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C-Section and Infertility: Does A Prior C-Section Increase Your Risk Of Secondary Infertility?

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Natalie Crawford, MD

Double board certified OBGYN and REI, Dr. Natalie Crawford, discusses prior csections and your risk of secondary infertility. With the increase in csections, this is an important conversation to have.

Questions answered:
What do studies say about prior csections and your chances of getting pregnant?
Why are csections done?
Can it take longer to get pregnant a second time if you have had a csection?
What do IVF studies say?
Why might it take longer to get pregnant after a csection?
What is a csection niche or Isthmocele?
What are the symptoms of a Isthmocele?
How can scar defects and abnormal bleeding affect your reproductive organs?
How can this be fixed?
How long should you let your body heal after a csection before trying to conceive again?
When should you see a doctor about a potential Isthmocele?

Resources:
Vissers J, Sluckin TC, Repelaer van DrielDelprat CC, Schats R, de Groot CJM, Lambalk CB, Twisk JWR, Huirne JAF.. Reduced pregnancy and live birth rates after in vitro fertilization in women with previous Caesarean section: a retrospective cohort study. Hum Reprod 2020;35:595–604.

GurolUrganci I, BouAntoun S, Lim CP, Cromwell DA, Mahmood TA, Templeton A, van der Meulen JH. Impact of Caesarean section on subsequent fertility: a systematic review and metaanalysis. Hum Reprod. 2013 Jul;28(7):194352. doi: 10.1093/humrep/det130. Epub 2013 May 3. PMID: 23644593.

Jacob L, Weber K, Sechet I, Macharey G, Kostev K, Ziller V. Caesarean section and its impact on fertility and time to a subsequent pregnancy in Germany: a database analysis in gynecological practices. Arch Gynecol Obstet. 2016 Nov;294(5):10051010. doi: 10.1007/s0040401641604. Epub 2016 Aug 3. PMID: 27488697.

‌Bider D, Blankstein J, TurKaspa I. Fertility in anovulatory patients after primary cesarean section. J Reprod Med. 1998 Oct;43(10):86971. PMID: 9800669.

‌Smith GC, Wood AM, Pell JP, Dobbie R. First cesarean birth and subsequent fertility. Fertil Steril. 2006 Jan;85(1):905. doi: 10.1016/j.fertnstert.2005.07.1289. PMID: 16412736.

‌Murji A, Sanders AP, Monteiro I, Haiderbhai S, Matelski J, Walsh C, Abbott JA, Munro MG, MaheuxLacroix S; International Federation of Gynecology and Obstetrics (FIGO) Committee on Menstrual Disorders and Related Health Impacts. Cesarean scar defects and abnormal uterine bleeding: a systematic review and metaanalysis. Fertil Steril. 2022 Oct;118(4):758766. doi: 10.1016/j.fertnstert.2022.06.031. Epub 2022 Aug 17. PMID: 35985862.

‌Vissers J, Hehenkamp W, Lambalk CB, Huirne JA. PostCaesarean section nicherelated impaired fertility: hypothetical mechanisms. Hum Reprod. 2020 Jul 1;35(7):14841494. doi: 10.1093/humrep/deaa094. PMID: 32613231; PMCID: PMC7568911.

#csection #secondaryinfertility #cesareanbirth

Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and cofounder of Fora Fertility, a boutique fertility practice in Austin, Texas.

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FORA FERTILITY:
forafertilityaustin.com
715 W 34th Street, Austin, TX 78705
To become a patient: email [email protected] or call 5129565006

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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.

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