What should you know about embryo transfer after c section?

A caesarean section leaves a scar in the uterus and involves recovery of the abdominal tissues, cervix, and pelvic floor. Before another pregnancy, the fertility and maternity teams may review how the previous birth went, whether healing was uncomplicated, the reason for the caesarean, and any ongoing bleeding or pain. A scan or other assessment may be appropriate when the clinician needs more information about the uterus.

The scar does not automatically prevent an embryo transfer. It does mean that transfer planning and later pregnancy care should account for the previous operation. Your transfer may be postponed if recovery is incomplete or if another health issue needs treatment first.

Bring your caesarean and pregnancy records to the fertility consultation, including the operation details and any complications. Tell the team about breastfeeding, menstrual changes, pelvic pain, wound problems, medicines, and plans for future maternity care. They can explain whether a natural or hormone-supported cycle is suitable and how the lining will be prepared.

Take prescribed medicines according to the schedule; progesterone support may be included. Once a transfer is planned, follow the clinic’s instructions for the procedure, activity, and pregnancy testing. Do not stop hormonal treatment on your own after transfer.

Before transfer, report persistent wound pain, fever, unusual discharge, heavy bleeding, or worsening pelvic pain. After transfer, contact the clinic for heavy bleeding, severe or increasing pain, faintness, fever, or breathing difficulty. Urgent assessment is needed for collapse or severe pain, whether or not a pregnancy test is positive.

Ask how your caesarean history affects timing, whether the uterine scar needs assessment, which symptoms would delay transfer, and how the obstetric team will monitor a future pregnancy.