Tuberculosis of female genital tract is commonest is which age group :
**Core Concept**
Tuberculosis of the female genital tract (FGT) is a rare but significant manifestation of extrapulmonary tuberculosis. The disease typically affects the fallopian tubes, followed by the endometrium and cervix. The pathogenesis involves the hematogenous spread of Mycobacterium tuberculosis from a primary focus, often the lungs.
**Why the Correct Answer is Right**
The correct answer is related to the demographic characteristics of women with FGT. Women in their reproductive age group, particularly those of childbearing age, are more prone to developing FGT due to their increased exposure to M. tuberculosis through close contact with infected individuals, often in their families or communities. This age group is also more likely to have a higher reproductive burden, which may contribute to the disease's manifestation.
**Why Each Wrong Option is Incorrect**
* **Option A:** This age group is less likely to be affected by FGT, as the disease typically occurs in women of reproductive age.
* **Option B:** While postmenopausal women can develop FGT, they are less likely to be affected than women in their reproductive age group.
* **Option C:** This option is incorrect as the disease is not more common in older women.
**Clinical Pearl / High-Yield Fact**
FGT often presents with nonspecific symptoms, such as pelvic pain, irregular menstrual bleeding, and infertility. A high index of suspicion is required to diagnose FGT, and histopathological examination of tissue samples is essential for confirmation.
**Correct Answer: C. 35-45 years. Women in this age group are most commonly affected by tuberculosis of the female genital tract.**