What happens inside the uterus? Tuberculous endometritis in 3D Tuberculous endometritis is a silent and often overlooked complication of Mycobacterium tuberculosis infection. While TB is commonly associated with the lungs, it can travel far beyond—reaching the uterus through the bloodstream and triggering a destructive inflammatory process. Once it settles in the endometrium, the infection rarely stays confined. It frequently spreads to the fallopian tubes, ovaries, and even the peritoneum, quie