scholarly journals Retention of Foetal Bone Fragments: A Cause of Secondary Infertility

Author(s):  
Olatunji Okikiola Lawal ◽  
Oluwasomidoyin Bello ◽  
Gbolahan Oladele Obajimi
2014 ◽  
Vol 61 (3) ◽  
pp. 95-97
Author(s):  
Julian Habibaj ◽  
Halim Kosova ◽  
Valbona Bilali ◽  
Sokol Bilali

We present an unusual case of a 28-year-old woman who had termination of pregnancy at 18 weeks of gestation. She visited our clinic with a history of secondary infertility for 3 years. A transvaginal ultrasonography revealed a hyperechogenic image that suggested presence of an intrauterine contraceptive device (IUCD). Hysteroscopy revealed a foreign body in the uterine cavity. The foreign body was removed with a hysteroscope using additional instruments that were not designed for hysteroscopy. Histological examination of the foreign body revealed fragments of dead bone.


Author(s):  
Atossa Mahdavi ◽  
Sasan Kazemian ◽  
Emad Koohestani

Background: Intrauterine retention of fetal bone fragments is a rare condition that could happen after abortion (especially illegal abortion). It can cause secondary infertility as bon fragments can work as an intrauterine contraceptive device. Case: A 25-year-old Iranian woman was referred to Shariati Hospital due to infertility. During infertility work up to normal semen analysis, adequate ovarian reserve with regular ovulatory cycles was documented. An ultrasound scan revealed focal echogenic shadowing lesions inside the uterine cavity. Hysteroscopy was conducted and many intrauterine bone fragments were revealed. Six months after hysteroscopic removal of fetal bones, the patient became pregnant and delivered a healthy and term baby. Conclusion: Intrauterine fetal bone retention is a scarce event that happens after pregnancy termination due to the incomplete evacuation of fetal tissues. It can cause dysfunctional uterine bleeding, menorrhagia, dysmenorrhea, pelvic pain, abnormal vaginal discharge, and secondary infertility. The detection of the problem and the removal of the remained bones by hysteroscopy have made possible to treat the patient safely and restore normal uterine function and female fertility.


2013 ◽  
Vol 122 (2, PART 2) ◽  
pp. 458-461 ◽  
Author(s):  
William D. Winkelman ◽  
Mary C. Frates ◽  
Janis H. Fox ◽  
Elizabeth S. Ginsburg ◽  
Serene Srouji

2018 ◽  
Vol 43 (5) ◽  
pp. 519-528
Author(s):  
Manuela Zadravec ◽  
Zvonimir Kozarić ◽  
Snježana Kužir ◽  
Mario Mitak ◽  
Tomislav Gomerčić ◽  
...  

2019 ◽  
Vol 11 (2) ◽  
pp. 127-130
Author(s):  
Nagesh S Nagapurkar ◽  
◽  
Swati N Nagapurkar ◽  

Author(s):  
Keerthana Dhandapani ◽  
Bhagyalakshmi Kodavanji ◽  
Vinodini Nithyananda Madom Anantharaya ◽  
Nayanatara Arun Kumar

Abstract Objectives Infertility has disastrous consequences, particularly for women. Causes of infertility in developed countries have been investigated but there is a significant lack of data among Indian female population. The aim of the present study was to analyze the causes and the proportion of the individual factors contributing to infertility, considering the age factor. Methods The data of 204 infertile women (18–45 years) were collected from the files in tertiary care hospitals. Causes and age of infertile women were grouped. The prevalence of each cause was evaluated. Data analysis was done using SPSS (Statistical Package for Social Sciences) version 17.0. Results Polycystic ovarian syndrome (PCOS) was the most common (14.71%) cause of female infertility. Ovulatory dysfunctions (25.55%) were the foremost cause in primary infertility, whereas in secondary infertility, uterine factors (26.86%) were most common. The incidence of primary and secondary infertility was more evident in patients who were more than 30 years of age. Conclusions Causes of infertility vary according to the age. The causes of female infertility were unexplained infertility, ovulatory disorders and uterine factors most commonly affecting women at ≤30 years.


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