<prompt> Common mode of transmission in pyogenic TB salpingitis:-HematogenousLymphaticDirect invasionSexually transmitted  <response>: Genital TB Almost always a secondary infection Common primary sites : Lungs Lymph abdomen Route of spread - Hematogenous Most common site of genital TB is fallopian tubes Bilateral involvements Uterus In fallopian tubes - Most commonly affected pa is ampulla Most common symptom is infeility Sites of genital TB involvement Fallopian tubes 90 - 100 Uterus 50 -60 Ovaries 20 - 30 Vagina vulva 1-2 