Endometrial osseous metaplasia and infertility: Case report

Endometrial osseous metaplasia is a rare condition which may cause infertility, and can be seen by following late abortions. Its etiology has not been clearly established, although there are several theories. Herein, we report a 36-year old nullipara patient who was admitted to our clinic with the desire to have a child. She was treated with hysteroscopy based on the presence of an echogenic appearance similar to an intrauterine device (IUD) on the endometrial area as assessed through transvaginal ultrasonography and she subsequently had a spontaneous pregnancy. Osseous metaplasia, which is a rare cause of infertility, can be diagnosed through hysteroscopic examination, and fertility can be restored by removing the bone fragments through hysteroscopy.