Does The Number Of C Sections Affect Your Ability Fertility

7 Replies
lovemy3 - May 18

Hi there, I have had 3 c-sections over the past 10 years and we have decided to ttc #4. With my other 3 children I got pregnant in the first month, now we have tried over the past 4 months and still nothing. My last pregnancy was at age 34 and now i am 37 as of last week. Do you think that the scarring from prior c-sections is preventing me from getting pregnant or lowering my chances? I have no other issues that I know of, regular periods, ovulation tester gives positives etc or do you just think its also a matter of advanced age as well? Any thoughts? Thanks


Chem400 - May 21

Cesarean sections have been implicated in secondary infertility. It has to do with implantation issues and as you said, scarring inside the uterus. With 3 sections previously the chances of conception problems increase along with your age...sorry. Are your periods heavy with clots? A condition called adenomyosis occurs in many women who have had c-sections and it may be something to have looked into. The muscle layers and the endometrium (lining) of the uterus grow into each other and that can cause all kinds of issues from agony and hysterectomies (me) to more subtle things like unexpected infertility. Best wishes, on your quest for another baby. I had 4 sections and am glad I don't ever have to have another :~)


snugglybugglys - May 22

I have had 3 c-sections, and pregnant again. Maybe it is just going to take some time for you this time. Did your dr say anything about how your scar looked during your last section? My dr checked each time to see if it would be okay for me to have another one. Good luck! :)


lovemy3 - May 22

hi there, Thank you both for answering. I see a high risk specialist because my preeclampsia in the past has been so terrible and the only think he has really mentioned about having a fourth was my preeclampsia issues which are actually getting better each pregnancy and also the increased risk of placenta accrete becauae of scarring. During my last c-section he knew that we were not having my tubes done in consideration of another baby and he said that all looked well and it would be fine as long as we realized the risks a__sociated with previous scarring i.e placenta accrete. During the section his a__sistant in training mentioned "how thin my uterus was" but he just anwsered her by saying I had multiple sections and that was it. I did experience more heavy bleeding during and after surgery than my other sections but only needed an i.v drip to slow it down. luckily no transfusions and I only bled heavier than usual for 2 days post partum then it tapered off as it should have. When I went back for my 6 week check-up, he said that my insides were quite "remarkable" for 3 sections and he didn't for see a problem but did reccommend that 4 should be my limit. I am also overweight and he said to work on that before conception due to everyday health risks as well as my preeclampsia past. My periods now are on time and only last for about 3 to 4 days and not very heavy and no clots ever. I had actually noticed and thought that they should be heavier than they are. For sanitary purposes I change my pad through out the day but could probably only get away with one all day!! (more info tha n you need to know-lol) So, I'm hoping its my age and eventually I will concieve just one more time and its not infertilty, but like I mentioned before every other time it was literally first month. i don't have any symptoms of pain or cramping or anything either. Thanks for your advice.


Saird - May 31

I have had two sections and got pregnant right away those times. Now I've been off BC pill for about 6 months and nothing. I don't know if the two are related or not...but it seems odd.


lovemy3 - June 10

I did end up reading that c-sections can affect your future fertility because of implantation issues. I am keeping my fingers crossed.


djh - June 11

lovemy3, you are not too old!!! I think every single thing Chem400 said is exactlyt true, btw Chem, are you in my nursing cla__ses LOL.? Seriously, your age may make conception take a little longer as you may not be ovulating "good eggs" every month, but so doable, don't despair. Secondary infertility or difficulty is somewhat common in the years following c-sections according to my OB/GYN, and the woman who took out MY uterus due to the same probs as Chem400. Fingers crossed for you.


RMC - June 13

I have had 2 c sections, 1 v____al, and pregnant again. So no, I don't think it affects your fertility.



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