I recently attended an IVF conference in Delhi and came away with a troubling impression. Many IVF specialists seem convinced that virtually every infertile Indian woman has genital tuberculosis (TB). According to this school of thought, TB is so common in India that the only reason we fail to diagnose it in everyone is because we are not looking hard enough. The justification is often based on personal clinical experience rather than robust scientific evidence.
The argument goes something like this: "Foreign literature cannot be trusted because genital TB is rare outside India. Indian doctors are the real experts." While it is true that genital TB remains an important cause of infertility in selected patients, there is a growing concern that the problem today may not be underdiagnosis—but overdiagnosis. The Diagnostic Odyssey A typical evaluation often begins with an endometrial biopsy…
