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Secondary infertility and c section? Any experiences?

(10 Posts)
Whatsdoneisdoneisdone Thu 14-Mar-13 20:19:04

We've been ttc for 18 months or so having conceived ds on the first attempt. My cycles are regular, 28 days, I'm ovulating, ultrasound normal. We are waiting on dh's sa test next week. Suspect it will be fine.

The only thing that has changed is that I had an emergency section with ds. I now get very bad ovulation pain most months. I have a tilted uterus and I wonder if perhaps something has stuck together when healing?

Looking online c sections seem quite risky for fertility. I just wondered if anyone had experienced similar problems after a c section?

bonzo77 Thu 14-Mar-13 20:30:35

I could have written that OP. The instant conception of DS1. The EMCS. The terrible ovulation pain. The regular cycle. DH's normal. SA. Then for me came 10 months TTC. Then a MMC. Then 4 months later a BFP. And DS2 is 14 weeks. Born 23 months after we started TTC, 11 months after my ERPC. Some of my dates don't add up as he was 1 month prem. So while it hasn't taken as long as its going to for you, I hope there's a ray of hope. I was so down about it all, and only got positive about it after the MMC.

ihearthuckabees Thu 14-Mar-13 20:32:21

Yes, exactly that situation, and after investigations I was told I had several large adhesions and blocked Fallopian tubes. Probably not what you want to hear, but these problems can be due to the C section. Hard to prove the cause of secondary infertility though. Could have been an infection, too.

Whatsdoneisdoneisdone Thu 14-Mar-13 20:36:55

I'm bring referred for an hsg...which will at least show if the tubes are blocked. The pain is worse on the right hand side so I wonder if that side is more badly affected.
It is only ovulation that is painful. I've always experienced some pain even before ds but this is much much worse. Did you ever find a cause for your pain bonzo? Do you still get it?

Iheart where are you going from here? Can anything be done?

bonzo77 Fri 15-Mar-13 08:21:23

My ovulation pain was right side only too. No reason found though I did have bad adhesions and scarring when they did my 2nd CS. I went straight back on the pill before AF came after that, so not sure if things are the same or not.

Whatsdoneisdoneisdone Fri 15-Mar-13 09:05:30

I have an appointment next week with the infertility specialist. I do feel though that this just isn't going to happen. I am nearly at the point of giving up because I am absolutely convinced that the c section had caused something irreversible.

That said I think we are in the minority. I know a number if women who have had sections, all conceived again quickly and easily.

ihearthuckabees Fri 15-Mar-13 12:05:00

i had a laparscopy so the consultant got a good look inside me. I was told my only option was trying IVF, although there may be a problem harvesting eggs as my right ovary was glued to my stomach and about 6 cm out of position, so may not have been reachable. Anyway, I decided not to go down this route and instead came to terms with having just my DS and focusing on how lucky I was to have him, as i have friends who haven't been able to have kids at all. I am not saying this was an easy decision -there was quite a lot of heartache - but it was 7 years ago now, and I can honestly say I have few regrets.

I am sorry you are going through this. Many do not understand the pain of not being able to conceive, especially if you already have a child, because they think it matters less, and it doesn't. I hope your investigations give you some answers and some optimism that things can be sorted. Fingers crossed.


QTPie Sat 16-Mar-13 08:47:35

Maybe maybe not.

Took 12 months to conceive DS (now just over 3). Been trying 12 months again and currently on IVF (ICSI) cycle. DH's sperm sample is very low. I have endometriosis (never diagnosed before - maybe made worse by my ELCS?). Had a hysteroscopy and laparoscopy: no problems with uterus or tubes. I was 35 when conceived DS, am 39 now. A lot happens in that time: a CS may be a factor, but other things are at play too.


YorkshireTeaDrinker Fri 22-Mar-13 10:54:06

I am in a similar position. DD conceived after 16 months of trying (got my BFP the day before our fertility clinic referral appointment). Now on cycle 18 of TTC #2. DH and I have just had first lot of routine tests and expect results in couple of weeks. DHs sperm motability was borderline first time around, so I fear it might have declined. Also I had an EMCS with DD and also experience ovulation pain (also right side), so am worried that there might be damage there.

I know we won't be eligible for fertility treatment as its secondary infertility, but hoping for a diagnosis (and have started saving for possible IUI, don't think we'll be able to afford IVF).

Iheart I am anticipating having to make a similar decision. I do try to focus on how fortunate we are to have DD, but that doesn't take away the longing for another baby and the misery every month when AF arrives and another chance to conceive has gone.

Secondary infertility is a particular brand of misery. I feel like I should just be grateful for what I've got, am so much more fortunate than others who can't conceive at all, but I still feel awful every month.

Whatsdoneisdone, don't give up yet. I think the time for resignation is after you have had all the investigations and know what is causing the problem. I don't want to resign myself to having no more children without knowing what the problem is and what (if anything) we could do to overcome it.

MurderOfProse Sun 24-Mar-13 14:02:58

Yes, in a similar situation too, I'm almost 37 now. I am lucky enough to have three DC already, and as greedy as it sounds, we always wanted four. I never had any trouble conceiving (first or second month) - it was holding onto them that was the problem as I have a 50/50 success rate and high risk pregnancies even if I do get out the first trimester.

This time out we're been trying for almost a year - charting, supplements, the lot since the start. Whilst a year isn't an unreasonable time for somebody not charting or who doesn't conceive at the drop of a hat, it's extremely unusual for me. I've just started seeing a gynae who is as perplexed as I am given my previous experience with conception. An ultrasound came back clear, CD3/21 bloodwork all clear plus charting shows a clear ovulation, SA all clear. I'm pushing for a laparoscopy in a few cycles.

Since I conceived DC3 I have had an ELCS and a similar surgery (transabdominal suture) during my pregnancy with him, so two risk factors there already. I am sure something has messed up in there and I suspect either endo and/or adhesions, or possibly scarring from infection. For what it's worth, I had an EMCS with DC2 plus two surgeries on my cervix during that pregnancy, and conceived DC3 first time 20 months later.

If it turns out we need IVF we're going to reluctantly close the door on it but we're going to go as far as we can without getting involved in the major expenditure. I am starting to feel close to giving up as it is, as it is doing no good for our marriage, but it is the thought of feeling regrets for the rest of my life that keep me going until it really does look too complicated/expensive to carry on.

I know women who are long term TTC with no children hate me (or rather, people in my situation especially as I already have 3 DC) - I see it all over forums, heck there was a post just this week on another forum I am on entitled "Feeling Spiteful"; you can guess the contents. It hurts that they don't think I am grateful for my DC, and that they think I have no right to feel upset with every BFN. I would never dare ask for support for that reason, which makes it an even more lonely time when AF arrives each month. Yes, it probably hurts more having never had a baby, but that does not mean those with children who want more do not hurt at all, of course we bloody do. Just in a different way.

The irony being people with secondary infertility are probably far more empathic for those with primary infertility than the vast majority of the population who seem to conceive and carry healthy babies without even thinking about it.

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