Genital tract tuberculosis is an important cause of infertility in developing countries where hysterosalpingography (HSG) remains the initial diagnostic procedure in the assessment of tubal and peritoneal factors leading infertility.The primary focus of genital tuberculosis is the fallopian tubes, and affecting of endometrium is secondary to down passage of bacteria into the uterine cavity. Tuberculosis gives rise to varied appearances on hysterosalpingography (HSG). These features vary from non-specific changes such as hydrosalpinx, evidence of endometritis, intrauterine adhesions, septations, an asymmetric uterine cavity, and other evidence of reduction in the uterine luminal volume to specific appearances such as "beaded tube", "golf club tube", "pipestem tube", "cobblestone tube", "leopard skin tube", "collar-stud abscess", " the tuberculosis T-shaped" uterus, and the "pseudounicornuate" uterus. All of these features can be depicted on hysterosalpingography (HSG), which is the gold standard in the investigation of female genital tract tuberculosis.