In simple words: Tuberculous female pelvic inflammatory disease is a type of tuberculosis that affects the female reproductive organs. It can cause pain, abnormal bleeding, and infertility.

Tuberculous female pelvic inflammatory disease is a form of extrapulmonary tuberculosis affecting the ovaries, fallopian tubes, and uterus. It occurs when Mycobacterium tuberculosis (or rarely Mycobacterium bovis) bacilli spread from an initial infection site (often the lungs) through the blood or lymphatic system, lodging in the pelvic organs and forming granulomas. These granulomas can remain dormant for extended periods before rupturing and causing active infection. Symptoms include abnormal bleeding, persistent foul-smelling discharge, abdominal swelling, pelvic pain, amenorrhea, infertility, and general TB symptoms like fever, night sweats, and weight loss.

Example 1: A 30-year-old female presents with chronic pelvic pain, irregular periods, and infertility. She has a history of pulmonary tuberculosis.After further investigation, including imaging and AFB testing, she is diagnosed with tuberculous female pelvic inflammatory disease., A 25-year-old female with no prior history of tuberculosis experiences persistent foul-smelling vaginal discharge, abdominal swelling, and pelvic pain.Following a thorough examination and testing,a diagnosis of tuberculous female pelvic inflammatory disease is confirmed., A 40-year-old female undergoing infertility evaluation is found to have granulomas in her fallopian tubes.Biopsy and AFB testing reveal the presence of Mycobacterium tuberculosis, leading to a diagnosis of tuberculous female pelvic inflammatory disease.

Documentation should include evidence of active tuberculosis infection (e.g., positive AFB smear, culture, or nucleic acid amplification test), imaging findings (e.g., ultrasound, hysterosalpingography), and clinical presentation (e.g., pelvic pain, abnormal bleeding, infertility).