Tubal tuberculosis

Tubal tuberculosis is the most common presentation of female genital tuberculosis, and often causes characteristic changes on HSG such as beading, rigidity, or complete blockage, sometimes affecting both tubes. Because tuberculosis heals by scarring, even successful anti-tubercular treatment of confirmed disease frequently leaves the tubes permanently non-functional. For this reason, once tubal tuberculosis has caused significant tubal damage, IVF (which bypasses the tubes) is usually the recommended route to pregnancy rather than tubal surgery. Diagnosis still requires proper confirmation — via endometrial or tubal sampling for histopathology, PCR or culture — and anti-tubercular treatment is not started for tubal blockage alone without supporting evidence of active or past TB.

Also known as: TB of fallopian tube

Last reviewed: 9 September 2026. Written by the Antega Editorial Team. General information only — always follow the advice of your own clinic, doctor or pharmacist.