spreads downward to the endometrium (50–70%), ovaries (20–30%), cervix (5–15%), and vagina/vulva (rare). The endometrium is the second most common site. Involvement of the fallopian tubes with resultant fibrosis and occlusion is the main cause of infertility in genital TB.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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