AI Article Synopsis
- Unwanted contraception can occur due to the prolonged presence of fetal bone in the uterus, leading to secondary infertility, often following a history of abortion.
- A case is presented where a patient retained fetal bone for 8 years post-abortion without any noticeable symptoms; hysteroscopy revealed these bones functioning like a contraceptive device.
- After the removal of the fetal bone fragments, the patient successfully conceived within 6 months, highlighting the need for thorough evaluations in women experiencing secondary infertility.
Article Abstract
Introduction: Unwanted contraception through prolonged retention of fetal bone is a rare cause of secondary infertility. It is usually associated with a history of abortion, either spontaneous or induced.
Case Presentation: We describe a case of intrauterine retention of fetal bone diagnosed 8 years after the termination of a pregnancy. The patient had no complaints of pain, irregular vaginal bleeding or discharge. A hysteroscopy was performed and irregular structures were removed. These fragments were fetal bones, which probably functioned as an intrauterine contraceptive device. After removal of the fetal bone fragments the patient conceived spontaneously within 6 months.
Conclusion: This case report stresses the importance of taking a thorough history and evaluation of the endometrium by transvaginal ultrasound or hysteroscopy in women with secondary infertility.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2441636 | PMC |
| http://dx.doi.org/10.1186/1752-1947-2-208 | DOI Listing |
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