An interesting case of Genital Tuberculosis presenting as primary amenorrhea

ABSTRACT: BACKGROUND: Genital tuberculosis more commonly presents as secondary amenorrhea. Most of the patients are asymptomatic and are usually diagnosed during evaluation for infertility. Genital Tuberculosis may rarely, present as primary amenorrhea. Incidence of primary amenorrhea due to genital TB is 2.5%, we are presenting a case of such patient. CASE REPORT: 18 years unmarried female presented as a case of Primary amenorrhea with normal height & well developed secondary sexual characteristics. USG whole abdomen revealed uterus size-5.2 cm x 3.8 cm x 2.6 cm, Endometrial thickness-25 mm, b/l ovaries normal. Diagnostic hysterolaparoscopy was done & biopsy of endometrial tissue showed chronic granulomatous lesion, strongly suggestive of genital Tuberculosis. CONCLUSION: Primary amenorrhea constitutes less than 1 % of patients in OPD which requires proper evaluation, mostly tuberculosis is not thought to be the only cause, but our case showed it, so has to be included in the differential diagnosis. KEYWORDS- Genital Tuberculosis, Primary amenorrhe