18 Year old girl comes to gynae OPD presenting with 6 months of amenorrhea, with h/o low grade fever, weight loss, pain abdomen, generalized weakness. On examination pelvic mass felt on left side with features of ascites. Diagnosis?

Correct Answer: TB pelvis with tubo ovarian mass
Description: Tubercular PID Pathogenesis of amenorrhea Endometritis - endometrial destruction- Asherman syndrome --> amenorrhea (non responsive to withdrawl by estrogen + progesterone) Oligomenorrhea Hypomenorrhea Amenorrhea ( m/c) C/F : low grade fever weight loss , pain abdomen, generalized weakness. Amenorrhea
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