Related Experiment Video
Updated: Sep 26, 2026
Fertility Preservation in Patients with Severe Ovarian Dysfunction
Published on: March 25, 2021
Novel treatment of a patient with secondary infertility due to retained fetal bone
1Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada.
Objective:
To describe a simple and previously unreported treatment for retained fetal bone fragments as a cause of secondary infertility.
Setting:
Fertility center at a Canadian teaching hospital.
Design:
Case report.
Patient(S):
A 36-year-old woman with a 15-year history of secondary infertility.
Intervention(S):
A second dilation and curettage (D+C) performed under abdominal ultrasound guidance was performed where the curette could be directed for the removal of echogenic endometrial foci.
Main Outcome Measure(S):
Resolution of long-term infertility.
Result(S):
Spontaneous pregnancy 4 months after ultrasound-guided D+C and subsequent term delivery.
Conclusion(S):
If an echogenic area is discovered in the endometrium, it is now standard to look at the uterine cavity by hysteroscopy. However, if the hysteroscopy is normal, we suggest that a D+C with intraoperative abdominal ultrasound assistance be done to ensure that all the abnormal tissue is removed.
