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

### input:
Hi,  I am jyoti.i had an ectopic pregnancy in 2013.my right tube has removed that time.my left tube was blocked and I had laparoscopy on 31 sep 2013. Now my  left tube is opened. Doctor has diagnosis that I have tb pcr in endometrium . So my queries are 1) can my tube blocked again.2) can I conceive naturally , what is the chances of tubal pregnancy.3) can tb pcr treatment will damage tube.4) we can start planning for pregnancy after tb treatment.

### output:

Hi, PCR test is a very sensitive test, so false +ve reports may occur.  That is why diagnosis of tuberculosis of reproductive system a clinical examination, laboratory testing of blood, histopathology of endometrium, examination of uterine cavity with Histerosalpingogram are considered along with PCR test.  Endometrial tuberculosis is a notorious condition as far as conception is concerned. Of course, in these days of modern medicine any type of problem is treatable. The only thing needed is the earliest diagnosis & prompt complete treatment under an experts' guidance for specified period (minimum for 6 months) along with nutritive diet, vitamin/iron supplements for maintaining good general condition.  You will need a combined care of a TB specialist & a Gynecologist.  Now your queries- 1) Chances of adhesions and & tubal blockage can be prevented by regular & sufficient medication.  2) In uncomplicated & cured TB endometriosis, natural conception is possible. Due to adhesions, possibility of tubal pregnancy is raised in Genital TB.  To avoid tubal pregnancy, one can be careful & get all the investigations including Mystery salpingography done before planning for pregnancy 3)In fact, TB treatment, taken properly, for sufficient period prevents any damage in reproductive organs.  4) Yes, after a complete & successful treatment of TB, & its reassessment you can plan for pregnancy.  Thank you.