We studied 200 women with pulmonary tuberculosis to check for genital lesions: 13% of these women had genital tuberculosis. As clinical diagnosis was not possible, we relied on meticulous and repeated histopathologic studies. The occurrence of genital tuberculosis was more frequent in women who had pulmonary tuberculosis of shorter duration, but was not related to the severity of the disease. Pulmonary tuberculosis indirectly affects the female genital tract in almost all cases, giving rise to various gynecologic symptoms and signs. A review of the literature and further discussion about this subject are presented.