Female genital Tuberculosis (TB) is uncommon in Australia. It may, however, be a rarely considered cause of infertility and early pregnancy failure. We report the case of a 19-year-old migrant woman living in regional Australia who presented with ectopic pregnancy following prior treatment for genital tuberculosis. We highlight the vulnerability of migrant and indigenous Australians to chronic disease, the barriers that affect successful treatment and the strategies needed to mitigate disparity of healthcare providers not otherwise encountered in metropolitan populations.