Infertility and Sexual Dysfunction in a Male with Genital Tuberculosis

 

Causes of infertility - any bilateral combination of:

(1) epididymitis

(2) orchitis

(3) involvement of the vas deferens

(4) involvement of the seminal vesicle

 

Causes of sexual dysfunction:

(1) urethral stricture

(2) penile lesions

(3) draining sinus in scrotum or inguinal lymph nodes

(4) bilateral orchitis

 

A man with tuberculosis will often have other reasons for sexual dysfunction (fever, fatigue, weight loss, night sweats, etc).

 

Laboratory testing:

(1) semen analysis

(2) acid fast smear and mycobacterial culture

 

Imaging studies can be very helpful in identifying affected organs.

 

Sexual partners for the patient should be screened for tuberculosis.