Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 7 1 2022 06 15 41 44 Azadehh Hajati Taba Medical Imaging Center Zand BLVD, Moadel st; Taba building Shiraz, Fars, Iran. 2021 03 20 2021 04 10 This case describes a female with long-term primary infertility, labelled with polycystic ovarian syndrome, who showed no response to the given treatments. Hysterosalpingography, performed as part of the in vitro Fertilisation (IVF) preparation, showed Asherman syndrome and calcified lymph nodes. Subsequently, further evaluations confirmed tuberculosis. The case highlights the necessity and importance of the proper assessment of the patients presenting with infertility for early detection of genital TB to prevent end-stage disease. https://crcp.tums.ac.ir/index.php/crcp/article/view/502