Sexual Health
What are the symptoms of male genital tuberculosis? Three treatment methods for genital tuberculosis
Genital tuberculosis is a disease that may occur in women's bodies. Due to individual differences, the symptoms vary among women. Today, experts will take a look at the symptoms of genital tuberculosis, hoping to be helpful to everyone.
Genital tuberculosis symptoms
(1) Menstrual disorders: early signs of excessive menstruation or irregular bleeding; Patients with a long course of illness may have sparse or amenorrhea.
(2) Infertility: Due to the destruction and adhesion of the fallopian tube mucosa, or the destruction of mucosal cilia, the lumen is obstructed or the peristalsis of the fallopian tube is restricted, leading to infertility.
(3) Lower abdominal pain: It is caused by inflammation and adhesions in the pelvic cavity, or the formation of tuberculous fallopian tube ovarian abscess.
(4) Increased vaginal discharge: When combined with cervical tuberculosis, the symptoms are obvious, and the vaginal discharge can be purulent or bloody.
(5) Systemic symptoms:
① Fever: Generally low fever, with individual patients reaching over 39 ℃, and obvious menstrual period. If there is a fever during each menstrual period, it is a unique symptom of genital tuberculosis.
② General symptoms: night sweating, fatigue, weight loss, decreased appetite, etc. If there is ascites, abdominal distension can be felt.
Treatment of Genital Tuberculosis:
1. Supportive therapy
Strengthen nutrition, enhance physical fitness, and rest appropriately. During the activity period, tuberculosis patients should rest for at least 3 months.
2. Antituberculosis drugs
The principles of therapeutic drug therapy are early, combined, regular, moderate, and complete. In the past, long-term treatment for 1.5 to 2 years has been commonly used. In recent years, a combination of anti-tuberculosis drugs such as rifampicin, isoniazid, ethambutol, streptomycin, and pyrazinamide has been used, shortening the treatment period to 6 to 9 months and achieving good therapeutic effects. The commonly used anti tuberculosis drugs and their usage are as follows: rifampicin 450-600mg per day, taken orally before breakfast; Isoniazid 300mg daily, taken orally; Streptomycin 0.75g intramuscular injection, once a day; Take 0.5-0.75g of ethambutol daily as a daily dose; Pyrazinamide 1.5g daily, taken orally in 3 doses. At present, short-term medication treatment is being implemented, with intensive treatment available for the first 2-3 months and intermittent therapy available for the next 4-6 months.
3. Surgical treatment
Pelvic masses shrink after medication treatment, but cannot completely subside, especially in cases where malignant tumors cannot be excluded; Treatment ineffective or repeated after treatment; Patients with ineffective drug therapy for endometrial tuberculosis should undergo surgical treatment. To avoid the spread of infection during surgery and reduce adhesions, it is beneficial for the surgery to use anti-tuberculosis drugs for 1-2 months before surgery. After surgery, according to the activity of tuberculosis and whether the lesion is removed, continue to use anti-tuberculosis drugs for treatment to achieve complete cure. The surgery should be performed with total hysterectomy and bilateral adnexectomy, and for young women, ovarian function should be preserved as much as possible. Due to the extensive and tight adhesions caused by genital tuberculosis, oral intestinal disinfectants and cleaning enemas should be taken before surgery. Attention should be paid to anatomical relationships during surgery to avoid damage.