Genital TB Almost always a secondary infection Common primary sites : Lungs > Lymph > abdomen Route of spread - Hematogenous Most common site of genital TB is fallopian tubes (Bilateral involvements) > Uterus In fallopian tubes - Most commonly affected pa is ampulla Most common symptom is infeility Sites of genital TB % involvement Fallopian tubes 90 - 100% Uterus %50 -60 % Ovaries 20 - 30 % Vagina & vulva 1-2 %