The diagnosis of female genitourinary tuberculosis is probably made in only of a fraction of cases. It is believed, however, that Falloppian tube and endometrial tuberculosis may account for much female infertility in high-incidence countries. This patient is an example to the case: an observant clinician requested a histological examination of an endometrium biopsy specimen and caseous granulomata were reported. Subsequently, the index of suspicion rose, and numerous other cases were diagnosed subsequently.