Commonest route of spread of Tuberculosis to genital tract is:

• Genital TB is almost always secondary to focus elsewhere. • Primary focus is in lungs (50%), lymph nodes (40%) cases. • Hematogenous spread is the commonest mode followed by direct spread and ascending route. • Only about 10 percent of genital TB cases have children. • “Salpingitis isthimica nodosa” is nodular thickening of tubes in genital TB. • Endometrium of uterus is involved in 60 percent cases. • Cervix is involved in 10 to 15% of cases.