Calcific endometritis as a cause of infertility: Ultrasonography as the main diagnostic modality

Abstract

Objective: The main objective of the study was to evaluate calcific endometritis as a cause of infertility using different imaging modalities. Patients and methods: A prospective study was performed wherein 100 patients with the complaint of infertility were evaluated using ultrasonography and those having sonographic picture of calcific endometritis were subjected to Color Doppler study, non-contrast MRI of the pelvis (to evaluate for any additional role) and diagnostic/therapeutic dilatation and curettage. All procedures performed in this study were in accordance with 1964 Helsinki declaration and its later amendments and Institutional Ethics Committee approval was obtained. Informed consent was obtained from all the patients included in the study. Results: Six patients were diagnosed as having calcific endometritis. Five of them were presenting for secondary infertility and only one was primary infertility. Post diagnosis and treatment, four patients conceived within six months and two within nine months. MRI was accurate in diagnosing four patients and ultrasound in all six patients. Conclusion: Ultrasonography is diagnostic in cases of calcific endometritis. MRI has no added role.