Conversation: The conversation between human and AI assistant.
[|Human|] sir, i have been married for 4 years n planning pregnancy for two years n concieved twice first 2009 it was missed abortion at 11 1/2 weeks, no heart beat detected in third usg...all the test of fetus n mine were normal only in hormone test CD 56 was little high 19 index next i concived next year 2010 but had an ectopic n cant be diagnosed n had a ruptured ectopic and had a laprotomy left side tube removed......doctor saw some adhesion in left side.had test TB Igm:0.98 index TB gold: negative montosse: negative but doctor had asked to start TB medication but i have two doctors advice one is reffering RCINEX 600MG OTHER ONE: RCINEX EZ FOR FIRST 2MNTHS AND RCINEX E FOR NXT 4MNTHS Little confused as both the doctors have different line of treatment.........as had a major surgery so doctor don t want to do biopsy ..............please help
[|AI|]  Hi, Chat Doctor.  I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Furthermore, I am extremely sorry to hear about your previous pregnancy loss. As you are rightly thinking, there should be some evidence to suspect Tuberculosis, before starting anti tuberculosis treatment.  Please get endometrial To PCR done.  I hope there is no past or family history of tuberculosis. If there is strong suspicion of the disease, then benefits of treatment should be weighed against the risk of toxicity of the medicines. I will suggest getting opinion from internal medicine expert about the same. I hope this answer helps you. Thanks