We have studied five women with genital tuberculosis (TB), which is an uncommon disease in Western European countries. However, young women that have emigrated from a country with high TB-prevalence and have complaints of unexplained infertility and nonspecific abdominal or pelvic symptoms should be checked for this disease. Because genital tuberculosis frequently causes infertility, early diagnosis and treatment are crucial, necessitating rapid microscopic, histological, and microbiological (culture) testing in suspected cases.