<prompt> Tuberculosis of fallopian tube occurs mainly by -Direct spread from uterine cavityLymphatic spreadHematogenous spreadIatrogenic  <response>: Ans.is c i.e., Hematogenous spread o Genital tuberculosis Almost always a secondary infection. Most common route of spread is hematogenous. Most common site is bilateral fallopian tubes, in fallopian tubes most common part affected is ampulla and most common pathology encountered is endosalpingitis. Most common in 20 - 30 years age group. Infertility is the most common symptom. 