GENITAL TUBERCULOSIS PRESENTING AS PRIMARY AMENORRHEA

Abstract

Supriya Mahajan1

Incidence of Extrapulmonary TB (EPTB) is increasing in young women throughout the world. We report a case of young woman apparently having no sings & symptoms of Tuberculosis.

CASE REPORT: 18 years young female patient was referred to us as a case of Primary Amenorrhea. She had Normal secondary sexual characters & normal Breast Development (Tanner staging of Breast-IV.) She had negative Progesterone Challenge Test (PCT). Estrogen & Progesterone Challenge Test was negative. Diagnosis of End Organ Problem was done. Diagnosis of Genital Tuberculosis was confirmed by hysterolaparoscopy. She was given AKT for six months.

DISCUSSION: Hysterolaparoscopy is important investigation in a case of Primary Amenorrhea with negative Estrogen & Progesterone Challenge Test. Tuberculosis with its varied presentation can present as primary amenorrhea in young unmarried female.

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