{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:41:18Z","timestamp":1787013678884,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T00:00:00Z","timestamp":1700092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Evaluation of hysteroscopic and laparoscopic findings in subfertile women predictive of tuberculosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective case series analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary hospital in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>A retrospective analysis of 16\u2009784 subfertile women who had undergone diagnostic hysterolaparoscopy (DHL) was conducted between February 2014 and June 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Histopathological evidence, acid\u2010fast bacilli (AFB), culture and GeneXpert MTB\/RIF assay were used to diagnose female genital tuberculosis (FGTB). Various hysteroscopic and laparoscopic findings were analysed, and a binary logistic regression assessed associations between these findings and positive diagnostic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Various hysteroscopic and laparoscopic findings correspond to tubercular manifestation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 16,784 patients, 1083 had hysteroscopy and laparoscopy findings suggestive of tuberculosis, and 309 were diagnosed with FGTB based on diagnostic tests. Logistic regression identified variables strongly predictive of positive status outcomes; tuberculous abdomino\u2010pelvic adhesions of various grades, isthmo\u2010ampullary block, tubercle, tubo\u2010ovarian mass, tuberculous hydrosalpinx, complete tubal destruction, tubal diverticula and rigid tube emerged as strong predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Logistic regression\u2010derived predictors, alongside specific laparoscopic and hysteroscopic findings, can enhance diagnostic accuracy and clinical decision\u2010making to start antitubercular therapy in subfertile women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17701","type":"journal-article","created":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T03:30:38Z","timestamp":1700191838000},"page":"929-940","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Laparoscopic and hysteroscopic findings in women with sub\u2010fertility and tuberculosis: A case series"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9826-1775","authenticated-orcid":false,"given":"Rana","family":"Mondal","sequence":"first","affiliation":[{"name":"Department of Reproductive Medicine Bansal Hospital  Bhopal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Jaiswal","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Bansal Hospital  Bhopal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Bhave","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Bansal Hospital  Bhopal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyadarshi","family":"Mandal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology NRS Medical College and Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,16]]},"reference":[{"issue":"4","key":"e_1_2_13_2_1","first-page":"448","article-title":"Index\u2010TB guidelines: guidelines on extrapulmonary tuberculosis for India","volume":"145","author":"Sharma SK","year":"2017","journal-title":"Indian J Med Res"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-020-05597-0"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.42618"},{"issue":"7","key":"e_1_2_13_5_1","first-page":"545","article-title":"Diagnostic dilemma in female genital tuberculosis\u2010staining techniques revisited","volume":"11","author":"Kashyap B","year":"2013","journal-title":"Iran J Reprod Med"},{"key":"e_1_2_13_6_1","unstructured":"Sengupta: Gynaecology for Postgraduates and Practitioners \u2013 Google Scholar [Internet]. 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