This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
Endo metrial tuberculosis causing infertility is due to 
Select and explain. 
A. Anovulation, B. Tubal blockage, C. Ciliary dysmotility, D. Damage of endometrium
B: Tubal blockage
Answer: B: Tubal blockage 
Explanation: B. i.e. (Tubal blockage) (189 - Shaw's 14th) (215-130 Dutta 4th)GENITAL TUBERCULOSIS* Endometrial ulceration may lead to adhesions or synechiae formation (Asherman's syndrome). This may cause infertility, secondary amenorrhoea or recurrent abortion* In pelvic tuberculosis, blockage of tubes and endometrial tuberculosis causing As Herman syndromes (adhesions) are responsible* Breast milk is known to transmit - Untreated tuberculosis*** The uterine fibroid - which accounts for infertility is a corneal fibroid blocking the medial end of the fallopian tube, submucous fibroid, and cervical fibroid distorting the passage of the sperms**Isthumo- isthemic anastomosis is associated with maximum chances of re- canalization during surgery for reversal of tubal ligation.