First to be involved in Genital tuberculosis-
Ans. is 'c' i.e., Submucosal layer fallopian tube * It is almost always a secondary infection, with primary sites being lungs, lymph nodes, abdomen, etc.* Hematogenous route is the most common mode of spread from the primary site.* Bilateral fallopian tubes are involved in 100% of the cases.* Ampulla is the most commonly affected part of the fallopian tube.* Initial site of infection is the submucosal layer (interstitial salpingitis).* Uterus is involved in 80% of the cases.* Cornu of the uterus is commonly affected, as it is in continuity with the fallopian tube.
Uterus cornual part
Serosal layer fallopian tube
Submucosal layer fallopian tube
Muscular layer fallopian tube
Miscellaneous (Gynae)