A Study on Secondary Subfertility Caused by a Retained Intrauterine Foreign Body: Unveiling a Decade-Long Clinical Enigma.
- 1Liaquat National Hospital, Karachi.
Abstract
This case report encompasses a 35-year-old lady who had been experiencing secondary subfertility for more than a decade before being discovered to have a long-retained intrauterine metallic object. Her first pregnancy, shortly following marriage, ended in a stillbirth at six months, followed by manual placental removal by an untrained provider. She later developed prolonged and irregular menstrual bleeding, along with dysmenorrhea, but no dyspareunia or postcoital bleeding. Imaging detected a metallic foreign body implanted in the myometrium and expanding into adjacent tissues, initially misdiagnosed by the basic health unit as a misplaced intrauterine device. Hysteroscopic removal was unsuccessful due to obstruction at the cervical os. The foreign body was most likely a dilator left behind from the manual process.
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BibTeX
@article{hashim2026study,
title = {{A Study on Secondary Subfertility Caused by a Retained Intrauterine Foreign Body: Unveiling a Decade-Long Clinical Enigma.}},
author = {Palwasha Hashim and Kaniz Zehra Naqvi},
journal = {Pakistan Journal of Medicine and Dentistry},
year = {2026},
month = sep,
doi = {10.36283/ziun-pjmd15-4/024},
url = {https://doi.org/10.36283/ziun-pjmd15-4/024},
note = {CC BY},
}
RIS
TY - JOUR
TI - A Study on Secondary Subfertility Caused by a Retained Intrauterine Foreign Body: Unveiling a Decade-Long Clinical Enigma.
AU - Palwasha Hashim
AU - Kaniz Zehra Naqvi
PY - 2026
DA - 2026/09/01
JO - Pakistan Journal of Medicine and Dentistry
DO - 10.36283/ziun-pjmd15-4/024
UR - https://doi.org/10.36283/ziun-pjmd15-4/024
AB - This case report encompasses a 35-year-old lady who had been experiencing secondary subfertility for more than a decade before being discovered to have a long-retained intrauterine metallic object. Her first pregnancy, shortly following marriage, ended in a stillbirth at six months, followed by manual placental removal by an untrained provider. She later developed prolonged and irregular menstrual bleeding, along with dysmenorrhea, but no dyspareunia or postcoital bleeding. Imaging detected a metallic foreign body implanted in the myometrium and expanding into adjacent tissues, initially misdiagnosed by the basic health unit as a misplaced intrauterine device. Hysteroscopic removal was unsuccessful due to obstruction at the cervical os. The foreign body was most likely a dilator left behind from the manual process.
SN - 2313-7371
SN - 2308-2593
ER -