Osseous Metaplasia of endometrium is a very rare clinical entity responsible for causing infertility. It is believed to be conversation of fibroblasts to osteoblasts as a result of chronic inflammation, chronic endometritis, tuberculosis, previous abortion. Patients may be either asymptomatic being detected incidentally on USG or it may cause menstrual irregularities with infertility. Diagnosis being made by USG and hysteroscopy along with histopathological examination. Hysteroscopy is diagnostic as well as therapeutic.
Case report: A 30 year old female with history of menstrual irregularities and primary infertility. Patient had history of pulmonary tuberculosis in past. Her baseline investigations were normal she underwent diagnostic laparoscopy. Endometrial curettage showing osseous Metaplasia. Hysteroscopy was done in this patient that was both diagnostic as well as therapeutic.