Q: I am a 35 years old woman married for 6 years and still do not have any child. I have undergone laparoscopic appendectomy as per the doctor's suggestion because there was no other problem with my husband or me. The fallopian tubes were found beaded and the doctor took a video of it. He also suggested me to go for histopathology. Is the histopathology inevitable to find any blockage in the fallopian tube?

A:'Beaded' tubes are indicative of genital tuberculosis. If a gynaecologist was available at the time of appendectomy, she could have taken a biopsy from the tube or surrounding part from pelvis (for histopathology and PCR MTB), and done a D&C or endometrial aspiration biopsy to send the endometium for PCR mycobacteria tubeculosis and histopathology. I strongly feel genital tuberculosis should be ruled out before undergoing a hysterosalpingogram.