@article{Agolli_Lawrence_Maskey_Loh_Parikh_2022, title={Secondary Infertility due to Fetal Bone Retention: A systematic literature review}, volume={22}, url={https://journals.squ.edu.om/index.php/squmj/article/view/5150}, DOI={10.18295/squmj.6.2022.042}, abstractNote={<p>Prolonged intrauterine retention of fetal bones during an abortion procedure can lead to secondary infertility. This review aimed to raise awareness among obstetric/gynaecologists about the possibility of this condition. A total of 17 case reports, seven case series and one retrospective study were included in this review, with 75 patients in total. Overall, 60% had a pregnancy termination in the second trimester, while 20% had a termination during the first trimester. Hysteroscopic resection was used to remove the intrauterine fetal bones in 69% of patients. In total, 59% of patients conceived following the procedure, 1% conceived despite the presence of intrauterine bones, 24% could not conceive at the time of the study and 16% had an unknown outcome. Transvaginal ultrasound was used for diagnosis in 41 (55%) patients, while pelvic ultrasound was used in 21 (28%) patients. In conclusion, secondary infertility is a common occurrence after a dilation and curettage procedure partially due to fetal bone retention. The gold standard for an accurate diagnosis and treatment is hysteroscopy.<br /><em><strong>Keywords:</strong></em> Incomplete Abortion; Abortion; Therapeutic Abortion; Miscarriage; Infertility.</p>}, number={4}, journal={Sultan Qaboos University Medical Journal}, author={Agolli, Arjola and Lawrence, Jannel A and Maskey, Upasana and Loh, Hanyou and Parikh, Charmy}, year={2022}, month={Nov.}, pages={448–454} }