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Secondary infertility is one of the most common challenges faced by women in India, especially after a previous cesarean section. Many of these women conceived naturally in the past, but now struggle to get pregnant again despite regular cycles and open fallopian tubes. A key reason behind this is an often-missed condition called cesarean scar niche, also known as isthmocele. This defect forms due to poor healing of the uterine scar after cesarean delivery. It leads to fluid accumulation in the scar, which enters the uterine cavity and interferes with embryo implantation, resulting in implantation failure. Even though ovulation induction treatments may be done multiple times, they often fail if an isthmocele is present. The only effective solution is surgical correction of the scar defect. Unfortunately, many women delay or avoid surgery due to fear, misinformation, or resistance to proper medical guidance. If you have secondary infertility after C-section, don’t ignore the possibility of a cesarean scar defect. Consult a fertility expert early, get the right diagnosis, and choose the right treatment to restore your fertility naturally. . . . . . . . . . . #secondaryinfertility #cesareanscar #infertilityindia #fertilityaftercsection #implantationfailure #DrJayMehta