Sunday January 26, 2020

Health Experts Claim, Tuberculosis Can Reduce Chances Of Pregnancy

"It is also important that people thwart the factors that contribute to TB by making their living conditions more hygienic, improving immunity, and having better access to nutrition,"

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To combat the disease, it is essential that diagnostic facilities reach the farthest areas and people made aware of the consequences of contracting TB, said Rajkumar, Consultant Internal Medicine at New Delhi-based Indian Spinal Injuries Centre. Pixabay

Tuberculosis (TB) bacterium primarily affects the lungs, but can also spread and cause secondary infections to the uterus and even the fallopian tubes, which can reduce chances of pregnancy, health experts warned ahead of the World Tuberculosis Day that falls on March 24.

Usually caused by Mycobacterium tuberculosis (Mtb) bacteria, TB is the top infectious killer worldwide, claiming around 4,400 lives a day.

When the bacteria attacks the uterus, it causes uterine tuberculosis (also known as pelvic TB) which mostly affects women during the child-bearing period and is usually diagnosed during an infertility check-up.

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“Also, with medication, women can be helped to conceive through ART, either IVF of or IUI, where intervention can be done to repair the after-effects.” Pixabay

“Women are more often affected than males and due to uterine tuberculosis, two out of 10 females are unable to bear a child,” Shweta Goswami, Infertility Specialist at Jaypee Hospital in Noida, told IANS.

“In extreme cases, the uterine lining become so thin that it is unable to bear an implantation resulting in miscarriage,” she added.

Mtb bacteria is transported by blood to other organs including reproductive organs and causes infection in fallopian tubes, uterus or in endometrial lining.

“Tuberculosis has the ability to severely damage the fallopian tubes, if not treated at the initial stage.. it can further lead to serious health complications and also result in infertility,” Goswami said.

Symptoms of TB in uterus include irregular menstruation, pelvic pain, continuous discharge which is stained with blood or without blood with a foul smell and bleeding after intercourse.

A 2018 study by the Indian Council of Medical Research (ICMR) showed that over 50 per cent of female patients in India coming for IVF procedure have been reported to have genital TB.

The prevalence of genital TB among Indian women has increased from 19 per cent in 2011 to 30 per cent in 2015.

In over 95 per cent of the cases, the infection was found to affect the fallopian tubes, in 50 per cent the endometrium and 30 per cent the ovaries.

Moreover, nearly 75 per cent of women with genital TB were found to be infertile, and 50-60 per cent of women with infertility were found to have genital TB, the report stated.

“Treating uterine TB should be of the utmost importance as soon as it is detected. There is social stigma attached with TB which makes it difficult for people to come openly and talk about it,” said Shobha Gupta, Medical Director and IVF Specialist from Mother’s Lap IVF Centre, New Delhi.

There are combined tests which are used to investigate whether a person is suffering from TB which are a combination of AFB smear, culture and PCR for tuberculosis.

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When the bacteria attacks the uterus, it causes uterine tuberculosis (also known as pelvic TB) which mostly affects women during the child-bearing period and is usually diagnosed during an infertility check-up. Pixabay

“Also, with medication, women can be helped to conceive through ART, either IVF of or IUI, where intervention can be done to repair the after-effects,” Gupta noted.

According to the World Health Organization’s (WHO) ‘Global Tuberculosis Report 2018’, India accounted for 27 per cent of the 10 million people, who had developed TB in 2017, besides making up 32 per cent of global TB deaths among HIV-negative people and 27 per cent of combined TB deaths.

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To combat the disease, it is essential that diagnostic facilities reach the farthest areas and people made aware of the consequences of contracting TB, said Rajkumar, Consultant Internal Medicine at New Delhi-based Indian Spinal Injuries Centre.

“It is also important that people thwart the factors that contribute to TB by making their living conditions more hygienic, improving immunity, and having better access to nutrition,” he added. (IANS)

Next Story

Reported Deaths from New Coronavirus Probably an Underestimation: WHO

WHO Expects Coronavirus Cases, Deaths to Escalate

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People wear masks to protect themselves from coronavirus on a street in Hong Kong. VOA

By Lisa Schlein

The World Health Organization says the number of reported cases and deaths from the new coronavirus is probably an underestimation. The latest reports put the number of confirmed cases at 830, including 26 deaths.

Most of the infections and all of the deaths have occurred in China. A small number of coronavirus cases have been reported in seven other countries, including the United States. All have been mild, and all of those patients have recovered.

World Health Organization spokesman Tarik Jasarevic says it is too early to draw conclusions about the severity of the coronavirus.

“Because at the beginning of any outbreak, you would focus more on the severe cases and you will have more of those and then maybe we are missing some mild cases because people will just be a little bit sick and will not be ever tested and they will recover,” Jasarevic said. “We may see more mild cases as surveillance intensifies. So, the issue is not really so much on numbers that we know that will go up.”

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People travelling for the Lunar New Year wear protective masks as they head to the departure area at the Beijing Capital International Airport in Beijing. VOA

Michael Ryan, the executive director of the WHO’s health emergencies program, says there is no particular treatment for this new pneumonia-like coronavirus.

“There have been a number of compounds that have been used in the fight against coronavirus, but it is very important to recognize that there is no recognized effective therapeutic against coronaviruses,” he said. “However, there are potential clinical trials that can be done with agents and that is what we are focused on right now — identifying other therapeutic agents and opportunities to test new drugs.”

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On Thursday, a WHO expert committee decided not to declare the coronavirus a public health emergency of international concern. WHO Director-General Tedros Adhanom Ghebreyesus noted the virus was an emergency in China, but had not yet become a global health emergency.

He did, however, add the WHO was ready to reconvene another emergency meeting to review the decision if the evolution of the epidemic warranted a re-examination. (VOA)