The presence of intrauterine bone fragments is rare. They may prevent pregnancy by an intrauterine device–like effect. Hysteroscopy is required for definitive diagnosis and treatment.
A woman experienced secondary infertility after a dilatation and evacuation at 22 weeks of gestation. She subsequently conceived spontaneously shortly after hysteroscopic removal of numerous intrauterine bone fragments.
Intrauterine bone fragments may result from retained fetal bones or osseous metaplasia or both. These bone fragments may contribute to infertility, as evidenced by the restoration of fertility after hysteroscopic removal.