ENDOMETRIAL OSSEOUS METAPLASIA AS A RARE CAUSE OF SECONDARY INFERTILITY: A CASE REPORT OF SUCCESSFUL SPONTANEOUS CONCEPTION POST-HYSTEROSCOPIC MANAGEMENT
Dr. Sagar Dattatray Dherange*
ABSTRACT
Background: Endometrial osseous metaplasia is a rare condition characterized by the presence of bone tissue within the endometrium, often leading to secondary infertility. Case Presentation: We report the case of a 33-year-old woman with a history of multiple pregnancies and abortions, presenting with secondary infertility. Transvaginal ultrasound revealed linear calcifications within the endometrial canal. Histopathological examination confirmed the absence of viable villi or malignancy. Hysteroscopic removal of bone-like structures was performed. Subsequently, the patient conceived spontaneously and, as of March 26, 2025, is in her 22nd week of a healthy pregnancy. Conclusion: This case underscores the importance of considering endometrial osseous metaplasia in patients with secondary infertility and highlights the efficacy of hysteroscopic intervention in restoring fertility.
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