Answers to Can an emergency cesarean cause infertility?

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Can an emergency cesarean cause infertility?

I had an emergency cesarean with my son in August of 2012 at 36 weeks of gestation. I had 26 hours of labor and 2 and 1/2 hours of pushing till we had to do the emergency surgery. Once they opened me up they realized that he was wrapped in his cord and the placentia had separated from my uterus which caused extensive bleeding.

The doctor told me everything was fine, but I have been trying to get pregnant on and off since 10/2013 with no success. My cycles are regular and my periods normal.

Female | 34 years old
Complaint duration: 90 days
Medications: none
Conditions: none

May 20, 07:51 PM

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1 UpVoted this answer

A C/Section as well as any pelvic surgery can cause scarring, adhesions, disruptions and further evaluation is necessary. This should include pelvic examination, ultrasound and baseline laboratory testing. Your partner should have semen analysis and, if normal, you should have an evaluation of your uterus and fallopian tubes with a hysterosalpingogram. Further testing and treatment will depend on the results of this testing.

Geoffrey N. James, MD

Obstetrics & Gynecology in Miami, FL

Level: Master Contributor (89)

Website: FemCare Ob-Gyn

May 20, 10:44 PM

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I think it is unlikely that an emergency c-section would cause infertility. I would recommend however that you have a hysterosalpingogram (HSG) to see if there is any blockage of your Fallopian tubes, because any prior pelvic/abdominal surgery is a risk factor for tubal disease. In addition at age 34 your fertility is on the decline, and you may not be ovulating with every cycle. You should speak with your OB about checking a "midluteal phase" progesterone level (he/she will know what that is) to see if you are ovulating. Good luck.

James T. Roth, MD, MSPH

OB/GYN in Salt Lake City, UT

Level: Key Opinion Leader (157)

Website: Old Farm Obstetrics & Gynecology, LLC

May 21, 03:41 AM

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Since your periods are regular and otherwise normal it's unlikely that the experience you had with your last delivery has anything to do with your current infertility. There are many causes of infertility and you've been trying long enough that you should be evaluated by a physician familiar with the causes of infertility.