Infertility in a US Resettled African Refugee: A Case Report of Genital Tuberculosis

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A 27-year-old, previously healthy Somali refugee presented with infertility. Cultures of endometrial tissue were positive for fully susceptible tuberculosis and she was diagnosed with genital tuberculosis. After 12 months of antituberculosis therapy, she attempted to become pregnant; however, use of in vitro fertilization and surrogate carrier probably will be needed given the degree of scar tissue present before treatment. Due to the increasing numbers of US-resettled refugees, physicians should consider genital tuberculosis in any refugee woman presenting with infertility or amenorrhea.

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