Successful Pregnancy following Chemotherapy for Genital Tuberculosis

She had been a premature baby of 3! lb. Her mother had died from unknown causes when she was about 1 year old. Her father was still alive and well. An only brother had committed suicide. She had no known tuberculosis contacts. The previous medical historv included pulmonary congestion four and a half years earlier, following which the patient had had regular X-ray examinations at a chest clinic, the last being about four weeks previously, when she stated she was told her "chest was clear." On drawing the attention of her family doctor to this story she was submitted to further chest X-rav examination in January, 1958. The report on this stated, "Some infiltration with suggestion of fibrosis in both apices and right first space consistent wvith active tuberculous lesions. No tubercle bacilli were isolated by the culture method of examination from a sample of her fasting gastric juice." In 1953 she had submitted to appendicectomy in the Royal Victoria Hospital, Belfast. In June, 1955, at the same hospital she was examined under anoesthesia because of pain and vomiting during her periods. The uterus and adnexa were thought to be normal. Dilatation and curettage was carried out on the tenth day of her menstrual cvcle. The endometrium was reported to be in the proliferative phase and tuberculosis was not reported as being present. The menarche had occurred at 13 years. The menstruial cycle was 3/30-31 and the loss was described as somewhat scanty. The patient had been married for two years. She had never practised birth control. Intercourse took place about six times monthly and the fertile period was known by her. Apart from her very short stature of 4 ft. 91-in. the patient's general condition appeared satisfactory. The vulva was marital in type and the cervix was healthy. The uterus was anteflexed, mobile, and seemed normal in all respects. Nothing definite was noted about the adnexa, though an impression was formed that the fornices were a trifle tender, the right more so than the left. Tubal insufflation was attempted in the outpatient department but was abandoned due to failure of the cannula to pass the internal os. A semen analysis from the husband was requested pending her admission to hospital for dilatation of the cervix and insufflation under anxsthesia.