Objective: To discuss, through the experience of a case report and extensive literature review, the best practices for the diagnosis and treatment of osseous metaplasia, which is the cause of secondary infertility.
Design: Case report.
Setting: In vitro fertilization unit in Athens.
Patient(s): A 40-year-old woman with a 10-year history of secondary infertility.
Intervention(s): Hysteroscopic diagnosis and removal of the bony fragment.
Main outcome measure(s): Elimination of secondary infertility caused by osseous metaplasia.
Result(s): After treatment, the woman underwent an IVF program and a healthy neonate was born with cesarean section.
Conclusion(s): Hysteroscopy remains the best practice for the diagnosis and removal of endometrial ossifications, causing secondary infertility.