ABSTRACT
Tuberculosis as tuberculous salpingitis has been estimated to account for 1% of infertility in the United States, as compared with 10% in India (102). The damage associated with tubal tuberculosis is diffuse. Although the initial oviductal infection is mucosal, thereafter the muscularis and serosa are involved. Tuberculosis has a proclivity to infect tubal mucosal epithelium (as it does the endometrium) by hematogenous spread. At first, the disease is a microscopic infection secondary to a primary focus (usually respiratory). It then may progress to become nodular, albeit with preservation of fimbria, or adhesive with distortion of the adnexa. In the exudative form of tuberculous salpingitis, caseated granulomata can coalesce to simulate a pyosalpinx.
