Sekonder İnfertilitenin Nadir Bir Nedeni: İntrauterin Fetal Kemiklerin Uzamış Retansiyonu Türkçe

Fetal kemiklerin intrauterin retansiyonu nadir görülen bir tablo olup; hastalık kendini infertilite, menoraji, menometroraji, kronik pelvik ağrı ve tedaviye dirençli vajinal akıntı şeklinde gösterir. Çok nadiren de olsa mensturasyon problemi yaratmadan sadece infertilite ya da kronik pelvik ağrı şeklinde de belirti verebilir. Tanı amacıyla transvajinal ultrasonografi dilatasyon kürtaj, histeroskopi ve histerosalpingografi kullanılabilir. Ancak bu yöntemler içerisinde altın standart histeroskopi olmasına rağmen, bazen tedaviye dirençli kronik pelvik ağrı ya da menstural problemler nedeniyle yapılan histerektomi materyalinin incelenmesi ile de tanı konulabilir. Tedavi fetal kemiklerin çıkarılması olup başta infertilite olmak üzere diğer şikâyetlerde belirgin düzelme sağlar

Anahtar Kelimeler:

Menometroraji, infertilite, fetal kemik

Rare Cause Of Secondary Infertılıty: Prolonged Retentıon Of Intrauterıne Fetal Bones

Intrauterine retained of fetal bone is a rare clinical condition. The clinic presentation is infertility, menorrhagia, menometroraji, treatment-resistant chronic pelvic pain and vaginal discharge. Sometimes without creating problems of menstruation, it represents symptom as infertility and chronic pelvic pain. For diagnosis in a patient with the above-mentioned symptoms can use transvajinal ultrasonography, dilatation curettage, hysteroscopy and hysterosalpingography. Although hysteroscopy is gold standard within these methods, sometimes it is diagnosed with examination of hysterectomy materials which is perform for treatment resistant chronic pelvic pain or menstrual problems. Treatment is removal of fetal bones. Removal fetal bones cause particularly the significant improvement in other symptoms, including infertility

Keywords:

Menometroraji, infertility, fetal bone,

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