Episode Details

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

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