Abstract: Genital tuberculosis is rare. The lack of clinical specificity makes the diagnosis difficult and often late. We report the case of a 25-year-old woman consulting for diffuse abdominal pain, abdominal distension, primary infertility and secondary amenorrhea. The diagnosis was made by pathological examination of a biopsy of the peritoneum and omentum revealing epithelioid-gigantocellular granulomas with caseous necrosis pathognomonic of tuberculosis. Tuberculosis should be mentioned and looked for in any woman with secondary amenorrhea, but above all, it should be included in the infertility assessment, particularly in countries where tuberculosis is still endemic.