The tuberculosis of female genitals - arises more often at a transmission of infection from the primary center, (lungs) hematogenic by or on lymphatic vessels from lymph nodes and a peritoneum. Uterine pipes and ovaries, very seldom neck of a uterus, a vagina and a vulva are most often amazed. Distinguish three forms of a tuberculosis of appendages of a uterus (salpingo-oophoritis): with insignificant inflammatory changes; with the expressed inflammatory changes; with formation of tuberculomas.

The tubercular lesion of a mucosa of a uterus (endometritis) can be focal, caseous. Development of similar changes and in a muscular environment of a uterus (metritis) is possible. The tuberculosis of a neck of a uterus, a vagina, a vulva is shown in the form of ulcers. The basic complaint at a genital tuberculosis is sterility, mainly primary. More than at half of patients the abdominal pains which have been not bound to a menstrual cycle are observed. Signs of a tubercular intoxication and disturbance of a menstrual cycle (an irregular, poor and rare menses, an amenorrhea) are more often marked at a tuberculosis of appendages of a uterus with the expressed inflammatory changes. A plentiful menses and uterine bleedings are not characteristic for a genital tuberculosis, their occurrence can be caused by a hysteromyoma, an endometriosis and other accompanying illnesses. A leading sign of a tubercular endometritis in the period of a postmenopause - appear bloody allocation from sexual ways.