A 30-year-old woman with normal sexual life was infertile for 9 years after induction of labor in her 15th week of pregnancy. The abortion procedure was unclear, but the patient felt no unusual discomfort at that time. The routine B-ultrasound diagnosed intrauterine foreign bodies. What can be the possible cause?

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Dear dr Leena Das Statement gives suspicions Lady was normal and actively indulged in sex was infertile for 9 yrs had abortion for no complications is unbelievable either the conception was illegal or facts are not disclosed F b seen in uterine cavity seems to be some herbals inserted and left probably by some quack

Thanx dr Ashok Leel
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Leena Das, 30 year old / ML 9 years / Previous Induction of labor at 15 weeks / Hysteroscopy foreign bodies seen. I feel that she had pre marital abortion . They try to get rid of pregnancy from small doctors / RMP doctors. You should never attempt piece meal removal of fetus. Some bony fragments may be left behind. They act as foreign body and prevent conception. Try to remove those bits. Do gentle curettage and send them for HPE. Give good antibiotics. We had similar case. We removed all those bony particles and curettage. .

I didn't understand the history. Was she infertile for 9 yrs and then had the abortion or she had the abortion then developed infertility? Anyways, do all baseline investigations and rule out signs of sepsis. Take an USG pelvis also and look for FB and EM thickness. Under antibiotic coverage remove the foreign bodies.

Its very ridiculus. When there were abortions means she had conceptions also.!? Problem may be repetative missed.. Pl.go for..TORCH / Of bothe the partners and VDRL/ Thyroid profile .. Spongy Foreign body like cotton seems to be in uterine cavity

- F.B. is bony fragments as previous terminated pregnancy was 15 eks - removal of f.b. through hysteroscopy - D& C - antibiotics cover -

F B seems like harbal product may be inserted for abortion purpose. Statement made by lady misleading and incorrect.

Thanks Dr Pushkar Bhomia
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Most probably the foreign bodies are bony fragments. Remove by hysteroscopy and D/C Send biopsy Give antibiotics Rule out other causes of infertility

ADVISABLE 1. USG.....PELVIS 2. CULTURE AND. SENSITIVITY 3. ANTIBIOTICS. COVERAGE. AFTER. REMOVAL

Removal of retained fragments under antibiotics coverage. Detailed USG, HSG to rule out tubal blockage. Blood investigation-CBC , hormonal profile and TB gold. Treatment can be planned accordingly.

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