This case describes a female who had long lasting primary infertility, labelled with polycystic ovarian syndrome, who showed no response to the given related treatments. Hysterosalpingography, which was performed as part of the IVF preparation, showed Asherman syndrome and calcified lymph nodes. Subsequently, further evaluations confirmed tuberculosis. The case highlights the necessity and importance of the proper assessment of the patients presenting with infertility for early detection of genital TB, to prevent end-stage disease.