### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi i had tuberculosis around 12 yrs bk .... and i hv gone for ivf, once i got miscarge and the 2nd came out ectopic pregnancy... now  i gone for eilsa test where my iggtest  range is very high and in mestural blood igg is +ve .and nw i m takin akt-4(ethambutol hcl &isoniazid tabs, pyrazinamide tab, rifampicin caps). i will b fine after taking this tab, will bacteria die. i can get preg natuaruly or sud i go 4 ivf.

### output:

Hello. IgG suggests long term infection. You seem to have been started on AKT 4 on the suspicion that you have/ had genital tuberculosis. But, it is a bit confusing here - if at all you have been carrying tuberculosis for 12 yrs without treatment it would've had spread to different places and been much more severe by now. However, if it is genital tuberculosis indeed, taking AKT-4 will definitely help in normal conception, if both your fallopian tubes are patent and ovaries are working fine. This is because, tuberculosis is known to cause blocked tubes and unfavorable changes in the lining of the uterus. If there are any changes in the reproductive organs i.e. ovaries, fallopian tubes or the uterus, I am afraid you may have to go for IVF again. Your gynecologist must have already checked the patency of the fallopian tubes i.e. they should be hollow. If at all they aren't, options are IVF or surgical reconstruction (with very fewer chances of success). Hope this helps. Chat Doctor. 