Getting pregnant again after a C-section comes with unique physical, emotional, and hormonal considerations that many women are never told about. In this episode, we break down what to know about fertility after cesarean birth, scar tissue healing, adhesions, secondary infertility, VBAC considerations, pelvic floor recovery, and the emotional impact a C-section can leave on the body.
We discuss how scar tissue and C-section healing may affect implantation, why some women experience difficulty conceiving after a cesarean, and the importance of supporting your core, pelvic floor, nervous system, and microbiome before trying for another baby. We also dive into placenta previa and accreta risks, uterine rupture statistics, spacing pregnancies after C-section, and how trauma can remain stored in the body long after birth.
Whether you’re preparing to conceive after a cesarean, considering a VBAC, healing from birth trauma, or simply wanting to better understand your body after a C-section, this episode offers both practical guidance and compassionate support.
00:00 Trailer & Intro
01:43 How C-Sections Can Affect Future Fertility
03:52 Scar Tissue & Adhesions Explained
05:25 Placenta Previa & Accreta Risks After Cesarean
10:25 Antibiotics, Microbiome & Secondary Infertility
11:41 Birth Trauma & Nervous System Healing
15:25 Body Image, Desire & Emotional Recovery
18:54 How Long Should You Wait Before Another Pregnancy?
22:46 Pregnancy Spacing, Core Strength & Recovery
24:29 Signs Your Scar May Need More Support
26:15 Pelvic Floor Therapy & Core Healing
29:19 Scar Massage, Gua Sha & Red Light Therapy
32:18 Supplements & Nutrients for Scar Healing
36:35 Preparing for a VBAC After C-Section
38:38 Multiple C-Sections & Birth Decisions
43:05 VBAC Statistics & Uterine Rupture Risks
49:15 Why Birth Decisions Aren’t One-Size-Fits-All
50:25 Preconception Support After a C-Section
51:30 Encouragement for Your Next Pregnancy Journey
Resources From This Episode:
- Get $10 off Evvy Vaginal Test here!
- Bloom Method
- Thrive Physical Therapy (Dr. Lauren Mallari Snyder in San Diego)
- Restore PT – Sarah Grahm (local in Boise)
- Treasure Valley Pelvic Health
Other Related Episodes:
- All About VBAC Part 1 Episode
- All About VBAC Part 2 Episode
- Vaginal Bugs and the Essential Role They Play Episode
- The Secret Fertility Factor No One Talks About Episode
- Home Birth Turned C-Section: Dr. Leah’s Birth Story Episode
- Dr Leah’s Second Birth Story Episode
- Detoxing Before Pregnancy: What Actually Matters (And What Doesn’t) Episode
- When Sex Hurts: The Root Cause No One Talks About Episode
- Preconception: What It Is and Why It Matters Episode
- Coming Off Birth Control: What Your Body Needs Before Pregnancy Episode
- Breastfeeding While Trying To Conceive Episode
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