Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I also feel extremely cold and afraid of the cold. Could you please advise if it's possible to have twins as a second child with a Cesarean section two and a half years after the first birth?Doctor's answer:
Cesarean sections generally should not exceed three times. If you conceive again after a cesarean section, you should wait at least two years before getting pregnant. This is because the incision on the uterine wall does not heal well in the short term after a cesarean section. Early pregnancy, due to the fetus's growth causing the uterus to expand continuously, makes the uterine wall thin, especially at the surgical incision site, which is connective tissue and lacks elasticity.Generally, gynecological infections such as tubal inflammation are the causes of ectopic pregnancy. Since your pregnancy is short, a current ultrasound cannot determine whether it is an intrauterine or ectopic pregnancy. Therefore, it is recommended that you have a follow-up check-up in two weeks. At the same time, I would like to inform you that the symptoms of ectopic pregnancy include abdominal pain, fever, and others.