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Human Reproduction, Vol. 18, No. 10, 1983-1986, October 2003
© 2003 European Society of Human Reproduction and Embryology

Does Caesarean section cause infertility?

Maureen Porter1,3, Siladitya Bhattacharya1, Edwin van Teijlingen2 and Allan Templeton1

1 Department of Obstetrics and Gynaecology, and 2 Department of Public Health, Aberdeen University, Foresterhill, Aberdeen AB25 2ZD, UK

3 To whom correspondence should be addressed. e-mail: m.a.porter{at}abdn.ac.uk

The global rise in the rate of Caesarean sections (CS) during the last 20 years has coincided with an increase in the number of couples seeking help for infertility. There have been attempts to examine the link between these two conditions, and available data confirm an association between CS and infertility. The relationship is complex, however, involving more than a simple patho-physiological association. There may be a voluntary component to the causal relationship between CS and infertility, which is best explored using qualitative methods. We argue that CS does cause infertility, but the mechanism could be social/psychological rather than pathological.

Key words: Caesarean section/decision making/secondary infertility


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