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Can Menstrual Blood Be Used To Test For Pelvic Tuberculosis?

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Posted on Mon, 22 Jun 2015
Question: Hello
Can the sample of menstrual blood be sent for cytology,afb smear culture and senstivity,mycotbpcr,if no tissue biopsy has been done,to ascertain abdominal or pelvic tuberculosis..also can mdr tb be known from that menstrual blood sample
doctor
Answered by Dr. Dr. Rakhi Tayal (27 minutes later)
Brief Answer:
Yes. It will help in diagnosis.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
A sample of menstrual blood can be sent for cytology and culture. It will help in diagnosis of pelvic TB. The culture of the blood will help in recognizing the MDR TB.
It is a simpler way to diagnose pelvic TB rather than a tissue biopsy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (13 hours later)
Thanks doc,
Is thecultureand cytology of menstrual blood sample followed in practice because i heard from someone else tht it is not possible and tissue biopsyhas to be done.

Since i m on att for last two months intialky my fever was down in 4 5 th week but it again resurfaced in 6 7 week..curremtly i m in 8th week..for last 20 days i m having low grade fever...does that happen with att.. i m feeling tired nausea and sometimes chills in my body,, does that happen..

I have been given akt 4 for three months,,is it ok

Also if i want to rule out for cancer and hiv how can that be done thru blood work..

Pls guide
doctor
Answered by Dr. Dr. Rakhi Tayal (53 minutes later)
Brief Answer:
AKT4 can be taken for 3 months.

Detailed Answer:
Hello.
Thanks for writing again.
The culture of the menstrual blood is done prior to a biopsy as it is a non invasive procedure.
The symptoms that you are having can be due to the side effect o the ATT medicines that you are taking. AKT 4 can be taken for 3 months.
For HIV, a blood test is available. You can get the test prescribed by your gynecologist. To rule out any endometrial or ovarian cancer, investigations like ultrasound scan, Serum CA-125 and endometrial biopsy will help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (2 days later)
Mam got some blood work done,.pls detail the abbrations.

I m having lots of giddiness for last 10 days ,,whst could be t reason

Mam wen is the ideal day for sending menstrual blood for tb pcr and afb study,is it day 1 or day 2 of periods.
Pls reply asap


doctor
Answered by Dr. Dr. Rakhi Tayal (3 hours later)
Brief Answer:
Details below.

Detailed Answer:
I have seen all the reports. The borderline change in RDW and lymphocytes do not indicate any specific problem. The raised uric acid level can cause joint pains. You need to reduce your protein intake.
The lower levels of blood urea nitrogen is not worrisome. The raised levels of SGPT is due to AKT4 that you are taking. The levels will return to normal after the treatment is stopped.
The raised cholesterol levels need to be treated. Avoid fatty and oily foods and do have regular exercise. Raised CRP is suggestive of an infection.
The giddiness can be due to dietary changes or anxiety. Do increase your fluid intake. It will help.
It is best to menstrual blood of day 1 for culture.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (2 days later)
Decrease in Lymphocytes and increase in Neutrophils suggest acute infecection means what..does tht reflects tb.. wht doea raised crp indicates too and what kund of acute infection can be there

I m not in plan of leaving my medicines,but yes my doubt still pe3sistvof tb or some other infection..

Also i could not submit menstrual blood sample ..any other way of detection of mdr tb that is non invasive.what is expert mtb.rif..is that relevant test with regard to tb

Can cect be done wen on akt 4...is tht hwlpfil than mri
doctor
Answered by Dr. Dr. Rakhi Tayal (6 hours later)
Brief Answer:
Details below.

Detailed Answer:
Acute infection means that you presently have a short term infection may be caused by any bacteria in some part of your body. Further clinical examination and specific investigations are needed like blood culture to detect the type of infection. Raised CRP also indicates the same thing.
The infection can be confirmed after a culture.
MDR TB can be detected by endometrial tissue biopsy. The Xpert MTB/RIF is a cartridge-based, automated diagnostic test that can identify Mycobacterium tuberculosis (MTB)DNA and resistance to rifampicin (RIF)by nucleic acid amplification technique(NAAT). But it will also need a positive culture to isolate the nucleic acid. This will also need menstrual blood or endometrial biopsy.
CECT or MRI cannot diagnose TB. They can only detect some fibrosis but not the actual bacteria.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (35 hours later)
Thanks mam,

I showed my blood reports to my trewating doc.he was not worried regarding the changes in cbc and he also said that both cbc and increased crp is there in xase of tuberculosis and hence hedidnt recommend any blood culture,,should i go for it,however he wnted to have watch on lft and kft

Can expert mtb,rif be given in normal blood sample also for diagnosis of tb and culture and also in urine sample.

Mam to identify of i m having some kind of infection in my intestines what could be done ,in terms of blood work or scans

Also how to identify cellulitis, i m attaching my reports of usg and mri,pls guide,

Will laproscopy be safe if there is tb inside and cellulitis on skin and in view of lscs six months back,
Pls guide in detailed manner,.
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Details below.

Detailed Answer:
The deranged CBC and CRP can be due to TB. So no need to go for a blood culture.
You have suspected genital TB or pelvic TB. It cannot be detected by testing normal blood or urine sample.
MRI scan can help in detecting a possible infection. Your scan suggests fibrosis in the pelvis which is suggestive of tuberculosis. This can be confirmed on menstrual blood culture or do continue with the treatment and you will feel symptomatically better.
Cellulitis is detected by clinical examination. The presence of a sinus is suggestive of an infection.
Laparoscopy can be done safely from a separate incision other than the C- section scar.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (2 days later)
Doc is there any way to find out if that has been spread to intestines level since i have started feeling doscomfort in middle roght abdomen also,

I was also given norflox 400 course of 7 days which i could take for 3 days and left now can i continye for remaining 3 days..

I m given pegalup syrup for constipation for how long it is safe to take it..using gor 7 days now,

Also i havestartibg facing some eye issues,,mydoc says since i have used ethabutol for three months it can be switched yo akt 3 now,,,is tht safe in genital tb..

What is meant by sinus ...will normal blood not help in jyst idenfitying multi drug resistamce
doctor
Answered by Dr. Dr. Rakhi Tayal (6 hours later)
Brief Answer:
Details below.

Detailed Answer:
To detect intestinal TB, a peritoneal fluid sample can help. Or the laparoscopy can detect the infection of intestines.
It is of no use to continue with norflox again after stopping the treatment once.
You can use pegalup syrup for constipation for 4-6 months. It will not cause any harm. Do regulate the dose as per your need.
AKT3 is safe for genital TB. But it may not help in MDR TB.
Sinus means a tract that joins two body cavities.
Normal blood sample will not detect a genital TB or intestinal TB.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14043 Questions

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Can Menstrual Blood Be Used To Test For Pelvic Tuberculosis?

Brief Answer: Yes. It will help in diagnosis. Detailed Answer: Hello, Thanks for trusting us with your health concern. A sample of menstrual blood can be sent for cytology and culture. It will help in diagnosis of pelvic TB. The culture of the blood will help in recognizing the MDR TB. It is a simpler way to diagnose pelvic TB rather than a tissue biopsy. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal