<human>: Hi i am 31 yr old male , i was diagnosed with Miliary TB some time back and i am under medication. my last X ray did not show signs of the disease, but wanted to ask if still TB can spread if i have sexual intercourse with my spouse as i plan to start a family.
<bot>: Hi & Welcome. I can understand your concern regarding the mode of transmission of TB infection. Tuberculosis DOES NOT spread through sexual intercourse. Tuberculosis is a disease caused by bacteria that spread through the air Chat Doctor.  Although tuberculosis is contagious, it generally takes a few weeks of treatment with TB medications before you're not contagious anymore. Following preventive measures are recommended to prevent the spread of infection to household contacts (family members):1. Ventilate the room. Tuberculosis germs spread more easily in small closed spaces where air doesn't move. If It's not too cold outdoors, open the windows and use a fan to blow indoor air outside.2. Cover your mouth. Use a tissue to cover your mouth anytime you laugh, sneeze or cough. Put the dirty tissue in a bag, seal it and throw it away.3. Wear a mask. Wearing a surgical mask when you're around other people during the first 3 weeks of treatment may help lessen the risk of transmission.4. And all the family members should be given the medication Isoniazid (INH) daily for 3 months if the Manitou test shows POSITIVE reaction. Hope the suggestions given above could be useful.