Effects on Gynecologic Symptoms and Infertility in the Treatment of Endometrial Osseous Metaplasia: A Systematic Review of Case Reports and Small Series

Hysteroscopic resection appears to be a promising fertility-sparing treatment for endometrial osseous metaplasia based on case reports and small case series. However, robust data on efficacy and long-term outcomes are lacking. Given its association with prior pregnancy loss and endometrial trauma, greater clinical awareness and early management may improve reproductive outcomes. Further prospective studies are needed to clarify long-term fertility and recurrence post-treatment.