C-Section Adhesions & Scar Tissue

c-section adhesions and scar tissue

C-Section Adhesions – A side effect of having a C-Section that Concerns women.

C-Section adhesions and scar tissue are filmy, sticky, tentacle-like bands of tissue that form in your abdomen after abdominal surgery.

Anyone that has abdominal surgery will get them. They are the body’s way of replacing damaged, cut tissues.

C-Section adhesions are one of the most worrisome C-Section risks because they’re painful and can cause long term health complications.

C-Section adhesions and Scar Tissue Concerns.

How Do C-Section Adhesions Become a problem?

Adhesions become a problem when they attach themselves to organs and other tissues in your body.

For most women adhesions don’t grow large enough to cause complications, however for some women they can adhere (hence the name adhesion) to other organs like ovaries, uterus, Fallopian tubes, intestines or bladder.  If they adhere to the intestines for example, they can cause bowel obstruction.

The most difficult thing about adhesions is that they don’t show up on X-Rays, ultrasounds or other detection devices making them difficult to diagnose.  Adhesions are often recognized only after all other possible problems are eliminated.

Complications of C-Section Adhesions and Scar Tissue 

  • Bowl Obstruction.  Abdominal Adhesions are the most common cause of bowel obstruction.
  • Chronic abdominal pain.  Adhesions can adhere to abdominal organs or tissues causing a pulling, painful sensation.
  • Increased risk of bladder injury.
  • Infertility. There’s about a 20% risk that C-Section adhesions can interfere with future fertility.

For women who experience extensive pain or have fertility issues from c-section adhesions and scar tissue complications, additional surgery to remove the adhesions can help.

The problem with more surgery is that it creates more adhesions. This is one main reason women are advised to limit the number of C-Sections they have.

The good news is that adhesion removal can be done laparoscopically which is a much less invasive surgery and has a good success rate for relieving pain and improving fertility.

Ease C-Section Adhesion Pain and Discomfort

If you are suffering with adhesion pain or infertility These are things that will help. 

– Post surgery massage therapy.  Massage can help loosen the grip of adhesions.  For example, post C-Section self-massage therapy is a good preventive measure in help minimize the damaging effects of adhesions.  And it can be done soon after C-Section surgery.

– Yoga Exercises.  Yoga poses and stretches, like the forward bend, the cat/cow stretch, the cobra pose and side twists will strengthen and tone muscles keeping your incision flexible while also keeping it from getting tight and uncomfortable.

– Stretching for C-Section Adhesion Pain Relief. Daily stretching is another way to soften adhesion fibers. Pelvic tilts are an effective yet gentle exercise for stretching the areas of the adhesions that need the most attention.

Tip:  Never stretch too rigorously. Take care to stretch gently and move slowly. If something hurts or doesn’t feel right, don’t do it.

How to Prevent or Minimize C-Section Adhesions  

If you know you will be having a C-Section take a pro-active approach using these tips to prevent C-Section Adhesions from becoming a problem.

– Inquire about using adhesion blockers with your doctor.  Absorbable Adhesion barriers like Seprafilm can minimize the risk of abdominal adhesions and adhesion related complications. Adhesion barriers like these can be inserted at the time of surgery to help guard against the formation of adhesions.  Ask your doctor about using a  an adhesion barrier.

– Closing the peritoneum. This is a surgical technique that helps minimize tissue injury and contamination of the wound; it’s also been found to reduce adhesions, so definitely talk to your doctor about this.

On closing the peritoneum, a study in 2005 by Stanford University has found that women who have had the peritoneum closed as part of their first c-section delivery are as much as five times less likely to develop adhesions than those who had theirs left open.

This is possibly why I have not had any issues myself with adhesions as my doctor closed the peritoneum. I actually think this is one of the most significant things your doctor can do.

– Use of Joel-Cohen Incision. A report by Mathai M, Hofmeyr GJ of The Cochrane Collaborative suggests that using a Joel-Cohen incision, a specific type of incision used for C-Sections can result in “… less fever, pain and analgesic requirements; less blood loss; shorter duration of surgery and hospital stay”.  Again, ask your doctor about this.

Self Massage Therapy or professional massage therapy helps minimize the pain of adhesions. Massage works by breaking up the bands of the adhesions, helping the body return to normal, pain-free function.

Unfortunately adhesion related disorders or ARD is misunderstood and often misdiagnosed and its victims have to fight to get to the cure.

That was the case for Karen Stewart, a mother who fought for 14 years trying to get to the bottom of her daughter’s chronic abdominal pain which were misdiagnosed adhesions.

Karen’s daughter is finally well today thanks to her perseverance.  Karen now devotes much of her time to Adhesion awareness through her popular book “Doctors: Bound by Secrecy? Victims: Bound by Pain!”

Blessings and I hope that helps 🙂

Photo Courtesty of By Ohmega1982 & freedigitalphotos.net

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425 thoughts on “C-Section Adhesions & Scar Tissue

  1. Sonya says:


    I had a c section 10 months ago. The horizontal bikini incision type. I just started doing self massage on my scar. I noticed a swollen part on the scar that appeared after I did the self massage on my scar. Is it possible that I have caused a incision hernia from the self massage? I may have been too vigorous.

    Thank you

  2. Crystal says:

    I had a cesarean section almost 18 years ago and shortly after having it I noticed a change in my bowel habits and I’ve been having trouble with my digestive system every since. The doctor suspects gallstones and says that they are signs that I have a few but even in that the pain doesn’t feel like it’s just from one thing. I feel like a twisting when I need to use the bathroom and I have a hard time passing bowel. It’s so painful and I’m just now wondering if it has something to do with adhesions.

    It’s frustrating because I’ve had so many different scans and X-rays and the pain continues. I’ve missed many days of work and I’m just tired of dealing with it

  3. Elizabeth McGee says:

    Hi Heather,

    I feel so terrible for you having this kind of pain, I know it must be excruciating 🙁

    Unfortunately adhesions are very difficult to diagnose and they don’t show up on x-rays, ultrasounds and the like. If you’ve had problems with endometriosis and cysts in the past there could be some severe complications going on, but it’s hard to say.

    One thing that has helped many women is professional physical therapy massage. The website clearpassage.com gives a lot of good information on massage therapy for endometriosis, adhesions and others.

    I would start your research there. They don’t have facilities everywhere but you can contact them for help on what to do.

    Let me know how it goes for you 🙂


  4. Heather says:

    I am so glad I came across this site. I have been reading all of the comments.. I had a c section over 4 years ago. I did everything right with the self massages and even had a chiropractor help stretch the area so I wouldn’t have any problems further down the line.. Didn’t have any problems..about a year after my child was born, I had some lower back pain and hip pain but nothing that couldn’t be managed with pain meds and chiropractor Then about 6 months maybe 8 I started having noticing if I turned a certain way , it felt like a pin needle sraping the inside .. Then it became worse and worse.. What happened to be just a very small knot has ended up being almost 2 to 3 inches long and causes severe pain in my lower abdomen.. And it keeps getting bigger.. Had ulta sound and everything seems to be ok according to them but it wasnt with me.. I have tried to talk with my doctors and explain things with them telling me now for the first time to be referred to a surgeon.. This pain is like having a feeling of sandpaper on sunburn on the outside against my skin with horrible excrusating pain inside.. Pain meds dont even touch this especially for about 2 and half weeks around and after my period. Intercourse with my husband hurts and has felt like a stabbing pain.. I am concerned because they sat everything looks normal but at this rate I feel it will be double the size in another 6 months with worse complications.. I have had problems with endometrosis and also ovarian cysts in the past. If I have to cough or sneeze I have to apply pressure to the lump /knot or it feels like it rips or tears more. . Any advice would be greatly appreciated and just knowing others are out there like me it a huge plus… Having doctors say everything looms normal and feeling like this is very frustrating. Thanks in advance

  5. Elizabeth McGee says:

    Hi Danielle,

    Many women complain of that small ball under their incision. It’s fairly normal and consists of tissue an blood that collects during the healing process. Normally this dissolves over time. As long as it’s not getting bigger or causing you any pain you shouldn’t have to worry, it should eventually dissipate.

    Hope that helps 🙂

  6. danielle says:

    Hello, I had a c section 9 months ago now and it looks all normal but when I push down and make circular movements in the middle of my scare it feels like there is a little hard plastic ball smaller than a pea! And it’s only in the middle, the rest of the scar feels normal! I was just wondering if anyone knows what it might be? Thanx Danielle

  7. Elizabeth McGee says:

    Hi Mandy,

    Pain like this is most likely from either nerve or muscle pain. It could be due to adhesions but from what you say I think it may be due to muscles or nerves. Here are a couple of articles that may help.



    Hope this gets better for you **hugs**.


  8. Mandy says:

    Hi I’m 33 years old just had twin girls 8 months ago by csection I still have pain in the area of the csection wearing anything without elastic causes more pain when its really bad feels like something is ripping on the inside is there anything I can do to help with the pain? I had a visit with my doc he really doesn’t seem concerned

  9. rohma says:

    I had c section in 2014.. now i am pregnant and just begining to start my 8th month… I feel is my scar tissue have started softening from the sides.. is it something to worry about…

  10. Elizabeth McGee says:

    Hi Sabrina,

    Extensive adhesions are always somewhat of a risk but the doctor can usually cut through them however extensive adhesions can make the next C-Section procedure longer. Unfortunately I’m not a doctor or a surgeon and I don’t know how extensive your adhesions are so it’s hard for me to say how much at risk you are for your next baby.

    I would definitely talk to your doctor about this. Some doctors have flat out told patients that they should not have any more children due to adhesions and some doctors don’t find it a problem. I think it probably depends on the patient and also how comfortable your doctor feels with adhesions.

    Sorry I can’t be of more help on this but discussing this with your doctor can really help you with your decision to have another baby and help put your worries to rest.


  11. Sabrina says:

    thank you Elizabeth for your answer,I have both cut,the first time it was a low cut,but the second time ,when they try to open in the first cut,they found adhesion,so they made the vertical cut,they told me that they put things to prevent new adhesion,and the second c section they made the vertical cut in the uterus and in my skin,my question is,what happens if I get pregnant and more adhesion grow in the vertical cut?,the doctor would be able to cut the adhesion?,or that is a high risk for me and the baby?,thank you so much again.

  12. Sabrina says:

    Hi,my name is Sabrina,and I have 2 c section,my last one was on December 2009,and the doctor find scar tissue,so he could not do the traversal c section,he did the vertical one,inside and outside,know I would like to know if I get pregnant again what’s the risk to have another c section
    ?,thank you so much!

  13. mary says:

    i realy need advice, i have had 3 c sections 2004/2007/2011 i had been ok until my last section it took surgens 20 minutes to cut trough my scare tissue my bowels had been stuck to my stomach and doctors sad i had bad scare tissue which i didnt now much about. since my last baby i suffer with a lot of pain on my right side and burning sensetion. i also suffer with a lot of gas and bloting and also kidney could this be caused adhesions? i also want to have another baby please help i havent talk to the surge=ions or the doctors at the hospital so i don,t now much.

  14. Elizabeth says:

    Hi Alice,

    Have you see your doctor about this pregnancy yet? I would not recommend termination and certainly don’t panic until you visit with your doctor. You may have lots of scar tissue but there may be ways to work around this, for instance for your next C/S your physician can make an incision in a different area. There are medical precautions your doctor can take, but the point is you and your doctor need to work out a safe process.

    Keep a positive open mind.


  15. Alice says:


    I am really in need of advice please.

    I’ve recently discovered I am pregnant. I have had 3 c sections, the last was in 2011.

    Unfortunately it didn’t go so well due to adhesions, they cut through my surface scare but had to go up higher to cut through my uterus.

    The surgeon came to us afterwards and said, I am the top surgeon here and if I wasn’t here we would’ve been calling the crash team, she drew my uterus and showed me how bad it was and said “no more babies” and left it at that.

    Now I am faced with a termination as me and baby could lose our lives, is there anyway on this earth at all that I can give birth without dying, please help me I’m at a loss here and I’m scared and times running out.

    Thank you x

  16. Elizabeth says:

    Hi Meagan,

    It’s hard to tell what this might be with just an explanation of your symptoms, it’s really better to see a doctor, but I understand your situation.

    This could be a scar tissue problem, or possibly endometriosis or it could be something else altogether. No one can really speculate without seeing a doctor. Here’s a good article on endomedtriosos:


    Regardless of what is causing the pain you will need to have it looked at and treated at some point, especially if it gets worse.

    Hope you start to feel better soon 🙂


  17. Meagan says:

    Hi Elizabeth,
    First off thank you so much for writing this as well as responding to your readers. Going through other’s experiences has helped me.

    Had an emergency c section 11 months ago, but was lucky enough to have a horizontal cut. I was up and moving around 24 hours later and never really stopped. The scar, in my opinion, healed well. It is a little raised on the left, but my doctor said that was due to overlapping tissue when the wound was closed. I haven’t had any pain, burning, itching or anything up until about 5 days ago.

    Started exercising again (crunches, burpees, planks) recently so I thought maybe I was sore. The pain started on the left side of hip and as the days moved on moves to my right as well. Now my lower abdomen around my c section scar aches internally (my pelvic bone). It hurts to move quickly, to sit forward, to get up, etc. The scar has also started to sting off and on. There is no redness, bleeding or pus. I should mention that I have been on my period the last week and that I’ve had lower left back pain (mid left half of butt) enough to not sleep well for the past 9 months or so.

    I’m not sure what is causing it and would really love your opinion. I do not currently have insurance so I don’t want to go to the doctor unless it is really necessary. Thank you so much for your help.

  18. Holly says:

    Hi Elizabeth,

    I read your article and found it very informative. I have had 2 c-sections, in ’06 and ’10. I began having a lot of pain in Sept. ’12, and after several unsuccessful treatment options, my GYN did a laparoscopy in Dec. ’12. She found multiple dense adhesions. My uterus was pulled up from my pelvic cavity and attached to my abdominal wall on top, and the bottom had a wall of scar tissue connecting it to my bladder. My GYN removed the adhesions attached to my abdominal wall and repositioned my uterus, but did not touch any of the scar tissue attached to my bladder. She said she actually couldn’t see my bladder for the scar tissue and didn’t want to risk injuring it. At my post-op, she told me I would continue to hurt at long as the two organs were connected, and the only way to permanently fix it would be a hysterectomy. After another 7 months of pain, I decided on the hysterectomy and it is scheduled for next month. At my check-up today, my GYN said she thinks the scar tissue has spread to more areas due to new pain as well as a “pinching” sensation along the bottom-inside of my hip when I have to bend or curl my leg.
    I was just wondering, do you think there would be any alternative to the hysterectomy? I have done a little research about the PT massage, but am not sure I could handle the pain involved and didn’t know if it would be beneficial since the adhesions are so dense.
    Just wanted another look at this. Thanks!

  19. Jessi says:

    Ive had 3 csections, the last one being almost 4 years ago. Ive found with this last one, any kind of exercise, swimming, even simple playing with my children causes me horrible pain the next day. Its all around my incisions, up to my belly button and around my sides. Its cramping, burning pain. Sitting down theres tons of pressure on my insides, standing up feels like everything in my stomach is torn. Pain is getting unbearable, and has made my life awful by not being able to do anything.

  20. Elizabeth says:

    Hi Maria,

    I don’t know if the GERD is from the scar tissue. Did you develop the GERD after having your C-Section? I have heard that you can develop scar tissue from having GERD but I don’t know if your C-Section scar tissue has caused the GERD. GERD occurs because the lower esophageal sphincter (LES) does not work like it should, so whatever is causing it not to work would need to be explored by your doctor.

    I think it’s unlikely that adhesions resulting from your c-section would cause GERD but only you doctor could answer that.

    Here’s some info on the causes:


    I hope you’re feeling better soon.

    Elizabeth 🙂

  21. Maria says:

    I know that I have scar tissue bc after my c section recovery I would feel this pull and pain esp with sharp movements and u can feel a lump where it hurts the most. I saw a general surgeon who said surgery could just make it worse. I feel like my stomach has never been the same now two years later both physically and internally. It is disportionately larger than the rest of me. I still look pregnant and never had that problem in the past. I suffer from extreme GERD gas bloating hiccups and burping. It feels like I’m full of air. I had to be on Prilosec for 3 months bc my esophagus was so messed up from the GERD. Could this be from the scar tissue? I’ve seen countless doctors and none of them came up with that idea. If its possible how do i get them to consider it?

  22. Elizabeth says:

    Hi Katie,

    Scar tissue isn’t likely causing excessive bleeding, but there are a number of things that could be causing this. You should check with your doctor. (S)he is the only one that can accurately diagnose the excessive bleeding.

    I hope things go better for you Katie.


  23. Katie says:

    I had an emergency c section 4 months ago and I also have Fibromyalgia. The recovery has been very difficult. My period returned last month, and was very heavy and painful. I thought it was because it was the first period after my c section, but this month it has been very heavy and painful, too. I have to wear a pad with a super tampon because there is so much bleeding. I am also anemic, so this time of the month is pure agony. Can scar tissue on my uterus be causing these problems? Is there a way to make the bleeding lighter to reduce the pain I feel in my uterus?

  24. Elizabeth says:

    Hi Sarah,

    I can’t say for sure because I don’t know your medical situation. But if it were me I’d wouldn’t be sure that these things would keep me from getting pregnant.

    What did your doctor say? Was s(he) able to give you any advice on that?


  25. sarah says:

    I had a 2nd c section 10 months ago. My Dr was going to do a Tubal but because of scar tissue he couldn’t. However he said that my tube collapsed. I want to not have children anymore so besides abstinence is it likely I could become pregnant with these issues? I cant tolerate the pill.

  26. Elizabeth says:

    Hi Mehrin,

    Check with your doctor on what this lump is. It’s easy for us to guess what it might be but a diagnosis from your doctor will ensure you are doing the right things to treat it. Sometimes this can be fluid and tissue build up, which in time should just dissolve and go away, but it could also be a hernia, endometriosis or some type of infection brewing. Without the proper diagnosis you can’t really know what to do to fix it and you don’t want to make things worse.

    Elizabeth 🙂

  27. Mehrin says:

    Hi Elizabeth!
    It is good to see website where you can get some help!
    I had a emergency c-section in november 4th, 2012; but recently i have noticed last week that there is one hard lump like a ball above my scar. as whole scar area is sort of hard but it was not paining much unless i did massage after reading the feedback of scar tissue. it is not paining but i can feel there is something which is bothering in some sitting position. its been 4 days now that ball is little harder! Kindly advice whether alot of drinking water, massage and intake of vitamin C will help to reduce the hardness of lump or scar tissue.

  28. Elizabeth says:

    Hi Danjell, I’m afraid your doctor is right, it could be endometriosis or adhesions that are pulling, but it’s almost impossible to tell without going in to look, so no one can say for sure.

    Either way you will need surgery to take care of it. If it’s endometreosis you will need surgery, if it’s adhesions you will also need surgery. Some massage therapy can help adhesions but if you already have as much discomfort and pulling as you do, massage therapy isn’t likely to help at this point.

    I know you don’t want surgery, but the surgery is laproscopic so it’s less invasive. Here’s something that may help you understand this a little better:


    This can be a tough decsion, I know, but you don’t want to continue to live with pain either. If you’re still struggling to decide, try talking to another doctor about your options. Some doctors like to try to manage the pain with drug therapy first. Discussion does help and ask questions. The more you understand the better you will feel about whatever decision you make.

    I hope this helps. Let me know what you decide.

    Have a very happy new year **hugs**


  29. JJW says:

    Dear Elizabeth

    I was so happy to finally find a site with other women who have similar issues and i cant tellyou how happy i am also that your site and advice is filled with so many helpful information, Keep up the great work and im so happy im not alone and there are many others who understand. I had an emergency C-Section almlost 12 years ago due to the fact i was had severe pre-eclampsia ( not sure of the spelling 🙂 ) and since had a normal vaginal birth about four years after the surgery; however i notices a few years after the section about a year or two after there was a small lump just around the area of section on the lower right side just above the scar to be exact. I visited my doc and two other doc who confirm it was scaring from the C-section and that it was nothing to worry about. About a year ago i notice the the lump had become bigger and hurts so much when i touch it and especially around the time of my menstrual cycle and now it hurt so badly and its really hard and stiff to the touch, i dont want to wear my jeans or have my undies touch the area . the lump is now visible through my clothing and it burns and feels like a severe stretching and off and on stabbing pains ; there is a real heat coming from the area as well. It has become so bad that i am unable to sleep or stand and be comfortable at all these days; with pain and burning and stretching its really hampering my days. I had a ultra sound done and the mass was very visible but the doc say it could be endometriosis or sever scaring but she cant really tell unless she goes in and she suggest having surgery to remove it. I am very scared at this point and very tired of the pain and i just want to live a normal life with my son . Can you tell me what it is or make any suggestions ? Very afraid and desprate for answers i dont want to be cut open without knowing the real cause >>>

    Thanks much i anxiously await your reply

  30. Morgan Rackley says:

    hey everyone,
    Just wanted to share how I’m currently treating my keloid. I developed a keloid about a year ago from a surgery I had to remove a cyst. It’s about 1 and a half inches long and about 1/3 of a inch wide. It’s also 3-4 shades darker than my complexion.
    I went to Ulta about 2 weeks ago and saw this product called ScarAway. It’s like a silicone sheet. You’re supposed to wear the sheet for 12 weeks. I’m finished week 1 but I definitely saw a change. I’m approaching week 2 now.
    I have before and after pictures on my blog “Purging Pretty” (didn’t want to post the link so yall would feel like I’m spam. You can just google the blog if you like.
    But It really has shrunk a little in size and has lightened up. I really can’t wait to see how it looks on week 12.

  31. Elizabeth says:

    If your last C-Section was 4 years ago, that is a good amount of time between C-Sections. It’s not likely that you’ll die with another C-Section, but if things don’t go well you could have a hysterectomy, but there’s no real way to know that for sure.

    After 3 c-sections a VBAC is unlikely.

  32. Damaris says:

    Hello… My husband and I had a huge scare a couple of weeks ago when his condom broke!! I’ve had a total of four c-sections. When I have my last baby about four years ago the Dr said I had a lot of scar tissue, she even had to stop because the was too much bleeding. If it didn’t stop I would have to get a hysterectomy. It was able to stop but our plan to have my tubes tied died at that moment.,. Question… Has my scar tissue had enough time to heal?? What are the chances of me dyeing if I get pregnant again? Is there a chance of VBAC?? No. Right!?

  33. hayley says:

    Thank you for the reply very appreciated . I’m seeing consultant soon so they are ging to examin me will let you know what is said but thank you for your opinion x

  34. Elizabeth says:

    Hi Hayley, if you are at risk of uterine rupture, I’d say that a C-Section might be the safer way to go, especially if you tend to have large babies, but then again with close monitoring you may be able to have a successful VBAC, but your doctor should be able to give you advice on that.

    It’s hard to know which way to go, but I think if it were me, considering the pain you’re having, the size of your baby and the risk of uterine rupture your consultant has mentioned, I’d go with the C-Section, but that’s just me.

  35. Elizabeth says:

    Hi Shanise,

    Having had so many C-Sections already you are at greater risk that most. If you really want to have a 6th baby, you should at least wait 2 years before getting pregnant again, it takes that long to heal. Also if your uterus is thin, you should wait as long as possible.

  36. shanise says:

    i want to ask my self i want to have the 6th baby with in 2 years from now i just had my 5th baby and now i want to have even number of children and i made a mistake having my last 3 children too close together and now i am looking forward to wait for my body to heal in correct matter of form. i learn that u suppose to wait at least 2 year for the c section to heal. i was told by my dr not to have any more baby due to the uterine reputed and it was very thin i really want to know how long dose it take for it to get stronger again so i can get my last 6th baby i am not try to get pregnant with in a year but hopefully nose before i am turn to 30 to 31 year old to have it.

  37. hayley says:

    Hi . In 2007 I had a traumatic emergency section as one of my twin boys had a birth defect not compatible with life and putting the other baby at risk. Sadly my son died . I went on to have a healthy 8lb 7 baby in 2009 vac . I’m currently pregnant again 37 weeks and for the last few weeks my scar on th e left Sidea dips in andb i often got a burning sensation that comes on unexpectdly some days it stops me in my tracks at times. I also feel bruised on the left side under it and I’m now scared about having my baby as it didn’t play up like this last time. My section was very traumatic and my consultant said I may be at risk of my scar rupturing To the point it’s scared me and am wondering if to try a vbac again or if to have a section but id have to be put to sleep after my bad experience. I did want a water birth but consultant said I need to be monitored as soon as think I’m labour . Im so worried am not sleeping . I also have quite big babies and that worries me. Should i opt for a section or try vac. I did enjoy labour last time but my scar dont feel like it was on fire.

  38. Elizabeth says:

    Hi Sherrie,

    First of all I want to I’m sorry for the loss of you baby ***hugs***.

    As for your pain,t his could be scar tissue or adhesions but it’s impossible for me to know that for sure. Doctors will often give you pain meds for adhesions because there’s no immediate resolution for it. You could also have this checked out out by a physical therapist specializing in adhesions. See what they have to say, they can do massage therapy that often helps relieve the pain of adhesions, if the the pain is actually caused by adhesions.

    I hope that helps,

  39. Sherrie says:

    Hi, I’ve had a c section almost 5 years ago now. However, I was pregnant a year ago but had a still born. I was only 5 mths pregnant during that time. I did had some discomfort during the pregnacy with my scar but then it went away. But now for the past couple of months my scar is achy and my left ovary is achy as well. I did got check out by a doctor but he only gave me pain medicine. Could it be scar tissue or something else. I also urinate alot now. Could you help me out with this. After having 2 c sections this is the first time I’ve ever experience lingering pain /discomfort.

  40. Tee Knight says:

    I had a c-section 5 years ago and believed all was ok. 4 years after c-section I experienced pain in my abdoman, throwing up, constipation and unable to eat. I went to the hospital and after mutliple testing they found scar tissue wrapped around my intestines, which was due to prior surgery (c-section). I had larposcopic surgery to remove the scar tissue. I have been trying to concieve and have not been successful. Is it possible that the surgery has caused be to become sterile. I am so stressed over this! Please resond asap.
    Thank you

  41. Ashley says:

    I’ve had 2 c-sections and during my second one my doctor discovered that my uterus was completely twisted and adhesed to my abdominal wall. He put some type of film between my uterus and abdominal wall that is supposed to prevent it from happening again. During that second pregnancy I had terrible acid reflux and now I am being treated for a stomach ulcer (although they never did scope or MRI just gave me meds) do you think the surgery could have caused the ulcer?

    Also we don’t really plan on having any more children but my husband is dragging his feet getting a vasectomy so would it be dangerous to become pregnant again and put my body through a third c-section? My doctor said a lot of women have histerectomies because of this condition. I’m due for a check up but I’m avoiding it because I’m nervous about it.

  42. Elizabeth says:

    Hi Ana,

    It’s hard to ignore when a doctor says that you could die, but honestly, the risk is quite low. Here’s some info that may help…

    The more c-sections you have, there is a small risk that the placenta can grow over the cervix or previous scar tissue. A more serious complication is if the placenta grows through the side of the uterus. Fortunately, these things can be detected through ultrasounds so I’d expect your doctor to really keep on top of these things.

    Uterine rupture is the other big complication. There are actually 2 kinds of uterine ruptures.

    One type is the ‘window rupture’ which is a small hole, or several holes, in the inner lining of the uterus. These don’t go all the way through the uterus, are much less serious and they can be repaired.

    More serious ruptures are uterine tears that does go all the way through the wall and can cause hemorrhaging and the possibility of death for you and your baby. Again they are rare, but if you’re in a hospital setting, you have a good chance of recovering.

    All these risks are very small but doctors are advised to inform women of them. They can be scary but don’t let them scare you. Educate yourself and talk to your doctor in depth about them and find out what his plan is to detect any risks and how he will handle them if they occur.

    I hope that helps 🙂

  43. ana says:


    I just found out I’m pregnant with my third child. With my last two children I had c-sections. With my second child the c-section took a little longer that the first. As soon as they were done, my doctor came over to me and asked my husband and I if we were thinking of have a third child and at the time we weren’t sure, so she said she recommend I don’t have another baby because I had a lot scar tissue and I could die. That was 2 1/2 yeas ago and now were blessed again with another baby. I’m going to go to the doctor tomorrow to confirm my pregnancy but I’m very scared about dying with my 3rd c-section. I’ve never had any problems with my c-sections, I heald quickly with my last two and i’ve never had any serious pain except numbness. Am I running a huge risk of dying with my third baby??

  44. Ginta says:

    Hi. I would really appreciate your opinion. I had a C-section 6 months ago, which as I found out later from my consultant, was not necessary… The section let me in to lots of complications and strong on going pain… I had 2 swabs (1st one showed infection and I was treated with antibiotics straight after section; second was normal) and 4 urine lab tests, which all were normal. I also had a ultrasound scan of my abdomen, which was normal too. Ever since the surgery my abdomen is very sensitive and feels like open brooze… My scar is very painful and I have sharp pains all over my tummy and mostly in my bladder. My first period was very excessive and extremely painful. It felt like something was tearing me apart from inside… I’ve been reading about adhesions and as this was my second section, I would like to think that they are causing the pain… Today I’ve seen the gynaecologist, who also is a surgeon and looks after bladder problems. I’ve been told that these pains are caused by nerve trapped syndrome (if I wrote it correctly), as the adhesions does not cause any pain and that I don’t have them as I am very slim. The information regards adhesions and pains is totally the opposite from the information I found. I just want my pains to stop. I would very much appreciate if you could advise me what should I do or who else should I see regards this and how to make the pains to stop. Thank you in advance

  45. Elizabeth says:

    Nicole, If you’re having pain, it’s for a reason and your doctor shouldn’t shrug it off. The problem with adhesions and scar tissue is that they can’t be see on X-rays or scans, so doctors can’t be sure if that’s the problem or not. But if your doctors have seen scar tissue in the past, that should be in your records.

    The problem right now is whether or not your pain is from the scar tissue and if the scar tissue is doing damage to other organs. Your pain should be enough reason for your doctors to investigate. I’d start with your PCP. S(he) probably won’t be able to really do much but they should be able to refer you to someone.

    If you don’t mind, keep in touch on this, I’d be interested to know what the outcome is. I hope that all goes well for you.

  46. Nicole says:

    Hello, I am 25 years old and have had one c section in 2010. a year later I went into the hospital with severe stomach pain and after keeping me for a week they found “nothing”. three weeks later i returned to the er with severe stomach pains again. They tried convincing me it was piv. and during laproscropic surgery they realized it was my appendix. After waking up from surgery they told me i had severe & what the dr called “fried” scar tissue. They were able to remove some but not all. It has been a year since my appendix surgery and I often have abdominal pain. I am worried about how severe it may be and whether it may be adhearing to other organs. I am also worried about whether or not i will ever be able to have more children. I was just wondering where i would even start as to getting it checked out. would i see a pcp or an obgyn ? What could i say to convince them that i want it removed, i would like to have more children and im afraid without any surgery ( or even after surgery) that it will not be possable. I am just worried that i will talk about this problem with a dr and they will shrug it off and not pursue it. PLEASE HELP !!!

  47. Elizabeth says:

    Michelle, Unfortunately this is a little out of my area of knowledge. I’m not familiar with symphysis pubis, it is in itself a specific problem. I suspect if PT hasn’t helped you may need to see an othropedic doctor.

    Since you are having pain right below your scar line this may be a separate issue of adhesions.

    If it were me, I would start with my OB. He should have enough information to go on that he can at least give you some guidance.on what to do other than PT or recommend a doctor specializes in symphysis pubis. He may also be able to help with adhesions if he suspects that’s a problem as well.

    I’m sorry I can be of more help but I hope you’ll be feeling better, I know that kind of chronic pain is hard 🙁


  48. Michelle says:

    I should also say, my pain feels almost all muscle/ligament/bone. No cramping, nausea, or bowels issues USUALLY….

  49. Michelle says:

    Wow… you are so sweet to answer all these questions! I’ll jump in with mine. 🙂

    I have had 4 c-sections. Three months after the last one, I started developing hip and pubic bone-area pain. I saw a chiropractor for this and she was perplexed as to why I didn’t stay better aligned from visit to visit. I was finally diagnosed with pelvic instability and sent for PT. I did PT for about 4 months with little improvement. I’ve finally given up with the PT, and want ANSWERS. I’ve been trying to figure out whether to see my OB or an orthopedic doctor. I did have one hip/pelvis x-ray that showed that my hip is fine, but that I have “severe degenerative changes” of the symphysis pubis. Lately the pain has gotten worse, mostly in my groin, hip, and right below my scar line. This seems to line up with the article, and it sounds like going to my OB is the correct first step. Do you think so?

    Thank you again!

  50. Elizabeth says:

    Hi Chloe, the problems you’re having go beyond the scope of this site, however you’re a good example of what scar tissue can do. I don’t know what you can do other than what you are doing already. Your kidneys and urinary tract have obviously been impacted so there may be something more going on in that area than doctors are telling you.

    I know you’d love to have another baby, but I think that may just impact things further. If I were you I’d speak to a Urologist (specialist) and get a second opinion of what might be going on.

  51. Chloe says:

    Hi, I am 23 years old, I had my baby 2 and a half years ago through a c section. Everything was fine until 4 months after the surgery when my scar swelled up and burst..I got an infection which the docs said I must of bein allergic to the stitches they used. Ever since I’m experience pain. It’s lik a sevier burning/stabbing pain that shoots up into my vagina..I find it so sore to pass urine, I’m left bed ridden and on pain killers.puttin a hot water bottle helps take the edge off the pain. Ive had a surgery since to remove scar tissue. The said one of my tubes was stuck to the lining of my wall. On top of that I’ve found out I’ve only one functioning kidney because of severe scaring. The doctors have put the pain down to scar tissue and I’m goin to be on pain killers for the rest of my life. I feel like there’s more to what’s goin on with me..I dont no any more steps to take? If the pain is caused by scar tissue why do I get sever pain the day after if I have any alcohol?is there anything else I can do besides taking pain killers which I need on a daily basic? Can scar tissue really caus this much pain?And i would love to have another baby which the doctor told me to go right ahead, I’m terrified.. Would love a reply.. Thank you

  52. Elizabeth says:

    Hi Valerie, I would suggest calling your doctor, pain like that isn’t normal, obviously something is happening. There could be scar tissue and the gas somehow displaced it but you don’t want to take a chance at guessing, and really that’s all this is, is guess work. Be sure about what’s happening and check it out with your doctor.

    If you don’t mind, please check back with us and let us know what you find out. I’d be interested to know how it turns out for you.

    Blessings 🙂

  53. valerie says:

    i have a question. i have three children all born via c-section. the oldest is now 3, the middle child is 2 and our youngest will be 1 next month. i always healed well, great recovery, this morning i had gas. went to the restroom and when the gas was expelled, i literally screamed in pain and my husband came running. it felt like my c-section scar ripped open.

    but its been almost a year. my period just ended last week….and now i am streaking blood. i had my tubes tied with my 3rd child. should i be calling the doctor? i feel a little bloated and dizzy here and there, but i dont think I am bleeding internally, but i dont know. what do you think?

  54. Elizabeth says:

    Hi Rally, Oh How I wish I could help, ***hugs***.

    Unfortunately I have no way of knowing what’s really going on and also I am NOT a doctor. This is something only a doctor can diagnose and treat. Adhesions may be the problem but you also may have something entirely different going on. Please promise me you’ll get this checked out with your doctor. Having such pain is not normal and it should be treated.

  55. Rally Goodwin says:

    Hi I ment to say I have these cramps every bowel movement and they feel they are exactley behind my c section scar not on left or right side but in middle. Very sore and my sex life has stopped [lease help.

  56. Rally Goodwin says:

    HI im a 59 yr old women I had 3 sectiona over 10 yrs last one in 1995 for las 5 yrs Im having cramps after orgasm and bowel movements . Its to sore now for sex and my life seems to be over. please help

  57. Elizabeth says:

    Hi Gina, Since your doctor said had a lot of scar tissue I think finding out how extensive it is with regard to your organs is a good idea, because this is an issue that can cause you problems and/or discomfort later on. At least asking and getting some feed back from your doctor is always a good thing.

  58. Gina says:

    My name is Gina and I had a myomectomy a little over a year ago, my husband and i have been ttc for over 2 years, on 2/9/11 I had a laparoscopic and hysterectomy done. Upon waking up the doctor told me I had so much scar tissue from the myomectomy that he was unable to see my reproductive organs. My uterus is in tack and perfect but the scar tissue is covering up all the other reproductive organs. My doctor informed me that it was too much scar tissue to removed and if he tried to remove it, it will be too dangerous. He told us to consider IVF but honestly we do not have $15,000. I am reading that some of the women have had CAT scans to determine if the scar tissue has attacked to their organs. I have my post-op appointment in two weeks and we are deciding should be bring up this as an option?

  59. Elizabeth says:

    Hi Walona, I wish I could help you but I don’t know your medical situation or what could be going on. If you are in constant pain, only your doctor can determine where that pain is originating and what can be done for it.

  60. Elizabeth says:

    Hi Sarah, I’m not familiar with how contraceptives play a part in pregnancy. That would have to be a question for your doctor. The pain around your scar could be normal or there could be adhesions in the area but of course no one can know for sure without having your doctor look at it. These things shouldn’t be a big problem with being pregnant again. I would say just relax and take it one step at a time while also chatting with your doctor about it 🙂

  61. Sarah says:

    I had an emergency c-section on June 2/11. I have now found out that I’m pregnant, I am wondering if this is a safe situation since I have been experiencing pains on the right side of my scar. I found out that I’m 7 weeks and not sure what to do. I also have taken the plan B pill twice due to contraception mishaps, and am concerned about what effects this could have on the fetus. I didn’t know that I was pregnant when I took the pill.

  62. WDavis says:

    Hi my name is Walona I am 33 mother or 4. I gave natural birth in 1996 & 1997.
    I had 2 c-sections one 2001 the other 2010, or 18 months ago. I have internal pain from my abdominal my stomach have air bubbles that I add pressure to when I lay down. Why do I still look 4 months pregnant? My stomach has never went down since I had my daughter. I did not have this issue with my 2001 birth. My stomach s heavy it hurts my back at times. My stomach s large and my body is medium, I wear undergarments to control my figure and it hurt my stomach. I work out at least 3 times, a month. I do not smoke, drink, and abstinence–not sexually active at all since 2009. I do not have medical insurance so in would like havevsome knowledge, or options of what is causing the discomfort. My internal, and external discomfort and random pain is my everyday problem. Thank you forum of information.

  63. Yesenia says:

    Hi I am 28 years old and I have had two c sections about 4 years ago which is from my second son. I hadnt had any complication up untill today I have red and swelling on my c section and I can feel a small a bump. Do I need to get it check out I dont know what to do?

  64. Dianne says:

    I had my 1st emergency c-sect in 2003, then a sched c-sect in 2006, about a year later I felt little lumps, kinda like a cluster of grapes just to the left of the incision. After a visit to my Ob, he stated it was internal scar tissue, not too much you can do about it, you run the risk of it forming again after surgery to remove it. So I have been dealing with it, some months ok, some months not. The skin itself was painful to the touch & it seemed like the “grapes” swelled up around the time of my periods. This has been ongoing over the last 6 years, just this week seemed to be the worst week ever. the pain normally subsides after my period ends, but a weeek later, it’s very painful and the skin hurts, just a simple touch or even clothes touching it hurts. Its a stinging, stabbing pain. The worst part is, my husband just lost his job & we have no health insurance. Does this sound like adhesions/internal scar tissue?

  65. Casey says:

    I have had 3 c sections my last one was 3 years ago. I have recently been have a burning feeling about 2 -3 inches above my scar right under my belly button. I have also had my appendix taken out about nine years ago. I was just wondering if you could tell me something?

  66. Arry says:

    Hi .. Im 25 and i had my cesarean one and a half year ago.it was not an emergency one,infact i was one week overdue! I went through the normal post pregnancy effects,the backache being the more severe one.but now after a year n a half im experiencing the same severe pain near my incision-lower back, n the area above it.i want to knw whether this ache is due to the post side effects of c-section? Or is due to the cold whether were i live,as everyone says so? N also when i sleep on a flat surface other than my bed i experience severe pain in my back..pls help me out

  67. Sandra says:


    I had a C section in Nov 2009 (emergency as the placenta tore off the wall) and I healed fairly well and have no general complaints.
    My husband and I had sex recently and it may have lasted a little longer then norm for us but nothing out of the ordinary. I started to feel uncomfortable 1/2 way through and just dealt with it until we were done. After a few minutes it got worse. It felt like a very bad stomach ache and cramps. I realized it was right below my scar and if I pushed on it, it would feel a bit better. If I had to cough, I braced myself by pushing on it. The only thing I can think of that may cause this is the scar tissue and the fact that I have been coughing aggressively for the last 4 days. Could the coughing have irritated it and the sex just made it worse?

  68. Elizabeth says:

    Hi Erica, I’m so sorry to hear that you’ve had so much trouble. How awful for you ** hugs** 🙁

    Try to trust your doctor when he says he’ll take extra precautions, and I’m sure he will, this is NOT something he wants to happen again. Also this is not something you’re likely to die from. Adhesions do make surgeries difficult but with a doctor that knows your history and takes extra care, you should be fine.

    I know this is easier said than done but try not to be worried. Part of having a healthy, happy birth is letting go of the angst and relaxing as much as possible. Also trust in your doctor that he’ll take special care of you and try to relax 🙂

  69. Erica says:

    Hello, I really need some advice second and third opinion. I have had 2 c-sections on in 2005 and the other in 2010. During my 2010 c-section the doctor (which was not my doctor, he was the doctor on call that I have never met or who knew my body) cut my intestines he says due to scar tissue. After recovering from my intestines being cut and the c-section I was advice to get a procedure done called the arianna (blockage of the tubes) in order for me not to have any more kids. Well that didnt work I am now pregnant with my third child and I do not know what to do I have spoken to my doctor which he states that everything will be fine he will just have to take precaution when performing the c-section to make sure that my intestines would not get cut again and have everyone there just in case. I am very scared. My second birth was very hard on me. I also suffer from pelvic congestion syndrome, which are swollen veins in my abdomein. Please what should I do, should I be scared and will I die?

  70. Lisa says:

    I had 3 c sections. My last one was 1998. I have a large lump on the left side of my scar. My doctor told me that it was scar tissue but it has since grown over the past 4 years. At times it is hard to wear jeans, walk or sit because it hurts. I noticed where the lump is, my skin has purple lines. I was diagnosed with endometriosis years ago and had laproscopic surgery to remove the bands of scar tissue.

  71. Elizabeth says:

    Hi Erica,

    The burning is most likely adhesions related. Adhesions are the scar tissues that adhere to other body tissues or organs that can cause pulling or the burning sensation. They’re not serious but they can be painful. Doctors can remove them laparoscopically but if you don’t have insurance you might want to look into physical therapy massage. Here’s some information on c-section adhesions and treatment 🙂

  72. Elizabeth says:

    Hi Joanne, adhesions are possible but there’s really no way for me to tell for sure. Another possibility could be endometriosis, this is when cells from the lining of the uterus grow in other areas of the body causing pain, irregular bleeding, and other problems. This might be something you’ll want to ask your doctor about.

  73. Erica says:

    I had my daughter almost 5 years ago via C section. The last few days my scar has been hurting and almost feels like it’s “burning”. Is this serious? I do not have insurance and don’t want to go do the Dr. if I don’t really need to. Any advice would be greatly appreciated. Thank you!

  74. crystal says:

    hello i went to the doctors becaus ei was having such pain. finally he went and did a laperoscopy and found adhesion. the pain is so bad that is makes me throw up, and he told me the only way to stop the pain is to get pregnant or live on pain killers?? can some one please help me

  75. Joanne says:

    It’s Joanne again just wondering if you think I have adhesions or scar tissue internally is that possible?

  76. Mami says:


    I came across your site when I was trying to find an online solution to the pains I’m currently experiencing. I’m a mother and I have a son who is a year and five months old. I had him by C-Section. Before I was married I had to have a myomectomy, When I was three months pregnant with him, I had to have an appendectomy as well as free some of the adhesions I was having at the time. I am now three months pregnant and in a lot of pain. Is there some advice you can give to help me because I’m suspecting that the adhesions are back. And I’m kind of worried about if I can carry this pregnancy to term.

  77. Joanne says:

    Hi Elizabeth, its been 14 months since my c-section and sex is still very painful. It feels like I’ve a cut at the opening of my vagina as when my husband attempts to enter it is very painful. If I do manage to get through that initial pain I also have to suffer pain from inside aswell. A few times there has been a tinge of blood afterwards. My doctor cant see any reason for this pain although the nurse said she could see some inflamation when I got worried and got a pap exam. I have no infection, my pap exam came back clear. If I do have sex it takes me a few days to recover from the pain to have sex again. The only time it feels a small bit better is mid cycle, still painful but not as bad. I just want things back to normal as my husband is starting to think I dont want to be intimate instead i’m just worried about the pain

  78. Elizabeth says:

    Hey Christine, It’s so hard to say for sure what the problem is. From my experience, most of these hard lumps do dissolve after time but without knowing what’s going on it’s impossible for me to say. You could also have a hernia or something else going on.

    Unfortunately the only real advice I have is that if this gets too uncomfortable you should see your doctor. Nothing that is that uncomfortable should go without seeing a professional.

    I do hope you’re feeling better soon though 🙂

  79. Christine says:

    Hi Elizabeth. Its been 3 month since my second ceasarian and although my incision site has healed properly but my lower abs still looks like there a ball at the centre, its hard (especially after meals), and i feel burning sensation to the left just above the incision while am resting/ laying in bed. Pls what do you think this might be cus its really uncomfortable?


  80. Elizabeth says:

    Hi Lisa, I’m not a law expert and don’t know the laws in the UK. In the US you have legal rights to see your medical records, don’t know if that’s the case in the UK. Of course I suppose they could fake their records. The only thing you could do is request a public advocate to be in the hospital with you.

    You might try contacting the law offices that are representing the cases that the hospital has against them. They may have some advice for you. I’m sorry I can’t be of more help, however I hope they can at least clear up your infection for you and that you’ll be feeling better soon 🙂 ** hugs***

  81. lisa says:

    Thank you for gettIng back, how will I know if they have left something in me, as we both know they wouldn’t tell me, I know it’s there duty to but this hospital already gas a lot of law cases against them because of infections & neglect! I feel u should have a right to know as ive missed out on the most important months of my baby due to being poorly. Us there anybody official I could request who isn’t from NHS to be in theatre with me??

  82. Elizabeth says:

    Hi Lisa, I think at this point you have to let them go in and look to see what’s going on. You may very well have something in there. An infection that won’t go away needs attention until it does go away.

  83. lisa says:

    Hello, my name is Lisa, I had a
    C-section 10 months ago, I cought an infection whilst
    In hospital having
    My baby, 10 months on, my scar is very goey smelly itchy and very very sore, it’s very angry looking, and I have to have it dressed 3 times a week. My adomin is
    Also very painful and sensitive, I understand that you can get nerve damage, but
    I can only just tolerate myself touching it. I have been to my G.P countless of times, and have been given lots & lots of different antibiotics and washes/creams, none
    Of them have done a thing. Now 4 months ago, my umbilical started to go smelly to, now it’s very red swollen smelly and incredibly sore
    Just like
    My c-section. Blood tests have shown nothing. I was
    Finally admitted 2 weeks ago, and
    The surgeon has asked me back next week to have a
    Look inside, alot of people have told
    Me to seek advice and
    Take it
    Further, as they may have left something inside me, I’m just Bit confussed as to what to do?? Please help.

  84. Elizabeth says:

    Kayla, yes, endometriosis is another possibility. I so wish I had more concrete information for you but there’s just no way for me or anyone other than a doctor to really know for sure and without insurance it gets even tougher 🙁 Since adhesions don’t show up on scans it makes sense that it could be adhesions. I believe a scan can detect endometriosis abnormalities but I’m not certain on that.

    You could check with a certified adhesion massage therapist and see what they have to say. They aren’t doctors but they see enough adhesion patients that they may be able to discern some clues that can help you know if you do have adhesions or rule them out.

  85. Kayla says:

    Thank you for responding.

    No, he didn’t. It was an ER doctor and they usually brush everything off really quick, probably because they are so busy. I had gone in about a couple years ago, afraid I had maybe had a hernia or something for a long time (the pain is that bad), before I knew about adhesions. Basically, he just felt around on my scar, sent me for a scan, said they didn’t see anything and that it was probably fascia; between my skin and muscle tissue. It doesn’t make sense that it would be located there based on how my pain is, but I’m not a doctor, so…

    I don’t have alot of money and I’ve been denied insurance, so I can’t get it taken care of, or even confirm what it is. The only other thing it sounds VERY much like is endometriosis. I just don’t know which.

  86. Elizabeth says:

    Hi Kayla, adhesions could very well be the problem but it’s never easy knowing for sure.

    I don’t think it’s unusual to have more pain during your period because things swell, bloat during this time and also it depends on where the adhesions are and what they are interfering with. Did your doctor make any suggestions on what he could do for the pain?

  87. Kayla says:


    I am 23 years old. It’s been 7 years since I had my c-section with my daughter. Since that time, I’ve had horrible pain in my lower pelvic area, pretty much directly under my scar, but ONLY on the far right side of the scar. It hurts at all times. I can’t lean against things or set anything down on my lower stomach. Bending my stomach all the way forward and trying to stretch is extremely painful. Just normal stretching, like you’d do in the morning. I get to a certain point of stretching out and all of a sudden there’s an incredibly sharp pain/spasm that shoots through the area. It is INTENSELY painful to press on the spot, even gently. I call it my “soft spot”. 🙂 I can feel a hard lump or something right where the pain is. Sex is usually very painful and the spot hurts for quite a long time afterward. I can’t do any form of exercise besides walking or riding a bike. Everything else causes it to become excruciating.

    I had a doctor once tell me that he thought it was fascia and I’ve been inclined to believe him, as it does seem very much like adhesions pulling everything around or something. The only thing that confuses me is the fact that the pain gets ENORMOUSLY worse a couple days before my period starts and lasts the duration of it, along with horrible lower back pain. I haven’t been able to find anything that says adhesions worsen with menstruation, so I’m not sure. Or perhaps they are two seperate issues.

    Anyway, just wondered if you had an opinion on what it could be at all. Thank you for your time and suggestions.

  88. Kirsty says:

    Hi Elizabeth
    Thank you for the reply. I saw my Dr again today. The hysteroscopy didn’t show anything abnormal. She is considering adhesions but is reluctant to do a laporoscopy at the moment (I don’t react well to general anaesthetic) so has asked me to keep a pain diary for a couple of months and then we will review. She also thinks it is possible that I am only getting pain at certain times during my cycle – first time I saw her she was able to recreate the pain but today nothing caused it.

  89. Elizabeth says:

    Hi Leslie, I’m not really a surgeon specialist but I’d say a general surgeon would be the best option as I think they’d be more familiar with removing scar tissue and hernias.

    If it is scar tissue they can remove it laparoscopically which is much less invasive, however it they think it could be a hernia that may not be able to be done laparoscopically. So I can’t be sure how they’re going to approach this since they don’t really know what it is.

    From what you’ve said about the pain I think it’s a good idea to have this done but ask about what kind of surgery will be performed because if you can have it done laparoscopically it will be much easier and certainly less invasive.

  90. Leslie Salas says:

    Hi Elizabeth,
    I had my 2nd C-section 18 months ago. Right away I noticed a medium size bump on the left side above the scar of my cesarean. I still also have the ‘burning’ pains that you have soon after the surgery. The come and go. I talked to my OB about the pains and showed her the bump. The bump does go away when I am lying flat on my back……..Anyway, She said it is NOT normal and that it could be scar tissue or a hernia, and either way it needed to come out. So, she is going to talk to a general surgeon and plastic surgeon to see which would be the best option for me to get this removed. I am scared to have another surgery to remove this. My OB said they will not know if it is scar tissue or a hernia until they open me up….sounds scary! And also she wants to make sure it gets covered under my insurance rather than having to pay all out of pocket. Do you recommend a plastic surgeon or general surgeon for removing this? I am only considering this due to the pains I still get from time to time.

  91. Elizabeth says:

    Hi Donna, endometriosis by itself is painful so if you still have it, you’re likely to still have some pain, so I’d guess your pain is because of your history. I think if it were me though, I’d like to at least be sure by checking with my doctor.

  92. Elizabeth says:

    Hi Seaandra, itchy scars, even several years later does sometimes happen. Sometimes it’s a lack of blood flow to the scar tissue and sometimes it’s a lack of skin hydration that can cause the itchiness. Here are some other women that have similar problems

    I wouldn’t worry too much about it but it never hurts to ask your doctor about it 🙂

  93. Donna says:

    Hi Elizabeth,
    My name is Donna and I had a c-section three months ago. This was my first pregnancy and delivery. However, I’ve had three prior laparoscopic procedures (2001, 2007, 2008) for endometriosis and an ovarian cysts. I already had scar tissue from these procedures and still have endometriosis. It’s been three months and my lower abdomen is still really sore. I cannot apply much pressure or even wear blue jeans without a lot of discomfort. I also cannot lift a lot without pain. I’m wondering if I should expect this bc of my history or if I should be concerned. Any advice would help.
    Thanks 🙂

  94. Seaandra says:

    Hi, Elizabeth!

    Ive been wondering for a while, and I cant seem to find answers, but I’ve had two c-sections, one in 1999 and the other in 2005. After each of them, every month, before my cycle, the scar gets very itchy. It usually occurs anywhere from a couple days to one week before I start. There is no pain, just intense itching that drives me crazy!! Once my period has started, it will taper off and go away until the next month.

    I have just been curious if this is a normal thing for c-section scars? (and yes, nearly 6 years after my last one it still happens)

  95. Christine says:

    Hi Elizabeth.
    Have had two ceasarian, one in 2009 and the other just August this year (2011). I am planning having another baby in 5years time by VBAC cus i had a very horrible experience with my last ceasarian. Pls what would you advice?, do you think i stand the chance or will it be too risky for me to try VBAC having already had two ceasarian.

    Would really appreciate your advice on this.

  96. Elizabeth says:

    Hi Krystal, Massage therapy is a new method of breaking up scar tissue. The only other option is removal of the scar tissue through laparascopic surgery., but I’d recommend massage therapy first. Check out the Wurn Techniqiue at Clearpassages.com. http://www.clearpassage.com/about/wurn-technique.php

    You’ll get some good information there. Their treatment centers are remote but you may be able to find local massage therapists or physical therapists that provide similar massage techniques.

    I hope that helps 🙂

  97. Krystal says:

    I had my daughter who is 6 by csection. Ever since, above my scar on the left side sticks out and causes me a lot of pain. I was told by my dr that this is scar tissue. What can I do about this because it has not gotten any better in 6 years 🙁

  98. Elizabeth says:

    Hi Synelsha, irregular bowel movements aren’t necessarily caused by scar tissue or adhesions, although it could be, it’s just too hard to tell without seeing a doctor.

    There are so many things that can cause irregularity, things like diet, stress, lack of hydration, etc. Are you feeling pain or discomfort? This is a sign that you may have some adhesion problems.

    Here’s an article that may give you some help:

    Hope that helps 🙂

  99. Synelsha says:

    Hello! I have had 3 c-sections and it seems like after every one of them my bowel movements become even more irregular. My children are 13, 6, and 2. I probably have a bowel movement twice a week now. I eat plenty of vegetables, and have tried the fiber rich diet, but nothing seems to help. I was told that I should have a bowel movement everyday, so I am very concerned. Could this be because of scar tissue? Please help!

  100. Elizabeth says:

    Yasmin, Adhesions won’t keep you from recovering quickly. For those that have issues with them the problems are usually something that creeps up after you are completely healed. With your history of recovering so well I don’t think you have to worry at all. Adhesions and scar tissue are a side effect of surgery, but not everyone has issues with them. Don’t worry, I think you’ll do wonderfully just as you have in the past 🙂

  101. Yasmin says:

    Hello! I have had 3 C-Sections in the past and I’ve never had ANY problems! I’ve always been able to bounce right back and even up and moving around withing 24-48 hours after surgery. My question is that I’m a little concerned about my ability to recover as quickly with my upcoming 4th c-section in the next 4 weeks. Should I be worried this time around that I might not bounce back as quickly as I did with the last three? I’m 33 and my last c-section was 2 years ago. My children are 16, 12, and 2 years of age.

    Let me know, I’m getting a little worried……….it’s strange, I was never worried about scars or adhesions in past?

  102. Elizabeth says:

    Hi Ruby, The only real way to get rid of adhesions is with more surgery, however the surgery is done laparoscopically which is less invasive. Usually adhesions are determined simply by ruling out all other possible problems.

    The other option is massage therapy. This doesn’t get rid of adhesions but it can loosen them and move them so they are less painful. You might want to check with your doctor on that. But be warned, that most doctors don’t have much faith in massage therapy, however many women who have had it feel it has worked.

    I hope things get better for you, I know how hard it must be to live with that pain. ***hugs***

  103. Ruby says:

    Hello, I have had these very bad pains since giving birth to my twins 5 months ago. It feels like a very bad cramp and is as painful as labour pains, i also feel sick when i get the pain and the pain goes to my back. The pain last for hours until it calms down itself. I also get pains after i have had my food. I gave birth via c-section (my 2nd c section). Been to my GP, got a scan done on my kidneys and pelvis. She has arranged another scan for me to see if i have any gall stones. I have been to the emergency walk in centre today as i had the pain for hours. The doctor there examined me and said he doesnt think i have gall stones as he pressed where my gall bladder is and there was no pain. He said it maybe adhesions as it start straight after birth or it could be irritable bowels. What do you think this could be? As you have said adheshions cannot be found on xray or scans therefore what is the test that needs doing to find out? I am in so much pain and its affecting my day to day life and the doctors are not giving a definate answer to my problem. Can you also tell me what the treatment for adhesions is? Thank you.

  104. Elizabeth says:

    Jamie, scar tissue is a possibility but you could also have something else going on such as an infection. You’re going to have to discuss this with your doctor. Pain followed by itching means something is going on, so it’s important to get it checked out so you can know for sure. That’s the only way it can be successfully treated.

  105. Jamie Shepherd says:

    I had my first c section a little over 5 yaers ago and then 19 months later had my second one. My youngest child is now three. About six months ago I started hurting really bad during my periods. Feels like my uterus is going to tear open. When I go from sitting very long to standing it hurts so bad. This hurts the time of my cycle and then after that I start to itch in the same area. It is so frustrating because you can’t get it to stop. I itch for about a week to nine days and then I am fine again. It seems like it just get worse each month. Any help would be wonderful

  106. Raeesa says:

    Hi my name is Raeesa!
    Iam 30 years old,i had my first son wen i was 21,and due to complication i had to have an emergency c section,which went great and the pain after wasnt so bad,and then after 7y i had my daughter wich i had to also have ac setion cause she was brige if i spelt that right lol..anyhow while i was in thetre the doctors said i had a lot of scar tissue,and i found after i had my c section i experienced alot of burning pulling pain that was unbearable and i bled like u wouldnt believe,my recovery was terrible i just couldnt handle the pain second time around,but because i was so determainted to take care of my daughter i dragged myself up and did wut i could..my daughter is 2 now and i managed to looose all of my baby wieght and iam back to my normal size which is a 28..but still have alot of back pain from time to time and suffer quiet abit also with that pulling burning pain that i sufferd with during mr recovery..i also had a loop put in after my recovery cause i hate taking pills and also couldnt stand taking an injection every 2 or 3 months..but from time to time iam suffering with like i poking cramping pain that i cant really explain but it feels like my utris is getting cut up with no anstetic its really painfull,is this something i should be worried about and go and see my gyny..cause my husband and i would love to have another child but is not sure wheather it is a very good idea due to the pain iam having or could it just be some scar tissue that is pulling,pls help iam very concerned,and also would it be possible for me to have a vbac after having 2 c sections?

  107. Elizabeth says:

    Hi Kirsty,

    Adhesions are such a tough diagnosis. Since you’ve had 3 surgeries, adhesions are very likely. Unfortunately there are no tests, X-rays or scans that show adhesions. Usually adhesions are determined after everything else is ruled out.

    What were the results of the hysteroscopy? Did it conclude anything? I think they can see scar tissue with a hysteroscopy but only in the uterus, if you have scar tissue outside that area the hysteroscopy probably wouldn’t pick that up. If your doctor can determine that adhesions are the cause of the pain they can be removed laparoscopically.

  108. Elizabeth says:

    Hi Alum, Talk to your OB/GYN or the doctor that did your C-Section and explain to them exactly what you’ve told me here. This sounds like it may be adhesions possibly wrapping around your intestines, but no one can say for sure without seeing a doctor. If using the bathroom is difficult or painful, that’s all you need to tell your doctor. If you’re not comfortable talking to your OB/GYN doctor, have them recommend a gastroenterologist. If your doctor wants to refer you to someone else, they may do that but you need to start somewhere. I hope you can find some relief, I know that must be horribly uncomfortable. Let us know what happens 🙂

  109. Alum says:

    Hello yes I had a c section 1 yr 7 months ago and have been experiencing many problems since my surgery like a strong tugging like my cut wants to tear open especially when I work out ( I dont over do it either )also there was a point where I got such a strong pain that it felt like I needed to pass something through urine like my intestines were dropping or I was hemaraging it felt horrible also There days I go without using the bathroom to using it and its painful then after I feel like I’m not finished I hadnt had digestive problems in my life until now I wanna say either something wasn’t put back properly or twisted or healed wrong I dnt know where to begin what kind of appt should I set up for this I need help plz I need answers ?!

  110. Kirsty says:

    Hi Elizabeth, I think you may have missed my question from a couple of weeks ago:

    Hello Elizabeth
    I have had 2 c-sections (2001 and 2003) and in 2004 had my appendix removed. I get pain low down on my right side that is much worse during intercourse. The OB/GYN thought it may be that the Mirena (IUD) was placed incorrectly and took it out and inserted a new one under a general anaesthetic. I’m still getting the pain so thinking it probably wasn’t that at all.
    Could it be adhesions? What tests do I need to find out? The Dr did a hysteroscopy at the same time as the Mirena change.

  111. beth says:

    hi elisabeth
    today it was confirmed i am indeed pregnant and i am going to have my tubes tied x gp says i should be ok to carry but as u said the actual c section may take longer xx

  112. Elizabeth says:

    Shannon, adhesions don’t always mean surgery, it can depend on how bad the pain and discomfort is. Massage therapy had made some strides in dealing with adhesions. You may want to ask you doctor about it. He may be able to refer you to a massage therapist that specialized in adhesions massage 🙂

  113. Shannon says:

    Hello there my name is Shannon and I have had 3 sections one in 1998,2001 and 2002. I had a tubal ligation after the birth of my last daughter. I noticed after that my scar is lumpy and hard. It seems to become rather tender and painful right around the beginning of my cycle. The doctor said it sounds like adhesions but I’m not sure. If it is adhesions is it possible that I am looking at surgery to get it fixed?

  114. Elizabeth says:

    Beth, another baby is not advisable with having so many adhesions. You can most likely have another baby but another c-section will take longer to complete.

    Why do you want a hysterectomy? If you don’t want to get pregnant again, a tubal ligation would be the better choice.

  115. beth says:

    here goes i have had 4 previous c sections. 2 emergency and two elective in 2007, 2008, 2009 and 2011. my youngest daughter is now five months old and i am possibly pregnant again the surgeon told me she cleared my old scar tissue away and made it into one. guess what i want to know is will i be ok to have a fifth?
    also do u know if they wld give me a hysterectomy during a fifth section

  116. Elizabeth says:

    Hey Bonnie, I’m so glad you are feeling better and have resolved the issues you were having. You are an inspiration.

    Thank you so much for keeping us up to date and for your thoughtful words of inspiration. It truly is important to be persistent. I’m really happy for you 🙂

  117. Bonnie says:

    Hello Elizabeth just another up date I am 2 weeks after my surgery. I ended up not having Desmoid tumors they were endometrium mass and the upper one had a hernia on top of it and the endometrium had grew through the middle and out into the stomach wall..So it was a pretty rare case and they used a mesh to fill my stomach wall back in but all said I feel so much better now. It is going to take a few months to fully heal but my pain is only from they surgery incessions. Please for all the ppl that have posted here I’m living proof if you don’t give up you wiil find a doctor that will listen. I jyst regret not being more persistent and settling for (theres nothing wrong it’s jyst stress). Good luck to eveyone. I am starting me new life pain free. 🙂

  118. Elizabeth says:

    Hi Nicola, this is something you need to discuss with your doctor. It’s impossible for anyone but your doctor to know exactly where the adhesions are and how they might affect your and your pregnancy. Have a look at http://www.ashermans.org/ This is a site that explains intrauterine adhesions in greater depth and might help you find some help 🙂

  119. Elizabeth says:

    Hi Judith, First let me say that I am not a doctor. I’m a C-section mom and researcher. I offer no medical advice, only suggestions on what I’ve personally experience and learned.

    Adhesions can be removed laparoscopically but I don’t know if that would improve things cosmetically. That would be something you would have to ask your doctor.

  120. Elizabeth says:

    Hey Mikki, Thanks so much for your kind words. It’s so nice to hear folks tell me they like the site and find it helpful. You made my day 🙂

    Adhesions can attach themselves to other organs causing digestive and colon problems which could cause things like acid stomach, digestion problems, etc.
    It’s interesting that you mention your appendix. My father in law had his appendix out sometime in his teens and at age 70 he had digestive complications from adhesions that the doctor said resulted from that surgery, so adhesions are a big problem for many people.

    The other thing about adhesions is they can interfere with conception. That’s not to say they will definitely prevent you from conceiving but it could take a bit longer. However you should be able to conceive and have a healthy birth. Here’s a post I did on adhesions and pregnancy that might help.

    Unfortunately Adhesions are hard to work around, but if your doctor suggests Coeliac disease, start there by adapting a diet that will help with that.

    I hope you feel better soon, digestive and stomach problems are the worst. Let me know how things go. I’ll keep my fingers crossed or you **hugs**.

  121. Judith says:

    Hello Doctor. I had a hysterectomy about 18 years ago and had a poor result from the scar. A couple of years ago I had what was supposed to be a tummy tuck but partly because of the way my scar was placed and how it looked my abdomen actually looks worse because I have a huge adhesion holding the part of my addomenal area below the scar in tight and the part above the scar bulges out over the scar–there’s no fat there, it just bulges out over the adhesion. Is there some kind of surgery that could be done to go in and loosen the adhesion so there would be a natural curve up from the public area to my belly button?

  122. nicola says:

    please someone give me advice 🙁 i have polycycstic ovaries, endometriosis and have also had laparoscopys and a c-section and due to all of that i have very thick bad adhesions, i went for ovarian drilling months back but the surgeon stopped the procedure due to the serverity of the scarring inside me he has offered me open stomache surgery to remove the scarring from my bowel pelvis fallopien tube and c-section scar because he is unable to do it by key hole because there is too much and he needs a bowel surgeon to remove the bowel scarring as he cant touch it, but i didnt want to go through with it if i could help it as its major surgery but now i want another baby but im too scared to try because if im lucky enough to fall pregnant again will it be dangerous? im scared that the scarring will tear inside me and tear my bowl and cause me trouble does anyone know if this is the case? 🙁

  123. Mikki says:

    Hi Elizabeth, great site!

    I had my son in 2008 and had an emergency section due to failure to progress and fetal distress. Immediately after I have had constant back issues but this is not my major problem! In January thus year thought I had a water infection with pain on my right side, cramps and nausea. I have had thus four times now this year. In January dr said water infection, in march I was told ovarian cyst but both of these disproved through blood test and ultrasound.

    I am currently enduring another episode. I usually feel it when I urinate initially, pain most severe at end of urination.later the area feels internally raw, sometimes crampy, the pain comes on and off. I also am suffering nausea badly and loose stools, lots of gas both ends (sorry) and now acid stomach. Dr today has ruled out water infection and pregnancy, has suggested coeliac disease but suspects adhesions as strongest possibility.

    My question is can adhesions cause gastric issues like acid stomach, and will I be able to conceive as been trying on and off all year. I also have had my appendix our, also emergency surgery.

    Thanks again for a great site.M

  124. Elizabeth says:

    Sharon, it’s impossible for me to know what’s going on. Sometimes pain like that can be simple gas or air that escapes into your chest and your shoulders, which is common, or it can be something more serious. Being that it comes and goes, it could be gas, if it is, walking and more movement can relieve it. Only your doctor can diagnose if it’s something else, so be sure to mention it to him at your appointment 🙂

  125. Sharon Martin says:

    Hi Elizabeth

    I had a emergency section with my daughter almost 6 weeks ago due to not dilating and meconium in my waters my question is since the section I have been experiencing pain across my chest sometimes just on one side sometimes all over sometimes the pain is in my side (my ribcage I guess) I also have pain in my upper back between my shoulder blades this pain comes and goes all day I just want to know if this is a normal side effect or should I be worried I am dut my 6 week check up next week with my gynae and I will get checked out. Just wondered if this is normal as I said and how long roughly it lasts for as the pain is uncomfortable? I also am suffering from vertigo so with all this going on not feeling great and enjoying my First born as I should please help

  126. Elizabeth says:

    Leanna, it’s almost impossible to know for sure. Sometimes the internal stitches can be a little tight causing pain, it could be adhesions but it could also be nerve pain, internal brusing, even a hernia.
    Check with your doctor, he’s really the only one that can detect that correctly. It’s important to rule out anything dangerous that may be going on internally.

  127. Leanna says:

    Hi, I had my 2nd C-Section at the end of July 2011. It has now been 2 1/2 months and I am having a pretty strong pain going down the left side of my c-section across the left of my pelvis down. It gets worse will exercize and or any physically activity, even cleaning house. After I try to go for a run I can almost not lift my left leg. Is it possible this is adhesion scar tissue. My Dr. cleared me for physical activity at my 6 weeks check up so I am not sure why I am having this pain? Any advice would be great.

  128. Kirsty says:

    Hello Elizabeth
    I have had 2 c-sections (2001 and 2003) and in 2004 had my appendix removed. I get pain low down on my right side that is much worse during intercourse. The OB/GYN thought it may be that the Mirena (IUD) was placed incorrectly and took it out and inserted a new one under a general anaesthetic. I’m still getting the pain so thinking it probably wasn’t that at all.
    Could it be adhesions? What tests do I need to find out? The Dr did a hysteroscopy at the same time as the Mirena change.

  129. Elizabeth says:

    Hi Amanda, These lumps can sometimes be accumulated blood and tissue that forms. It should go away in time. Check with your doctor but they’re not usually a problem when getting pregnant again.

  130. Elizabeth says:

    Hi Michelle, Massage or feeling the area can sometimes help a doctor determine if you have significant adhesions that can cause problems, but often times a doctor just doesn’t know, and will sometimes simply use the process of elimination. If you’re having abdominal problems and tests all come back negative, adhesions may be a good guess, but honestly it’s usually just a guess. The only way to positively diagnosis adhesions is through laparoscopic surgery.

    My guess is that’s why doctors often ignore the issue of adhesions because they don’t want to do another surgery, even if it is laparoscopic.

  131. Elizabeth says:

    Hi Heather, C-section or any surgical adhesions are cumulative, in other words the more surgeries you have, the more adhesions you have. That doesn’t mean you’ll necessarily have issues with adhesions but they can be problematic.

    Most of the time the doctor can’t tell if you have adhesions, he has to be in there to see them. I’m not an expert on IBS and don’t really know if adhesions can cause or irritate IBS, but try asking your doctor. If he knows you’re concerned he can possibly give you some ideas. Best of luck with your new baby 🙂

  132. Amanda says:

    Hi I had my first c section 4 months ago and I am 21 years old. I am very overweight and have noticed 2 inches above my scar ( which healed perfectly in 6 weeks) lumps which are kind of like fatty cysts. When I push on them they are uncomfortable. Were planning on getting pregnant again in two months and I’m worried this will effect the pregnancy? Any idea what it could be, thanks.

  133. Michelle Bertone says:

    I just came across your website today and see that I am not alone in what I am going through. I am 41 years old, and have had two c-sections, my first one in 1999 and my second in 2009, ten years later. I have suffered with severe constipation since my first c-section, accompanied by severe pain when passing a bowel right behind my c-s scar. The pain can be so severe, I have to hold my breath until it passes. If my memory serves me correct, it wasn’t until my scar was fairly healed until I start having the painful bowel movements. I’ve been to several doctors; my obgyn says, after several tests, that I do not have endometriosis, which could have been a culprit for the pain. Today, I had a colonoscopy, which came back with flying colors it was so normal. After reading all these testimonials, combined with my own experience, I believe it may be adhesions causing the trouble I am having with painful bowel movements. From what I have learned here, you say there is no test that can confirm adhesions? How does a doctor diagnose adhesions by massaging the area? Do the adhesions keep growing? If they can be taken out by laproscopic surgery, how then do they know they are there before they go in?

  134. Heather says:

    Hello, I am set to have my 3rd csection this month. I am concerned about scar tissue. My first was done in 93 second 2005. With the amount of years in between does that build up more scar tissue? Will the dr know prior to surgery if I have excessive build up? Or will he not know until he goes in? I have had IBS-C for years could this possibly be from adhesions ?

  135. Elizabeth says:

    Hi Catherina, This is such a tough thing to comment on because it is hard to determine what is causing the problem. Doctors don’t usually know without doing a series of tests or even more surgery.

    Getting positive results from diet change does help in determining where the problem lies. You may have IBS or your colon may be ‘kinked’ in such a way that foods low in carbohydrates help the digestion process.

    IBS is another difficult thing to pinpoint. My husband believes he has IBS as well but nothing he does or takes helps, and doctors just shrug their shoulders as if to say, “live with it”. It is frustrating, so I know how you feel 🙁

    Unless you can pursue this with your doctors, I’d recommend sticking to your low carb diet. Hopefully this will continue to offer you relief. On the positive side this may be something that will work itself out over time. If it gets worse at any point, I would recommend that you work with your doctors to resolve it if you can. Best of luck to you, I know how tough it is 🙁

  136. Catherina Salue says:

    I had a natrual labour with my 1st child (daughter) though born 36 weeks then when I had my son born 26 weeks (my daughter then 8 months old). i had a classical c-section in november last year due to having my 2nd child at a spontaneous birth. He was born at 26 weeks. Since then I am constantly contipated and in pain it feels exactly like labour pains. I have changed my diet cut down on the white bread, cereals, potaotes etc most carbohydrates and i have regular bowel movement when i do so. However do you think its a IBS type of diagnosis or is it or can it do with my type of operation? Only since having children so close i have been always constipated now its been almost 10 months and still feeling the same. Nobody can answer for me 🙁 kind regards

  137. Elizabeth says:

    Hi Delanie, I’m inclined to think not. Adhesions can grow quite lengthy but having them occur around your heart doesn’t seem likely to me. I’m not familiar with exercise that causes your heart rate to increase, but that sounds like something internal to your heart itself. Forgive me but this isn’t an area I’ve studied so I’m afraid I’m not much help there 🙁

  138. Delanie says:

    Hi Elizabeth, do you have any thoughts on my question I submitted on Aug 22 (see below):

    Hello, I was wondering if scar adhesions could cause chest pain, without any of the incision and/or abdominal pain.?I had an emergency C-section in 2008 and first had the pain 2 weeks later. After many tests, the doctors ruled out anything serious and called it costochondritis. The pain continued for about 1 year. The pain returned again a few months ago and I have had many tests again, all negative, but the doctor doesn’t think its costochondritis this time. It seems to be caused by exercise that increases my heartrate and is exacerbated by lots of pressure on my chest, leaning forward a lot, and if done regularly, even light exercise.

  139. Elizabeth says:

    Hi Misty, you sound as though you may have a form of IBS (irritable bowel syndrome), adhesions or maybe a little of both. Since you have stretching pain abdominal adhesions are very possible. Unfortunately adhesions are hard to pinpoint because they can’t be seen on x-rays or from other tests and doctors never want to acknowledge adhesions, I often get frustrated with that but because adhesions are so hard to treat doctors aren’t very helpful. The only way to know if adhesions are causing problems is to go in there and look and most doctors don’t want to do that.

    This is where you have to become your own best advocate. Massage therapy may help if you have adhesions and if you can get your doctor to refer you to a massage therapist that works with adhesions. this may help, it’s not guaranteed but it may be worth a try for you.

    Meanwhile, diet might help with that. If symptoms improve, IBS may be the problem. I believe my husband also has IBS but doctors are also very unhelpful in this area. My poor husband has never been able to find a diet that works, in my opinion IBS has a lot to do with stress 🙁

    Unfortunately Misty, I don’t have any concrete answers for you except to keep pursuing it with your doctor or with a professional massage therapist. Let me know how things turn out for you, I’d be very interested in knowing 🙂

  140. Elizabeth says:

    Hello Britney, I am not an advocate for abortion and do not recommend terminating your pregnancy for any reason. If you have a life threatening situation you need to discuss that with your doctor.

  141. Misty says:

    I have had 2 c sections – 1 from 2003 and 1 from 2006- i now have bowel issues, my stomach hurts all the time and it is to the point where i can not go to different outings with my family because i am afraid i can not get to the bathroom fast enough. I have been to the doc a lot about this- they did a total GI workup and found nothing. Also if i stretch big then i have a sharp pain and burning in my lower belly area…my best friend swears i have adhesion’s….your thoughts?

  142. Britney says:

    Hello Everyone,

    I had C section on April 2011 and after my last menses which came around July 17 i was waiting for to get my period but i didn’t had anything i was worried so much that i got pregnant or not then i went to my family three days ago they took some blood and urine test, they called me after and inform me that i am pregnant for 6 weeks, please i need help how to take out that baby because i am in critical situation, because they told me you don’t need to get pregnant for 1-2yrs after C section but i got pregnant so quickly, please advice the best to remove that baby before my health get risk… any medication i can take to make the 6 weeks pregnant to come out normally from vagina or i have to do again C section and i don’t want to do C section again because the place is not heal probably and i am feeling a lot of pain please help me with you experience and your knowledge of this kind of tragedy… I am looking forward to hear from any person has a suitable answer to my questions thank you again for taking the time to read and answer it.

    Thank you.


  143. Ah says:

    Hello Everyone,

    I had C section on April 2011 and after my last menses which came around July 17 i was waiting for to get my period but i didn’t had anything i was worried so much that i got pregnant or not then i went to my family three days ago they took some blood and urine test, they called me after and inform me that i am pregnant for 6 weeks, please i need help how to take out that baby because i am in critical situation, because they told me you don’t need to get pregnant for 1-2yrs after C section but i got pregnant so quickly, please advice the best to remove that baby before my health get risk… any medication i can take to make the 6 weeks pregnant to come out normally from vagina or i have to do again C section and i don’t want to do C section again because the place is not heal probably and i am feeling a lot of pain please help me with you experience and your knowledge of this kind of tragedy… I am looking forward to hear from any person has a suitable answer to my questions thank you again for taking the time to read and answer it.
    Thank you.

  144. sunita says:

    hello ,i have had 5 c sections…the last being 22yrs ago..i’am 52&considering a hysterectomy due 2 extremely heavy&long periods.
    My menopause started in march.
    Are there any problems that i should be researching…is a hysterectomy possible after 5 ceasars?
    Thankyou for your help,

  145. Elizabeth says:

    Hey Bonnie, I’M SO GLAD! You are a great testimonial to the fact that you need to keep at it with your doctors. Sometimes things are difficult to diagnose. I’m thrilled that you have some answers now, I know that must be a relief 🙂

    Please follow up and let us know how it goes. I will keep you in my prayers ***hugs****

  146. Alice says:

    Hi my name is Alice. I had a c section 3 months ago and have noticed a couple of problems since. The skin around my tailbone (above my buttocks) seems to have a numb sensation, not so numb that i cant feel it, but feels strange when i pull my knickers up etc…I also have an aching lower back tailbone area. I seem to have ibs symptoms also, will get crampy and naseaous and have a loose bowel movement then feel ok, but the rest of the time bowel movements are pretty normal (i have always had issues with constipation since childhood). I have been seeing my physio who has given me excersises etc, but have not seen my dr since my 8 week post partum checkup (wasnt having these problems at that stage) – could this all be due to adhesions? I am terrified that i have something serious wrong with me! Thanks…

  147. Delanie says:

    Hello, I was wondering if scar adhesions could cause chest pain, without any of the incision and/or abdominal pain.?I had an emergency C-section in 2008 and first had the pain 2 weeks later. After many tests, the doctors ruled out anything serious and called it costochondritis. The pain continued for about 1 year. The pain returned again a few months ago and I have had many tests again, all negative, but the doctor doesn’t think its costochondritis this time. It seems to be caused by exercise that increases my heartrate and is exacerbated by lots of pressure on my chest, leaning forward a lot, and if done regularly, even light exercise.

  148. Bonnie says:

    Elizabeth Hello I just wanted to let you no I found what has caused my pain. CT Scan found two tumors they are very rare DESMOID tumors I go to surgeon tomorrow to see what is going to happen next.. Thank you and everyone that has posted here I really thought I was crazy and the only person out there in pain all the time. Hope everyone finds their answer.

  149. Caroline says:

    My name is Caroline. I had a c section in 2006 and a tummy tuck on 07. And I have not been able to get pregnant since my last child I gave birth to. I had a test done to see why I couldn’t get pregnant and it showed that my tubes are blocked. I don’t know what to do.O would like to know what to do and is it from the surgeries I had that’s why I can’t get pregnant? And if its from scared tissue and/or adhesions how can I get rid of it so I can concieve again? Please help me. Stressed out over it.

  150. RW says:

    Hello….I know this is more of a female site….but I could use your help. My wife and I have 1 child together as a result of an IUI and c-section delivery. She has two other children from a previous marriage, and both were delivered via c-section. We are both 37 years old and very healthy. My wife has a tilted uterus and scar tissue/adhesions from the previous c sections. We have been trying to have another child together, and after multiple, unsuccessful attempts (including IUI and u/s guided IUI), our doctor yesterday told us because of scar tissue/adhesions he was unable to do anymore IUIs and that it would be unlikely we would have another child. My wife is devastated. She feels defeated. I know this sounds somewhat selfish because we are so blessed to even have children, but she really wants this to happen. I worry for her health and the possible complications, but want to seek out advice and other options to consider. Would it be reasonable to seek out other options like laprascopic repair, UPLIFT procedure or even IVF (if possible) to try to make this happen? Part of me thinks that maybe just waiting 6 mos or a year may resolve problems to enable another IUI attempt in the future. I unfortunately cannot give the numbers needed for natural conception, but the doctor belives because of the damage from the previous c-sections even improved numbers on my end wouldnt help. I also though do not her to entertain surgical options that have unknown risks with no gurantees. I feel awful….my wife feels alone and very sad, and I just want to see what I can come up with….any advice would be greatly appreciated…I am not ready to give up…

  151. Elizabeth says:

    Bonnie, mysteries like this are so frustrating, but you must keep pursuing the problem. I know it’s got to be difficult to say the least. First of all I’d ask about the possibility of adhesions pulling on your intestines. That could be masking itself as IBS, which it looks like was one thing your doctor thought was the problem.

    I certainly hope your doctor can fix this for you, however be insistent that he does ***hugs*** 🙂

  152. Bonnie says:

    Hello I had my first child normal my middle child C-Section in 1996 all was great shortly after that I started having very bad adominal pain on my left lower side . I lived with the pain having to hold my stomach just to walk at times. I had exploratory surgery done and my Ob said they found nothing he said I had Ibs and told me to get rid of my STRESS and I would be fine . In 2000 I became pregnant and all of my pain went away for the whole time I was pregnant. Boy was I happy shortly after birth all my nightmares came right back. I then went to a different ob and she put me on anti depressants and gave me arthritis cream to rub on my lower stomach. No it didnt help. So a few years later I found myself in so much pain many trips to the Er back at the Ob office again asking why I have such bad pain. This trip my Ob tells me that I have a knot on my uterus and I needed to have my uterus removed and this would resolve my pain. After uterus surgery guess what still in pain. That was in 06 .My only relief is to lay flat on my stomach and now that doesn’t seem to help. I haven’t been able to enjoy my kids due to constant pain. I will have a real bad internal itch so bad I scratch myself to death after this itch I will have maybe a week of being pain free if im lucky it will last 2 weeks. I have tried everything. And please dont make me belly laugh, sneezing is the worst . The burning and stabbing is terrible. I go in Monday to have the 2 lumps that are now on my left side one above the scar and the other is to the left of my belly button. I have been in pain so long even the thought of someone touching me hurts. Is there any question I need to ack my Ob when I go. This will be my first time seeing this Ob. I have change Ob and hospitals this time. Im 43 I would like to enjoy my kids before they all grown. Thanks and sorry about the novel.

  153. Elizabeth says:

    Diane, I’m so sorry, but you must find a doctor that can help you. This is not normal healing. However without insurance it will be more difficult. Are you certain the problem is adhesions?

  154. johanna says:


    I have a Q- I had an laparoscopy to remove a 6cm ovarian cyst on 28th July 2011. I have dissolvable stitches, which are still there and my belly button is almost copletely healed. The right scar is also healing well with stitches still poking out.

    I seem to be healing well but yesterday I noticed that when I tense my tummy or pull it in slightly, the left-hand scar indents and pulls and the flesh above it stays put?!?!

    I Went to the nurse and she was a bit unhelpful. She spoke to a doc who said it was normal and to take ibuprofen (not sure if she relayed the correct message as she was a bit unsure of what was wrong with me!).

    I am slim (size 8) and am in good shape and I’m a model, but am concerned as to what this is and most importantly ***if there is anything I can do whilst I am recovering/healing to stop it in its tracks and repair the damage caused?***. Should I keep immobile as much as poss or keep active and get my muscles moving to stop them sticking to my scar??!! Help!

    Many thanks

  155. Diane says:

    Hello can someone please point me in the right direction b4 i jump off the cliff. I had 3 c-sections 1998, 2004, & 2010. since my last c-section I been experiencing terrible horrible pain it has got worse it burns like someone is blowing a tortch inside my lower belly near my incision. It feels like I’m in labor not that beginning labor stage I mean right b4 the baby comes out. With pills the pain is still horrific I’s so damn upset iI just want to rip my stomach off. I can’t even focus it’s bad on a scale of 1-10 its a 11 for sure. I no longer have insurance but the last time I spoke with my doctor she states its normal its healing give it sometime. HELP ME no massage, no pills. I need someone to reopen & fix the problem rip that damn scar tissue out its sticking to me causing the suctures to poke me (this is what i’m thinking to myself) I’ going freaking crazy.. .Thanks Diane

  156. Elizabeth says:

    Christine, Is this pain during your period or ovulation? There may be scar tissue or something still going on somewhere that’s causing the pain. Unfortunately there’s no good way to get rid of the pain unless you take care of the problem first. You might ask your doctor why he suggests sit-ups. Physical therapy may also be of help but I’m not sure what type of therapy would help.

    Perhaps if your doctor could explain to you a little more about what’s going on and what the cause of the pain could be you could make a decision on what you could do. I’m sorry I don’t have more information for you, however I do hope you can overcome this and are feeling better soon ***hugs***.

  157. christine wood says:

    hi my name is christine. almost 4 years ago i had a c-section due to an ectopic pregnancy. the pain that i am having is so bad i double over. i have been to my dr so many times and all he tells me to do is situps. is there anything else that you recommend i do to get rid of the pain? thanks.

  158. Sonya says:

    My name is Sonya,
    Im 19 and i have a three year old son. When he was born I had to get an emergency c-section which is vertical on my stomach instead or horazontal. Now, three years later, Ive noticed a lump beside my scar which makes my skin go in on onw side of my scar. Not only does it look funny, but it also hurts really bad. The pain is alomost unbearable. Ive been to get an pelvic ultrasound which was a painful process and lead to me still having no answer!

  159. Elizabeth says:

    Hi Lisa, I’d check with your doctor on that. It could be adhesions but I have no way of knowing.

    Checking with your doctor will rule out any other serious problems that could be occurring. Adhesions are hard to diagnose but if you can rule out all other possible problems, chances are adhesions may be the culprit.

  160. Lisa says:

    I had an emergency c-section 2 years ago. Now all the sudden when I cough, sneeze or lean over to get something I get this pain under the scar it almost feels like when you pull a muscle. It can sometimes be pretty painful. I’m wondering if this can have anything to do with the scar or what it can be?

  161. Elizabeth says:

    Hi Melda, I’m no familiar with the complications that can occur with a peptic ulcer, however it shouldn’t affect having a C-section per se, but I think your doctor will have to keep an eye on it and make sure it’s under control before doing any surgery.

  162. Elizabeth says:

    Hi Ariyanna, It’s so hard to say without knowing what’s really going on with our adhesions. I would have to say from what you said about having a tubal pregnancy and the supposed adhesions that it may take a surgical procedure to release your uterus from your abdominal wall. The procedure may allow you to have another child but that’s not for certain, I’m afraid only your doctor could speculate on how dangerous that might be.

    I’m sorry, I wish I had more definitive news for you 🙁

  163. Ariyanna says:

    Hi, my name is Ariyanna and I am 23 years old. I had a c section 6 years ago with my little girl. In July I had surgery to remove a tubal pregnancy that ruptured. After the surgery the doctor told me that she didn’t think that it was safe for me to have another child again because of scar tissue from my previous c section. She stated that my uterus was stuck to my adominal wall and that a baby would not have room to grow, she told me to get other opinions because she wasn’t sure. Do you think that I could ever have another child, can this be fixed, or would it be dangerous for me and the baby?

  164. Elizabeth says:

    Jackie, Sometimes the wound does open a little, the biggest problem is infection. I don’t suggest using alcohol to clean it, instead gently clean the wound with warm soapy water but don’t rub. Then cover the wound with Bacitracin or neosporin, you can get that in any drug store, alcohol dries it out too much.

    There could be a start of an infection occurring, I’d recommend checking with your doctor too, just to be sure. I hope that helps you 🙂

  165. Tonya says:

    Tonya, 25. July 2011, 22:09
    Hello. I am 41yrs old and 8 months post partum (unplanned c-section- my first child was normal). My concern is that I still look about 4 months pregnant and have coccyx pain that has returned. I was checked by a GYN who told me that I don’t have diastasis recti. She advised to keep working out (I just started 8 weeks ago). I can tell that I’m still healing as I feel soreness in my abdomen from time to time. I’m afraid that my stomach won’t return to it’s normal size. How long should I expect to heal from this, or should I think about a tummy tuck in the future?

  166. Jackie says:

    hi! my name is jackie..I had an emergency c-section last june 21 and after 10 days i noticed that ny scar has opened about 1/4 in size,i don’t have any signs of infection though but until now the wound is not closing.i also noticed that there is a bit of watery discharge and in some days where i do stand and walk most of the time, there is a tinge of blood when i clean the wound.I use 70% isoprophyl alcohol in cleaning my wound.should i be worried about this opening? pls enlighten me..

  167. Elizabeth says:

    Hi Lesley, Oh my gosh, I feel terrible for you. I can’t imagine how hard this must all must be 🙁

    Another C-Section would not be good for you, especially with the adhesions you already have. IBS is a tough ailment as well but you’re doing the right thing with altering your diet, so good for you there 🙂

    I don’t have any advice for you with anxiety and depression, I’m so sorry, however ask your doctor. There are many things your doctor can do or recommend for you, don’t let depression and anxiety get a hold of you.

    For me, I turn to God in times of crisis or illness. It’s been what has carried me through time and time again. Spend a few moments with God, ask for him to heal you. I think you may be surprised at what he can do for you, but you have to have faith. ***Hugs **** I’ll keep you in my prayers as well 🙂

  168. Lesley H says:

    Hi Guys,
    I am having so many problems going to the bathroom,constipation and frequent urination,I have to take magnesium pills 4x a day sip citric magnesium at night eat papaya and aloe,and put metamusil in mt coffe or tea just to get a bowel movement without holding onto the sink or my ankles,i take omeprazole 40mg aday for my stomach.I had a colonoscopy in march to find out that I had so much adhesions it would be very risky to have it done again,at that same sime I founf that I had gall stones in which my gall bladder was removed. it is now july and Im still having stomach pain,I had 4 c-sections,75,76,79,and 90.Iknow I have IBS-C i have changed my diet,but know one seeems to know what else I can do and is this a dsiability cause Im tired and experience anxiety attacks and depression,Do you have any answers???

  169. Tonya says:

    Hello. I am 41yrs old and 8 months post partum (unplanned c-section- my first child was normal). My concern is that I still look about 4 months pregnant and have coccyx pain that has returned. I was checked by a GYN who told me that I don’t have diastasis recti. She advised to keep working out (I just started 8 weeks ago). I can tell that I’m still healing as I feel soreness in my abdomen from time to time. I’m afraid that my stomach won’t return to it’s normal size. How long should I expect to heal from this, or should I think about a tummy tuck in the future?

  170. Elizabeth says:

    Hi Brenda, you could have an incisional hernia, but I have know way of knowing for sure. Really, only your doctor can tell you that but the risk of an incisional hernia is greater for women who have had many abdominal surgeries.

    Lumps around your scar area can be normal, they are sometimes blood and fluid that accumulates under the skin which usually go away in time, but if yours has tripled in size and hurts, I’d suggest checking back with your doctor on this.

  171. Brenda says:

    Hi my name is brenda and i had 7 reg delivery’s and less then 2 weeks ago i had my first c-section, now about 4 inches above the c-section is a huge lump. you can not see it from the outside, put when you barely touch my stomach you can feel it. the lump isnt very painful, but when you touch it, you do feel slight pain. when i went and had my staples removed i asked my doctor about it, and she sadi it was normal, but it has almost tripled in size since then.. It is about 3-4 inches across.. Is this normal, or should i b worried, a friend of mine said it may be a hernia, but i have never had a hernia before.

  172. Elizabeth says:

    Hi Shanon, Any time you have problems like these you really have to get them checked out with your doctor, but if you’ve seen your doctor and there are no obvious reasons why these things occur, adhesions is a common assumption, especially since you’ve had 2 c-sections and a few other procedures done.

    However before you determine adhesions to be the problem, I’d get it checked out with your doctor first and see what s(he) thinks.

  173. Shanon says:

    I have had one vaginal birth, 2 c sections, abdominal uterus removal. and laproscopic ovary removal. I frequently have distended abdomin, I take gas pills to relieve gas, and I cannot use the restroom without taking stool softeners and fiber. Sometimes the pain in my lower abdomin is so severe I have to curl up with a heating pad for 1 to 2 hours. Could this be scar tissue?

  174. Elizabeth says:

    Thank you Amy for that great information. That is so encouraging for women, it’s such a better alternative to yet ‘more’ surgery for removing adhesions.

    Thanks so much for your feedback 🙂 I hope you continue to do well with this. Do please keep us posted.

  175. Amy Portray says:

    Just wanted to follow up on my previous post from over a year ago. My post explained that I suffer from back pain and I eventually came to the conclusion it is caused by scar tissue adhesions due to 2 c-sections. Last year after my post, I found a massage therapist in my local area that specializes in myofascial release. This technique helps pull the adhesion away from whatever it’s holding onto as well as break up the bands. I can actually feel twinges at times when the adhesion “lets go” during the treatment. I was even shocked to feel one all the way up in my jaw!!! Crazy! I go every week for work and its helping tremendously. My case is apparently tough as I’m still going, but I do get relief. I just wanted others to know that there is hope out there. I just “googled” myofascial release for my area and started calling around. Hopefully more people will realize that its a method that might work for them as well.

  176. Leslie says:

    Thanks for your input. My uterus is stuck to my abdominal muscles and belly wall from all of the scar tissue. I am not pregnant. 🙁 But I did talk more about it with my doctor and we’ve decided to try for a third child.

    Thanks so much for your response!

  177. Elizabeth says:

    Hi Leslie, the risks really depend on how much scar tissue you have, what it’s adhering to and how bad.

    Typically scar tissue makes it difficult for the doctor in delivery, the c-section procedure can take longer because your doctor will have to separate and cut through the adhesions. This could be a problem for your baby if an emergency should arise.

    If you are pregnant be sure to talk with your doctor. This is not an ideal situation but it is workable with careful monitoring and care 🙂

  178. Leslie says:

    Hi there. My name is Leslie. I’m 30 years old. I’ve had two c-sections. The 1st was an emergency c-section. The 2nd was planned. I had complications with my 2nd c-section. I had alot of scar tissue. Everything was “stuck” together. My doctor had a hard time getting the baby out. He had to cut a “T” on the inside on my uterus. Everything ended up being ok but he did advise me to not have another baby. I had a check up after 4 months after giving birth and the doctor said my uterus was already stuck to my belly wall. He said he wan’t going to tell me “No” but he did not think I should get pregnant again. This was very upsetting. I had planned to get my tubes tied this summer…..but I think I might be pregnant. What are the risks of being pregnant and having another baby?

  179. Elizabeth says:

    Hi Maureen, It could be adhesions, cysts, Mittelschmerz or a combination of all three. I’m thinking that if your doctor wants to put you on birth control to stop the cysts then you may have other cysts or possibly be more cysts forming. If you also have some adhesions, that could be complicating the pain.

    Since your doctor is dismissing Mittelschmerz, that’s good. Now you can just focus the cysts and the possibility of adhesions.

    Unfortunately a diagnostic Laparoscopy is the only test that can confirm the presence of adhesions and Laparoscopy itself is a form of surgery, it’s much less invasive but still a surgical procedure.

    At your next appointment don’t leave without a good feel for what your doctor thinks this is and what his/her options for remedy/testing are. Write down all your questions and get them answered. Your doctor is the only one who can accurately determine what the problem is and what course of action to take, but it’s important for you as well to get all your questions answered and that you walk away with a better understanding.

    I certainly hope you find out what’s going on and that you’re feeling better soon 🙂

  180. laila says:

    Hi i had my first c section on 3 Jan 2011. I had very little bleeding after that, i would say medium flow for first 5 days and scanty to very scanty for next 10 days. Thereafter it stopped.
    However, for the past few months, I feel strange. As though there us some fluid moving in my tummy when i turn in bed. Few weeks back, i felt ovulation pain and now i feel like periods but i have no periods. My tummy appears bloated and there is some wierd increasing pressure on my c section stitches. I fear something may be blocking the period blood to come out. I exclusively breast feed my baby, so i was under assumption that periods dont come for longer periods if u breast feed baby exclusively feed your baby. Can you please advise me as to what may going on?

  181. Maureen Sawdon says:

    Oh…okay…maybe my first post didn’t post correctly then. Here’s what I wrote:

    I have had a pain in my left side for quite some time now. I had a c-section in 2006 with my first baby, and then another in 2008 with my twin boys. At that time they also did a tubal. The first time I noticed a sharp pain in my left side, and they did an ultrasound and discovered what looked like a ruptured cyst. Later, as I was feeling pain again the doc mentioned putting me on birth control to stop the formation of cysts. Since then I have moved…it has been about a year, and my left side has been hurting quite a bit.. At first it seemed to happen during ovulation, and then it would go away and come back right around my period. My current doctor did set up an appointment for next month (after I insisted,) but she is dismissing it as Middleschmertz (sorry if I spelled that wrong.) I thought it was that as well, but it lasts for a week or two at a time, and this last week it feels much worse. My whole lower abdomen feels swollen and sore, but the sharp pain is still on the left, I’m guessing on the ovary. Could this be just another cyst? Middleschmertz? Or could it possibly be adhesions? Thank you!

  182. Elizabeth says:

    Jessi, have you talked to your doctor about having a VBAC or vaginal birth after c-section? Since your last c-section was over 3 years ago you should be a good candidate for a VBAC.

    The cause of your pain could be adhesions, they are always a possibility but it’s really impossible to know for sure, only your doctor can effectively diagnose that, however I’d talk with him/her about the pain. If you do have have another c-section s(he) may be able to take out some of the scar tissue if there is some there. You may also want to ask your doctor about using Seprafilm, which helps prevent adhesions from forming, here’s some more information on that:


    I hope that helps 🙂

  183. jessi says:

    hello my name is jessi and had a c section 3 1/2 years ago. well im 39 weeks pregnant and sense my c section have had back problems. but sense i got pregnant with this one i have had horrible pain in my lower back on the right side and this past week i have had a big lump on my scar on the outside and its very very painful. i was wondering if that could be a cause from scar tissue and adhesions. also should i have a c section because of the risk of bleeding and other risks.

  184. Jennyct says:

    I had an emergency c-section in ’02, and for days after, even with morphine, I had severe burning over the liver area. Everything was fine until ’07 when I felt something pull while sneezing and then exercising soon after. Severe pain in liver area, but tests totally normal. In ’10, new doctor re-orders all those tests and gallbladder not working at all (4%). During the surgery to remove it, the surgeon finds adhesions on the liver attached to the omentum. Looks very much like “Fitz Hugh Curtis” syndrome which appears like violin strings.

    Six months later I actually feel worse. Been to gastroenterologist, OB-GYN and surgeon. No one can help and future surgery may make it worse. Where do I go from here?

  185. Maureen Sawdon says:

    I’m sorry…did I not post correctly? 🙁 I’m not sure how this site works…

  186. Elizabeth says:

    Hi Griselda, this hardness could be adhesions forming but I’d check with your doctor. It’s hard for anyone to know for sure without an expert examination.

  187. Griselda says:

    I had my 6th c-section 4 weeks ago and my stomach does not hurt but I feel my lower abdomen hard like a rock. Is this normal?

  188. Elizabeth says:

    Hi Candace, this could be anything from scar tissue to a hematoma or endometrysosis. You should check with your doctor as soon as you can. Don’t suffer with the pain, that’s not good, get this checked out.

  189. Candace says:

    Hi, I’m experiencing burning at one side of my scar (left) and also it feels as though its ripping open sometimes….what could this be? almost 7 months since c section

  190. Maureen Sawdon says:

    Hi, my name is Maureen, and I have had a pain in my left side for quite some time now. I had a c-section in 2006 with my first baby, and then another in 2008 with my twin boys. At that time they also did a tubal. The first time I noticed a sharp pain in my left side, and they did an ultrasound and discovered what looked like a ruptured cyst. Later, as I was feeling pain again the doc mentioned putting me on birth control to stop the formation of cysts. Since then I have moved…it has been about a year, and my left side has been hurting quite a bit.. At first it seemed to happen during ovulation, and then it would go away and come back right around my period. My current doctor did set up an appointment for next month (after I insisted,) but she is dismissing it as Middleschmertz (sorry if I spelled that wrong.) I thought it was that as well, but it lasts for a week or two at a time, and this last week it feels much worse. My whole lower abdomen feels swollen and sore, but the sharp pain is still on the left, I’m guessing on the ovary. Could this be just another cyst? Middleschmertz? Or could it possibly be adhesions? Thank you!

  191. Elizabeth says:

    I’m so sorry Liz, such a tragic story. I do hope that things work out for you next time. I’d find another doctor and hospital. Find a doctor you like and have confidence in and make sure he monitors you closely.

  192. Liz says:

    Thanks for the response. Well my baby was healthy through my whole pregnacy and I had no complications whatsoever. I went in on a Tuesday and was dilated 1cm already, but they decided to schedule me for Thursday C-section. By that Thursday morning I noticed i hadn’t felt the baby move at all so i went to hospital and heart beat was not found so went into emergency c section. Apparently my baby had died 12-24 hrs before i went in. I was never given an explanation of what happened, but i think I was going into labor and I was feeling no pain or nothing… so my baby probably died of fetal distress since she was ready to come out and I was unaware of it 🙁 The Dr’s never asked me for an autopsy and till this day don’t have a death certificate. It was all a fishy situation and unfortunately it can’t be undone 🙁 When they gave my husband the news, they told him that both of us had not made it , but im still here… so whatever happened in that operating table.. I just dont know….

  193. Elizabeth says:

    Hi Liz, (great name by the way 🙂

    So sorry to hear about your baby girl ***hugs***.

    Having another baby this soon after your last isn’t preferred because you really haven’t given your body enough time to heal completely, but you’re certainly not the first woman who hasn’t waited 🙂 The pain around your incision could be ovary activity or it could be something else, it’s impossible to tell for sure but you should check with your doctor on that.

    Getting pregnant again so soon can present a problem with uterine rupture but under a doctor’s care with close observation you have every chance of having a healthy baby. Since I don’t know what happened with your last baby and your overall health it’s hard to know but I’d see your doctor as soon as possible and pose those questions.

  194. Liz says:

    Hello I had a c section on Jan 20, 2011 and my baby girl was stillborn 🙁 Its only been about 3 months since I lost her and I think I may be pregnant again. Ive been having pain on the left side of my incision and am wondering if its a bad thing? When having intercouse I feel pain on my incision, but internally. (not so major) I want another baby so bad cus we had so many plans for our lil girl 🙁 She was my 3rd c section, which was an emergency and done in less than 20min due to the circumstances to try to save my baby, but it was too late. I just worry that I didn’t wait long enough to come out pregnant again (this wld be my 4th pregnacy c section) and am scared of losing another child. I just want a baby in my arms again very soon and can’t wait another year to concieve… 🙁 What do you think?

  195. Elizabeth says:

    Hi Berenice, It depends on the location and extent of your adhesions and that’s not possible to know, even for a doctor because adhesions don’t show up on xrays or ultrasound. I personally don’t know of anyone who’s uterus ruptured because of adhesions, I think that might be rare, but I’m also not a doctor.

    Massage therapy has helped many women relieve the pain of adhesions but it doesn’t work for everyone. You may want to check with a licensed massage therapist trained in adhesion relief, however you should check with your doctor first.

  196. Berenice says:

    Hello, I had a c-section almost 5 months ago cause my baby was in distress after over 48 hours of induced labor. I have had pain on my right side since then, near my ovary, it feels like a bruise inside. I’ve gone to the doctor 4 times since then, the first time she said that it was normal healing pain. The next month I saw another Dr in the practice because my OB was not available (she never is unless you are pregnant), and he said nothing was wrong, although he did not check anything. The third time, another Dr had me get an ultrasound that showed nothing. After that I started feeling better, but then 2 weeks ago I started having pain again, it’s always there, not horrible but painful, and i have a lot of gas all the time. This time the Dr checked my uterus, really listened to me and he says he thinks I have adhesions. But he thinks it’ll lead to no problem at all, it could lead to infertility but he says it’s rare and unlikely. My Drs always seem so optimistic, it’s nice but not realistic. Also, since the exam where he moved my uterus around and pushed hard on my belly I have a lot more pain. I do have more pain with pressure down there.

    I have heard of massage to relieve adhesions, do they work? Is it too late to start on that? Is there any kind of exercise that helps with adhesions? Also, my main concern other than digestive problems is that I really want to have other children, does a pregnancy make the adhesions worse? I know another C-Section would, but would the expanding uterus be very dangerous for me? Even if I do get pregnant, could the uterus rupture because of adhesions? Thanks!

  197. Elizabeth says:

    Hey Melanie, it’s doubtful that you have damaged your muscles. In fact no muscles are cut during the c-section procedure. Your muscles can get sore but not permanently damaged.

    It’s possible that you have adhesions pulling on your muscles causing the discomfort, but that’s hard to say for sure.

    Try not to lift anything for awhile longer if you can. Try letting your 2 year old climb down off her high chair with help as opposed to lifting her.

    For many women this discomfort does go away, so give it time and see what happens. If it does not get better check with your doctor.

  198. Melanie says:

    Hi! My name is Melanie and I had my second c-section 4 1/2 weeks ago. Today I went to take my 2 year old out of her high chair (she weighs about 22 lbs) and now all of a sudden I am feeling discomfort on my right side near my incision scar and into the right side of my lower back. The discomfort feels like a pulled muscle. Is it possible that I could have done permanent damage to my muscles and does it seem related to the c-section? It hurts when I walk and when I try to lift anything… Thank you!

  199. Elizabeth says:

    Hi Janice, adhesions could be the problem, however before you have the laparoscopy you may want to see a gastroenterologist just to make sure you don’t have something else going on with your bowels. Adhesions may very well be the problem but you should also get another opinion.

  200. Monica says:

    I am 21 and have had 2 c-sections on in 2008 and the otherbin jan 2010. About a month and a half ago I decided I need to get in shape as I am pretty overweight. The only exercise that concerns me is sit-ups. When I do sit-ups I get a burning pain in the area of my scar…could that be because my stomach muscles haven’t really been used to an exercise extant since them or do u think this is adhesions? Because if this could cause damage I want to get it taken care of so I can continue my journey to being healthy.

  201. Janice says:

    I had a emergency C-section in 1994 due to severe preclampsyia I was 27 weeks and i had a hysterectomy in 2005 after that I’ve had major issues with IBS, digestion and bowel issues; sometimes I have this pain as if I’m in labor int starts where my scar is and it radiates up my vagina and rectum and sometimes its a tugging sensation and I’ve develop chronic sonstipation. I’ve seen so many doctors and I was finally refered to a OB/GYN specialist and he recommends a laparoscopy to remove scar tissue. Do you think that could be the cause of all my issues. I’m 44 years old. I’ve lost so much weigh because of digestion issues over the last 6 months.

  202. Elizabeth says:

    Hi Miranda, Since adhesions and scar tissue don’t show up on scans and ultra sounds it’s good that your doctor is checking further. Sounds like you could have adhesions that are causing bowel irritation or obstruction. Hopefully the Lapraroscopic procedure will turn up something.

  203. Elizabeth says:

    Michelle, This could be adhesions but it’s not possible to know for sure. For some adhesion patients it can go away gradually but sometimes it does not. The best thing to do is check with your doctor. If there is severe pain and pulling the adhesions could be causing damage so you need to get it checked out with your doctor before continuing with exercise.

  204. Miranda says:

    Hi there,
    I had a c-section 14 years ago, no other pregnancies since. A little over two years ago I began experiencing extreme pain radiating from my scar. The pain feels like a really bad bladder infection, menstrual cramps, genital burning, cervical pain and diarrhea cramps all at once. Could an adhesion after all those years be causing this? I’ve been steadily seeing doctors since the pain began and have had every kind of ultra sound, CT scans, blood work etc by my GP and specialists including my OB/GYN. I meet with a surgeon tomorrow to see if they need to go in laparoscopically to find out what’s going on.
    Another weird question/concern is this: The pain is not bad at all first thing in the morning but as soon as I have my bowel movement, the pain comes. And now I have excruciating hemorrhoids, not common for someone like me of a healthy weight and does not sit much.
    Any insight would be wonderful. Thanks!

  205. Michelle says:

    Hello, I have had 3 c-sections. The last one was in 2005. I recently started really exercising. Now I have burning & pain on my left side an inch or so above my scar. It does not feel the same as muscle pain from exersice. It is extremely painful when i sneeze. The burning doesn’t go away. Could this be from adhesions? Will it go away if it is from adhesions? Will continuing to exercise cause more problems?

  206. Elizabeth says:

    Hi Ushchi, If the problem is indeed adhesions they can only be removed through laparoscopic surgery. Physical therapy helps but it doesn’t help everyone. Unfortunately the only fix is more surgery to remove them, although laparoscopic surgery is much less invasive.

    I wish I had a better solution for you. I do hope your daughter starts feeling better. ***hugs** 🙂

  207. Mechthild Fortin says:

    Hi, this is Uschi. Im writing for my daughter Samantha. shes 25 Years old and delivered her now almost 3 year old daughter per C-section. 1 month after the birth she started having severe backpain in her lower back. she dr. did Xrays, MRI and couldn’t see anything wrong, they just put her o painpills. I took her to my chiropractor who said the cause was scartissu adhesions from the epidural for the c-section. she then undewent an MUA (manipulation under Aenestitia) and then phys, therapy and then 3 months later another MUA, when the pain returned. shes currently finishing her phys. therapy, but her pain is already coming back. Do you know of any treatments or doctors, who have dealt with this. Your help would be very much appreciated.

  208. Elizabeth says:

    Hey Shelly, It’s really difficult to say. You could have some adhesions that are pulling only when you are in a certain position but again that’s just a guess. It’s not unusual to feel pangs and some discomfort even as long as a year after having a c-section. As long as it doesn’t get worse I wouldn’t worry too much. You might also want to stay away from that position for awhile and see if it doesn’t go away.

    Does your doctor have a nurse on staff that you can talk to? I know mine does and sometimes she can be helpful with questions like these. If your doctor has that service you could try calling and see what they might have to say.

    Sorry I can’t be of more help, but pains like that can be a mystery even for doctors. But if you’re like most women it should subside.

    I hope that helps 🙂

  209. Shelly says:

    Hello! I am 27 and had my 2nd c-section w/ a tubal done in November 2010. I have been having discomfort whenever I lay on my stomach, however it is not severe, and it is not constant. I really only notice it when I am laying on my stomach. Is it normal to have this discomfort this long after a c-section? I was up and around one to two weeks after my c-section, and haven’t had any other issues but this. Just wanting your opinion, as my next check up isn’t until June. Thanks!

  210. Elizabeth says:

    Keisha, adhesions are difficult, at best, to get rid of as I’ve noted in my post about c-section adhesions and treatment. The more surgery you have, the more adhesions you get. Ironically enough, adhesions can only be removed through more surgery.

    Massage therapy is another up and coming method but it doesn’t work for everyone, however you may want to check with your doctor about it or check into it more on your own. I hope that helps 🙂

  211. keisha says:

    Hi im 32 years old i had 2 c-sections my last one was 7 years ago. When me and my husband decide to have another baby now im not able to get pregnant. For the last 3 years going todifferent doctors, i found out that my uterus is enlarge and i have no blockage. I also have a fibroid. I do suffer from some pain but thats not the problem…. after going back to the doctor that did the c-sections he told me that when he did the last c-section he noted that i had severe adhesions. i just want to know what can i do about the adhesions so i can get pregnant again…..please help us

  212. Elizabeth says:

    Janet, from my research I think that this massage is worth looking into. Whether or not it will be something that is right for you, I can’t say. And I certainly can’t recommend it not knowing your physical health and history.

    My suggestion is to look into massage therapists that do adhesion massage that are in your local area but speak with your doctor first. Massage therapy can help, but it’s not right for everyone, there are a lot of variables.

  213. Janet Cruz says:

    Hi. I had my first c section yr 2001 and 2nd was year 2006. After 2 years I suffered from severe right lower quadrant abdominal pain accompanied w/ high grade fever and burning upon urination. I was hospitalized for 3 days and my doctor prescribed me w/ IV antibiotics and IV hydration. I was then discharged. And year 2010 again I’ve experienced the same pain and my abdomen was tender. I went to see my PMD and I’ve done a lot of tests CT scan of the abdomen and pelvis, transvaginal ultrasound and my uterus was enlarged, sereis of blood tests and colonoscopy and it was all normal . And my OBGyn told me that my scar was adherent to my uterus because my uterus was enlarged and it was just 2 inch below my umbilical cord. I’m afraid that this is an adhesions from my previous c-section. Is it still advisable to have this massage?

  214. Elizabeth says:

    Hi Anna, those hard nodules are fairly common and they usually do go away in time. It’s not adhesions or scar tissue, it’s typically blood or fluid that accumulates under the skin and eventually breaks down and your body absorbs it.

  215. Anna says:

    I had a c-section (my 4th) 2 weeks and 4 days ago on Feb 15th and my scar looks like it is healing nice all except on the very left corner there is a medium size, hard bulge (maybe the size of a marble or a little larger) under the skin. Is this scar tissue? I’ve never had it before so I’m not sure. If it causes no problems I am fine to leave it, I do plan on having a 5th c-section.

  216. Elizabeth says:

    Melissa, call your doctor. Sounds like there is something going on with your scar internally and it needs to be looked at by a professional.

  217. Elizabeth says:

    Sommer, thank you for sharing your story. A green discharge sounds like an infection to me so if you had an infected scar this would be a likely result.

    I also wanted to add that any type of abdominal disorders can cause back pain.

    I hope you are feeling better soon ***hugs***

  218. Sommer says:

    I had an emergency c-section due to pre-eclampcia with my twins in 2009. The first few months I had no problems with the external scar. Around the time of my twins first birthday I started to have nerve pain, if my twins or my dog would jump on my lap I started experiencing pain that felt In June 2010 the pain was gone and I had no problems until December of 2010.

    Sex had always been a little painful after my c-section but by December it was so painful the sex altogether stopped. I started to feel period like cramps with clear discharge. My vaginal started to itch and I treated myself with some over the counter yeast infection cream. The one day cream seemed to help for a week, then the symptoms came back. By now this was the first of 2011 and I again treated it with infection cream but this time it was a 7 day package. Again the symptoms went away for a few days, then they came to stay and never left.

    In February, I woke one morning with severe abdominal pain and green discharge. I went to the ER where they preformed a vaginal exam and took my urine to find the source of the problem. All my test came up negative. The test included all tests for any STD’s, yeast, bacterial vaginosis and a slew of others. Although my tests came up negative they told me to follow up with my primary doctor and gave me a shot of Rocephin plus sent my home with extra antibiotics. Even with the strong medication my symptoms just kept getting worse. The next day after my ER visit I went to my regular doctor who once again informed that I had no infection, she sent me for an vaginal ultrasound the next day. The u/s showed that I had some cervical cysts, which were small and normal and showed the scar but nothing came out to be worried about. However, she did feel that I was building scar tissue.

    My primary then sent me to an OBGYN to see what she could do about finding out the amount of scar tissue lett from my c-section. When the OBGYN did an internal exam and felt the scar I almost jumped of the bed in pain. She didn’t anything about the green discharge but did tell me that I would have surgery to remove the tissue.

    At this point I thought the green discharge had been taken care of after the round of super antibiotics but two days after my visit from my OB it returned. I went to see my primary again. She thinks the green discharge is coming from the infected scar. Could this be true?

    I also want to add. After reading the symptoms of infected tissue I saw it causes back pain. I am having severe lower back pain and pain in my back over my left kidney. I thought this was because I was lifting my 32 pound and 25 pound 2 year olds but I never had back pain before the pain of the scar.

  219. Melissa Davis says:

    Hi I have had 2 C-sections. Now my girls are 9 and 7. My scar seems to be getting bigger and I have not gained any weight. Another concern of mine is that when I take baths, my scar looks almost like a wet scab.

    What should I do?

  220. Elizabeth says:

    Hi Dottie, it is possible that you have adhesions pulling on your back causing your back to ache, but I have no way of knowing that. An x-ray won’t show adhesions or scar tissue but you may want to request an x-ray as there may be something else going on with your back.

  221. Dottie says:

    Hi, I have had 3 c-sections over the course of 8 years (the last one was almost 5 years ago). I have always been on the pill (cerazette) which completely removed any trace of a period. I have been off the pill for almost 2 years and my periods are still irregular, I have frequent days on/off and they last around 3 weeks. I only mention this because I also have really tender pain from my c-section scars, and when I press through my tummy to the internal scar it really hurts and feels really thick. I had my 2nd section as I was getting bad pain and pulling on my scar so they operated as a caution in case of rupture; with my third daughter the scar ruptured just as they were about to cut me. I have also had a really bad achey, stiff back since my first ever child yet all my doctor does is give me co-codamol, and I have never even been sent for an x-ray. I am only 30 and have had a bad back for 8 years, it is a struggle to get out of bed some days and takes hours to loosen up, and now I am worried about my scar as the pain has been getting worse for some months. Could my scar be causing the back problems?

  222. Elizabeth says:

    Hi Susan, why did you decide to have your tubes tied 40 years later? Did you mean 4 years later?

    I don’t know what the process is for removing adhesions, some doctors do try to remove what they can but if you have a lot of adhesions I don’t think they can actually remove them all. but also remember the laparoscopic surgery would have also caused even more adhesions.

    Adhesions are very unpredictable. They cause problems in some people and they don’t in others. If you’re not having too much discomfort with your adhesions right now it shouldn’t really get worse.

  223. Susan Dugger says:

    I’ve had 2 c-sections 31 & 34 years ago. The dr. did my incision vertically instead of horizontally. approximately 40 years later I decided to have my tubes tied lapriscopically. When I woke up the dr.told me I had so much scar tissue they couldn’t even see or find my uterus, so they had to reopen my c-section scar to do the tubal. Shouldn’t the dr have removed the adhesions when she did my tubal if it was that bad? I am now going through menopause & am wondering if this is going to cause me problems later on. I do sometimes have a pulling pinching feeling down low about where my scar stops at the bottom.

  224. Sandra Pauls says:

    Hi. My name is Sandy and I have had 2 c-sections. one in 2001 & the other in 2003. Since 2003 I have been having extreme cramps and often my scar will turn red. A few times I’ve noticed that it looked like it was bleeding a little. I can’t cough much, when I do I have to hold my stomach and it doesn’t even sound like a real cough. I often complain that the majority of my pain is in the area where the scar is. I am overweight, but when i try to exercise, I start feeling pain in my stomach right where my scar is and I get scared that it might open back up. Any idea of whats going on with me? Thankyou.

  225. Vabel says:

    Hello, I have had two c sections and three myomectomies. I have adhesions from these surgeries. I am considering getting a tummy tuck. Will the adhesions be a problem with getting a tummy tuck? I have a consult scheduled for two week from today but am very anxious.

  226. Elizabeth says:

    Priyanka, First of all you must find out from your doctor what he thinks the pain is from. Adhesions and scar tissue are not visible from scans or x-rays so everything may very well look OK.

    Unless you can get to the source of what’s causing the pain, you can’t fix it. Ask your doctor to explain what he thinks the birth control pills will do.

  227. Priyanka Banerjee says:

    Hi, I had my baby 11 months back with a C-section. It was a CPD(baby’s head was bigger than my structure, so baby was unable to come out). I was okay after surgery. doing all the housework, and went back to work after 1 and 1/2 months. I started feeling very sensitive around the incision area after 3/4 months. It was on the skin at first. Lately (from last 2 months) I started feeling sharp shooting pain around the incision area, but now these are inside my body. I went to see my OB/GYN, had a CT scan. He thinks everything looks normal and started me with birthcontrol pills. I don’t know how those pills are going to help me with this problem. Can you please help me with my problem? I am having very discomfort from pain and it is affecting my regular life.


  228. Elizabeth says:

    Hello Kasondra, I’m not a pain specialist and don’t know what the best options are for pain relief. What you doctor is recommending is most likely one option, I would suggest speaking to other doctors and getting some other opinions.

  229. kasondra says:

    Hi, I am a 25 and had a c-section with my son at the age of 22. Over the years I have had many episodes of abdominal pain, lower. But all the test check out fine, in the past they ultrasounded my ovaries,uterus etc.

    Just recently after going through all the tests again, the gastroentologist refered me to a pain clinic, who believes that I have a trapped nerve from the c-section. They have me keeping a journal and coming back in a month, to discuss some kind of injection of anesthetic to numb the nerve.

    Do you believe this is the best option or are there other options available?

  230. Elizabeth says:

    Hi Sue, I’m glad you’re getting a scan, it’s always good to rule out as much as you can. Scar tissue is always a thought with this kind of thing. If a hernia is ruled out be sure to discuss adhesions and see what your doctor has to say about it. Best of luck to you 🙂

  231. Sue says:

    Hi. I had my first baby by c section in feb 2002 and my second also by c-section in nov 2003. In March 2006 aged 36 I suffered a miscarriage and since that point have been unable to become pregnant despite falling very easily before that. Various investigations were unable to determine the cause and use of Clomid and finally one cycle of IVF failed to get me pregnant. Now 41 and resigned to having no more children I have noticed a hard bump of tissue above my caesarian scar, noticable when wearing fitted clothes. I also feel a pulling sensation underneath it when standing for long periods. I saw a consultant today who says he cannot feel anything but will get me scanned to rule out a hernia. Could this be scar tissue still developing or something to do with adhesions?

  232. NaToya says:

    Hi Elizabeth, thanks for your response… that was my only c-section… and I will proceed to get a second opinion, but that means I will have to have another Laparoscopy…..ugh!! 🙂 Well no pain no gain.
    Thanks once again!

  233. Elizabeth says:

    Hi Natoya, In vitro fertilization is certainly an option but a second opinion is always a good idea. Was your 2008 c-section your only c-section? If your scar tissue is as bad as you indicate IVF may be your only option but I’d get another opinion on just how bad it really is.

  234. Erin says:

    I recently underwent a D&C for a miscarriage when i was 11 weeks pregnant. I started bleeding badly and underwent a second D&C 8 days later. I have 2 children, one born via c-section 4 years ago. It has been 2 and half weeks since the second procedure, and i still have a lot of pain and tenderness around where my c-section scar is. I had an ultrasound last week, but did not think to ask about this at time- could the D&C have compromised the internal scar of my c-section on my uterus? I can not find any information about the chances of this happening. Thanks

  235. NaToya says:

    Hi, I had my c-section back in 2008 and have been trying to get pregnant for a year and a half. Went to a specialist who did a laparoscopy and found that adhesions had pinned down my ovaries and my tubes were wrapped around as well. She said in order for me to conceive I would have to do IVF… She removed as much scar tissue as she could but said in order to get it all I would have to have a hysterectomy. I want more children… Should I get a second opinion or just follow through with IVF. My uterus is perfectly normal and my ovarian reserve is good.. Please advise..

  236. Elizabeth says:

    Alison, this is actually not uncommon. Anytime there is an opening in the skin, even as pulling out an ingrown hair, you an get an infection and even an old scarred area is vulnerable. Hope it gets better for you soon 🙂

  237. Elizabeth says:

    Hi Venetia, No it’s not too early, each time you have surgery, adhesions form, however some adhesions don’t present problems. This sounds like adhesions may be pulling as you move. As always you should check with your doctor though. There’s always the possibility that something else is going on.

  238. alison says:

    i’ve had 2 c-sections, one in 1995 and again in 1999. last night i noticed an ingrown pubic hair close to my scar, so gently pulled it out….with this i get a small amount of pussy discharge from my scar followed by a small tear appearing and blood. this morning my entire scar is very red and sore and weeping and looks to be opening in places….have called docs but cant get appt with a doctor but a nurse can take a look later. just very concerned as its such an old scar didn’t think anything could go wrong after so long.

  239. venetia says:

    Hi, I had a c-section 5 weeks ago and for the last two days I have been experiencing pain in my left side only when i move ie twisting turning picking things up. Yesterday the pain was orse as I could not put any weight whilst alking on my left leg. when I am still and not moving I dont have any pain. I did have this same pain two weeks after surgery but it went away. This is my second c-section, is it too early to think I have an adhesion?

  240. Elizabeth says:

    Stacy, before doing anything, it’s important to make sure the problem is actually scar tissue and not something else. If your doctor seems to thing it is due to scar tissue you can ask about massage therapy but you have to make sure nothing else is going on. If you do have adhesions or scar tissue I definitely recommend looking into massage therapy. It’s really all we have to help remedy adhesions without more surgery. If you do check into it look for a licensed massage therapist that deals specifically with adhesions, but check with your doctor first.

  241. Stacy says:

    I’m not ready for #8! Even though, I say no complications that doesn’t mean without pain. : )- However, this is the first time I’ve experienced incision pain so consistently & always on the far left side. The pain is outside the scar that I can see. Should I be concerned about the scar tissue? Do you recommend massage or something else to decrease the pain? Thanks so much for this informative site. I wish I had found it years ago. Peace! Stacy

  242. Elizabeth says:

    Stacy, eight c-sections is a lot and with having 7 you most likely have scar tissue, you don’t need a lot of scar tissue to have pulling or adherence. However if your doctor says it’s OK that’s who you should be listening to.

  243. Stacy says:

    I have had 7 c-sections without complications. The last section was 9-2009. Lately, I’ve been experiencing pain on the left side. Last night it was throbbing. It cleared up after taking ibuprofen. It seems to hurt when the weather turns cold or it is going to rain. Also, the outside scar did open up slightly about a month ago. My doctor’s office said the pain is probably due to scar tissue. However, I thought he told me that I didn’t have much scar tissue. Is this possible after so many c-sections? He told me everything looks fine for #8 if I wanted to have another. Is there anything one can do for the pain?

  244. Elizabeth says:

    Hi Chrissa, the reason you’re getting conflicting answers is that doctors don’t know for sure.

    I actually had the same thing happen to me after my first c-section. But not only did I have a miscarriage I could not get pregnant again. My doctor had no comment really only to say that I should keep trying for at least another 6 months before doing fertility tests. I actually did get pregnant again but I also only had one c-section prior.

    Unfortunately no one has any way of knowing how your body will take having another baby or c-section. All we have to go by is statistics and prior history. Even with that knowledge you can’t be sure what will happen. I know how hard it is to have a miscarriage, I’ve gone through it and my daughter just recently had one.

    It’s tough to go through but at the same time I can hear in your words that you’re concerned about the children you have by risking another bleed out or uterine rupture. That’s your instincts talking and as a mom I believe they are fool proof 😉

  245. Chrissa Pena says:

    I am 33, and just had a D&C done yesteday. I had hemorrhaging and severe blood loss. I found out we had lost the baby at 13 weeks. This was after one successful ultrasound with a strong heartbeat at 8 weeks. Baby had no heartbeat and measured at 9 weeks at second ultrasound. I have had three successful c-sections. My kids are 15, 11, and 3. I had adhesions resulting from all of them. With the last one, I had to have a lot of adhesions removed before they could even deliver my son. I am wondering if this is what caused my miscarriage and if I should even consider trying to have another child. My OB, and the ER physicians who treated me for this situation are giving me conflicting answers and I am very confused and agitated. I want another child, as my heart was shocked and broken when this happened to me, but I also don’t want to leave the ones I have by risking another bleed out or uterine rupture. Could I possibly carry another baby full term, was this just the typical 15-20% m/c rate, or is it my body trying to tell me something?

  246. Elizabeth says:

    Jessica, it’s hard to diagnose this kind of thing. Especially since scar tissue doesn’t show up on scans or xrays. Doctors can only guess as to what the problems are. You may very well have some adhesions causing a pulling which is what is giving you pain, but it’s difficult to know that for sure. You said you had a scan of your ovaries and uterus, has that been within the last 4 days or since you’ve been feeling the pain? I ask because you may have a slight infection.

  247. jessica thomas says:

    Hello, my name is jessica.
    I am 31 and have a 5yr old son delivered by c-section. I have suffered excessively heavy periods since his birth and have tried the pill, mirena coil with no success and eventually was given an endametrial ablastion and sterilisation for my periods as 24hrs before they started i had pain so severe i could not walk, sit stand and was going to A & E every 4 weeks as my doctor was at a loss with me. This has slightly stopped this pain but now i am experiencing pain behind my c-sec scar and my lower abdoment is very tender and i feel a bit sick. this pain has been constant now for 4 days and nothing i take for pain works. I have recently had a scan on ovaries and uterus but all came back ok. i feel like no one can give me answers as to what it can be and that im probably going to suffer this for a long time yet. Can you provde me with some answers?? could this be scar tissue as my consultant ‘thinks’ it may be??

  248. Stacy says:

    Hello, I had a c-section 11 years ago. I am now 43 years of age. I went to the ER a couple of weeks ago with a severe pain in my abdomen, I get this pain right before and during my period. It is located just to the left of my belly button and goes away as soon as I sit down or lay flat on my back. The ER did bloo work, urine tests and a ct scan all came back negative. Do you think this could be adhesions from my c-section??

  249. Elizabeth says:

    Hey Jennifer, thanks for your reply. I’m so sorry to hear about your awful experience, but I thank you for coming forward and telling your story. I know many women want to have more children but in the light of having previous c-sections that produce adhesions, it can be dangerous. I sincerely hope you are doing well and that you are recovering fully 🙂

  250. Elizabeth says:

    Hello Rita, I am not a doctor nor do I know your medical health history so it’s not possible for me to accurately tell you if the damage was caused by the Mirena or the adhesions. Mirena does comes with some very serious side effects that are outlined here .

    If you look at the side effects of Mirena, they include Streptococcal Sepsis and Pelvic inflammatory disease. I don’t know if this is what you had but on the surface it looks as though the Mirena may have brought on the problems. You should check with your doctor more on this. Good luck, I hope you are feeling better soon ***hugs***.

  251. Rita Grech says:

    I had my two sons by c- section the first in 1998 and the second 2002, and I never felt anything in the last past years, now last september my gynea suggested me to have d&c and to put mirena due to heavy periods after three weeks i had fever I went to my gynea and gave me antibiotics but two days later I was in dying pain in my belly and vomiting, I was admited in hospital they removed mirena out and put ngo tube and cutiter and given massives of antibiotics through viens ater they told me that i have problems in my intestine after doing abdomanal xray some small blokage. Could it be the mirena that coused this damage or trigerd the adhesions. or because I have adhesions as another consultant told me because no one is giving me anwers and still have to do some tests?

  252. Jennifer says:


    I noticed the post you made this past June about having three c sections and possibly considering having another baby. I just had my third c section 5 days ago and the surgery lasted two and a half hours because the scar tissue from my first two c sections was horrible. It took the dr awhile to get my baby out and because I had so much scar tissue it had caused my bladder to thin out from te tissue that had attached to it. My bladder ruptured during the surgery so it had o be repaired. I lost a lot of blood and had a few other complications. I have always wanted four children however I won’t because the risks are too high. I would go thru it all again if I knew this could never happen again but it’s always a possibility. I wish you the best of luck in your decision and hoped this info helped.

  253. Elizabeth says:

    Hi Sherri, I couldn’t say for sure. Adhesions do give a pulling sensation but it’s hard for anyone to know for sure. Have you spoken to your doctor about it?

  254. Sherri says:

    I had a c-section almost 13 years ago.I had a vaginal birth almost 15 years ago and I have had 2 miscarriages. This is my last go at having another baby. I am currently 15w4d pregnant. I have been feeling some discomfort around the uterus. It feels like something pulling down on my uterus and I feel it towards my cervix. Could this possibly be adhesions?

  255. Elizabeth says:

    Hi Kate, You could be feeling the effects of adhesions. We can’t really know for sure but it’s something to start with. I know I say this a lot, but you should check with your doctor. Adhesions are hard to diagnose because they don’t show up on x-rays or other monitoring devices but your doctor can usually tell what’s going on from the symptoms you describe and the problems you are having.

    I had the same problem with getting pregnant after my first c-section. I got pregnant right away with my first and after my c-section the second took much longer. Having a c-section doesn’t make you infertile, I don’t believe, but it can make it harder to get pregnant and adhesions could possibly be the culprit, however I didn’t have problems with adhesions but I still had a hard time getting pregnant the second time.

    Don’t be discouraged though, it will happen, you just need to keep trying. What worked for me was keeping a journal of when I was ovulating. A few months of diligent record keeping and acting promptly will make it happen 😉 One thing for sure is you don’t want to stress.

  256. Kate says:

    Hello, I had a c section in 2009 and about one year on I am starting to feel pain behind the scar around that time of the month. It’s not period pain, it definitely feels like it has something to do with the scar. It’s like a pulling feeling, sometimes burning. It also feels like it has something to do with the muscles as I feel it when I move (e.g. when I get up from lying down). I wanted to ask, could this be adhesions? Also, could it be the reason why I am not falling pregnant so easily second time round? We have been trying for 3 months and nothing has happened, but I fell pregnant first month of trying with my first baby. I’m starting to worry that having the c section has given me problems that are affecting my fertility.

  257. Elizabeth says:

    Hi Naimah, I’d advise seeing your doctor. It sounds to me like an adhesion problem but no one can know for sure without seeing a doctor. Adhesions don’t typically show up on Xrays or scans but a doctor can get a good idea just by examining you. He may also be able to assist you with the pain.

  258. Elizabeth says:

    Hi Cheryl, I have to say, I’m not sure what this might be. After 9 years it seems odd to me that you would see some bruising or discoloration. I think this will have to be something only your doctor can answer, but I would check with him/ her on it. If you can please get back to us and let us know what the outcome is. Thanks 🙂

  259. naimah says:

    hello, i had my last child in 2007 c-section i now have a lump right where my cut is and it hurts so bad at times it limits my mobility. it feels like something is pulling and often feels hot, sometimes it even itch. i really dont know what to do about this i just cant take the pain anymore what can i do

  260. Cheryl says:

    I have had two C sections. One was almost 11 years ago and the other 9 years ago. All went pretty smoothly. Just yesterday, though, I noticed a tenderness in my pelvis, looked down, and noticed a very black, pronounced bruise across the scar. It’s roughly 1 inch high and 4 inches across, and it seems to be growing. I noticed a day or two before some pain in my lower left abdomen. I have gained about 10 pounds in the last year but am nonetheless pretty active. Any thoughts?

  261. crystal says:

    Hey Elizabeth its Crystal again, I had had the 2 previous Csections with a uterine septation removal and now I’m pregnant with my 3boy and hes measuring at 28 weeks and I’m only 25 weeks if the baby continues to measure 3weeks ahead could that put me at risk for earlier than 36 week delivery?

  262. Elizabeth says:

    Hi Katie, I wouldn’t be too concerned. It could possibly be scar tissue but it’s hard for me to tell. Please come back and let us know what your doctor says 🙂

  263. Elizabeth says:

    Hi Lola, I have those puckering pockets of fat as well. It’s not likely that it’s scar tissue, they are just simply pockets of fat. It is a little bit of an age thing. Unfortunately I don’t know how to remedy those fat pockets. Perhaps some other viewers may have some advice on that.

  264. carla sunter says:

    hi, i had a c-section 2 n half years ago, for the last month i have had awfull stomac pains by my scar, i feel sick most o the time headake n really sleepy, the pain is mainly by my scar but feels like it inside me, i went docs and doctor said ibs from stress and wrong diet i have changed my diet and the pain is just as bad, i was looking at my scar other day and half of it looks a yellowy colour n there was a tiny spot like lump in middle o my scar which i sqeezed and some goo came out any advice on what might be

  265. Katie says:

    Hi, im 6 weeks pregnant with my 2nd baby.l I had my daughter 4 1/2 years ago by c-section. About a week ago i noticed a lump above my c/s scar.Its almost all the way in the middle of my scar, but a little bit to the right. It doesnt hurt at all, just kind of annoying. It will get bigger and then go almost completely away, when i push on it i can feel some pressure on my bottom. Could this be scar tissue? Im going to the doctor on wednesday and gonna have them look at it. It;s worrying me but the fact that its painless leaves me a little at ease. Has anyone ever had this? should i be concerned?.thanks in advance for your answers

  266. Lola Hautzinger says:

    Hi , Iam 46! had a c-section at the age of 23, my scar is from the bottom of my belly button down about 3 inches (all went well back then I had staples healed ok) I’ve been working out for 21 years did some power lifting, etc. I still lift weights cardio,go to thegym 6 days a week …eat healthy
    but I’ve noticed that my stomach ( on both sides of my scar) pretrudes, its hard but sticks out
    like when you sew material & it puckers. I thought maybe years of doing ab exersise made the muscle grow, but told thats probably not it, Does scar tissure grow? or is the an age thing?
    I also have Ibs never knowing that could be from a c-section (ive got that under control now)
    by eating Lots of fiber….
    any advise?? Thanks

  267. Elizabeth says:

    Hi Rakeidra, I’m not familiar with heavy bleeding after a tubal. When I had mine I didn’t have any problems like that, however I don’t think it’s totally uncommon, in fact I there are a good bit of comments that you might want to sift through here http://womenshealth.about.com/b/2003/07/06/abnormal-bleeding-after-tubal-ligation.htm

    I would advise that you check with your doctor. You need to get to the real root cause and only your doctor can really help you there. Continuous heavy bleeding isn’t a good thing so promise me you’ll see your doctor 🙂

  268. Rakeidra says:

    Hi, I’m 25 with 2 kids both c-sections. I had my first February 2006 and my second June 2010, followed by a tubal ligation. I am now (what I consider to be) on my cycle as of 9/6/10 @ around 11pm. This day(9/6/10) was Labor Day and I had a fall during a family water ballon fight!! At day 3, I’ve noticed having to change Tampon and pads (wearing both at same time) 1-2hrs!! I have never bleed this heavy in the last 15yrs of my cycle. I’m starting to think that my scar is bleeding internally. Is that possible? It has only been 2 months since my surgery; but this is my 1st period since my second child. Or could my tubal ligation have changed my period for good??

    Any advice greatly needed!!!

  269. Elizabeth says:

    Judith, yes adhesions can get better, in fact massage therapy, done by a licensed physical therapist, has been proven effective for this.

    It’s hard to avoid adhesions, just having surgery makes more adhesions. One thing you might ask your doctor about is seprafilm. It’s an adhesion barrier for abdominal surgery. This is something your doctor would use to help prevent further adhesions. Not all doctors use it or are familiar with it so you’ll have to ask, but in your case it may be worth finding out about.

    If you do inquire about it I’d love to know what your doctor says about it. Also if he does use it I’d be interested in knowing how it works out for you 🙂

  270. Judith says:

    Hi! I had a c-section in 2006 and I have felt pulling up until the past year or so. Can adhesion get better or go away? I am also having another c-section this November. What can I do to prepare better for this one and avoid adhesion?

  271. momthreeboys says:

    I have had three csections 2 in 1995 and one in 1997. I have been reading your stories of adhesions and wanted to share. After my third csection in 1997 at which time I also had a tubal ligation, I began to experience a pain and burning in my incision. It started a month or so after the delivery and continued for over a year. It was off to the right side and always occured right before my period and then went away for a couple of weeks. I went to see my doctor and explained to him about the pain and burning and he told me that you can have endometriosis in your incision. He said that is what my problem was and I went in for another surgery to have it removed. I have not had any incision problems since!!! He told me this was very rare to have occur but it sound like some of you have the same issues.

  272. Elizabeth says:

    Rachel, Don’t be worried. I had the same thing happen to me, in fact almost exactly like you, maybe a year or so off. It was about 2 1/2 years since by first child, I got pregnant and miscarried having a D and C as well. After that I had trouble conceiving. When I became concerned I spoke to my doctor about it and he suggested I keep a journal of my ovulations which I did. I was vigilant about keeping track every month of my periods and when I was ovulating. I had to laugh, it was basically “Honey, you’ve gotta come home I’m ovulating!” We did that for about 6 months before it worked and I got pregnant, but it was not without consciously working at it.

    Adhesions may or may not be the problem. I never knew if my difficulties were adhesions or not, at the time my doctor never mentioned adhesions, he said just “keep trying”.

    I’m not sure if a sonohysterogram will diagnose ahesions, this test indicates abnormalities within the uterine cavity keeping you from getting pregnant but I’m not sure it will pick up adhesions, most tests don’t pick them up but I’m not familiar with this type of test and maybe it will provide answers, they’re making strides in this area every day.

    The difficult thing about ahesions is removing them causes more adhesions which could make the situation even worse.

    I would try what I did with keeping a journal and documenting your exact ovulation times, that means taking your temperature and pinpointing the exact time of ovulation. there are even tests you can buy to tell you this. There’s also a chart on this page that may help as well: http://www.ovulation-calculator.com/fertility-chart.htm

    From all that I have read and my personal experience, I think you can overcome this with persistence and diligence. Give it a try and keep me posted as to what happens 🙂

  273. rachel says:

    I had a cesarian in 2007, my son is now 3 and we want more children. We managed to concieve in august 2009, but I miscarried in September. It has now almost been a full year and I have not been able to concieve another baby. I am really concerned now, and I am wondering if maybe adhesions (from the c section and dnc b/c of miscarriage) are preventing implantation of a fetus. My doctor has me scheduled for a sonohysterogram on september 21. Will this test give me some answers?, and if it is adhesions will the surgery to remove them effect my fertility any more?

  274. Elizabeth says:

    Nas, I honestly don’t know what a rupture of this gap or opening in your previous scar means. Next time you meet with your doctor, see if he can’t clarify that for you. In other words, what kind of problems can it cause, and how serious is it.

    Even though you are eight weeks pregnant there is a lot going on in your body that you can’t see from outward appearances so it is possible that even though it’s early you could be feeling the affects from this. All you can really do at this point is take your doctor’s advice and take it easy, even though we all know that’s hard when you have 2 small boys ;- ( just do the best you can.

    I don’t know if your bowel situation is related or not but don’t strain, instead eat foods that will loosen you and if you’re open to it ask your doctor about taking a mild stool softener.

  275. Elizabeth says:

    Laura, it’s impossible for me to know exactly but lumps around your scar can be common. Sometimes the tissue fills with fluid and over time it goes away. Being 36 weeks pregnant could be having an impact on the area causing fluid to build up. At your next checkup have your doctor look at it. It may be something he can drain on the spot. Don’t be too worried, these lumps are often something that can be easily taken care of. Let us know what your doctor says 🙂

  276. Nas says:

    i have had 2 previous c-section 1st on sep 07 and 2nd march 09 i am now 8 weeks preganant and have been getting really sharp, pulling burning pains on the right side of my scars..when i sneeze or cough or even suddenly get up i get these pains and its the worst type of pain u can imagin, i have been to hospital and was told that from my previous scar i have a small opening or gap that should’v closed during healing….even though the DR didnt say this was why..he did say that as i get bigger this may rupture????…. the thing is that am in early stage of preganacy should i be feeling these pains now?…… DR says to take it easy and not strain myself but i have 2 small boys who are a full time job!…….also since i have been preganant i find it really hard to open my bowels i have gone 4- 5days without anything and when i do its painfull and my scar really hurts!…a not sure if it connected!

    i know am at risk and so is baby but i have faith am jus worried that what am experiancing now will only get worse as i progress…………tnx for reading any advice much appericatied x

  277. Laura Anderson says:

    Hi my name is Laura, I am currently 36 weeks pregnant, i have had to previous c sections with no complications during the pregnancies but this time around i have gotten a lump on the left hand side of my scar, it has been quite painful over the last few days and i can’t have anything resting on it. Was just wondering if you could help me understand better what it may be. I went to the dr when my scar was starting to hurt but at that stage i didn’t have a lump, i am a little worried about it being an infection or something serious. Any advice on the matter would be greatly appreciated.

  278. Elizabeth says:

    Chelsea, There are a number of books in Amazon that address this issue of scar tissue and adhesions, however I have not personally read any of them to make a confident recommendation. This is something I’m currently working on however. Doing personal massage is risky, instead I’d recommend researching licensed physical therapists that do adhesion massage.

  279. Dee says:

    Hello! I had a c-section in May of 2009 and recovered very quickly. About a month ago I started having abdominal pain in the area of my bladder and uterus. It is painful after I urinate and a dull ache the rest of the time. I saw a Urologist who did a cystoscopy that revealed nothing. Saw my OB who did an ultrasound and everything looked fine. All tests came back negative. If I press on my lower abdomen (bladder area) it is painful but not always. The pain also radiates to my back and groin. I am at a loss. I am in constant discomfort and don’t know where to turn next. My urologist offered to go in and look for adhesions but the idea of surgery is not appealing at all. Any advice would be greatly appreciated.

  280. Chelsea says:

    Hi, I am so glad I have found this page. I have had 2 c-sections my second one was May 2008, it took a long time for the doctor to take out my daughter, she never explained to me what happened just that I had a lot of scaring. She never went into detail about more scaring or risks even after I asked and told her we would have more children. Because of the lack of discussion and other reasons I changed doctors. I recently started having pains during intercourse at my c-section scar. My new gyno told me it probably was scar tissue and checked to make sure that my uterus was still moving around, and it was. She then got my charts from my last c-section and told me the reason my c-section took so long was because my uterus was attached to my abdominal wall, but my gyno at time of c-section applied something to help keep it from happening again. She did not seem to worried and told me not to let it keep me from having another child. I am assuming she is right since she was very thorough and gave me a lot of information. She also did not go into risks of it spreading to other organs. I am still having pains in my abdominal and am thinking about looking for a book to help massage them out Do I just look on amazon? Also should I go back and discuss these other risks I have read about or trust her that it may not have been that serious from our conversation? Thanks for your help.

  281. Elizabeth says:

    If you are experiencing problems from adhesions and scar tissue, this can be a tough one. There’s not much that you can do yourself although there are some specialists that believe adhesions can be relieved with massage therapy, it’s called ART (active release technique). It’s believed to help relieve the pain caused by adhesions. You may want to check with your doctor about it. Here’s some more information on it:

    That’s provided that adhesions are the problem but after having 4 c-sections it’s highly likely that adhesions are affecting you.

  282. sam says:

    hi there i have had 4 c-sections and i am now having my five one the dr has told me that last time it could quite long time to get to the baby as my organs were quite stuck to each other and now the dr has told me there would be alot more risk this time around and it would take a lot longer time to get the baby out
    i do get pain in my lower tummy and my lower back alot more when i have been doing some activearound the house
    any advice on what i can do to help myself

  283. Elizabeth says:

    If your bladder has grown into your uterus, getting pregnant could mean losing your baby or injuring your bladder. I don’t know the specifics of how your uterus, or your bladder is being affected but I would have to say getting pregnant would be risky, in fact damage to your bladder could mean serious life long complications.

    I completely understand you wanting more children but should serious health issues arise, you have your husband and kids to think about. Don’t jeopardize their well being for more children …Blessings.

  284. Mom2three says:

    Hi, I have had 3 c-sections in 3 years and after having a laparoscopy found out that my bladder has grown into my uterus. Dr said it didn’t just stick to the wall, but has folded into each other. I was told my options are to treat the pain (which I can’t long-term) or have my uterus removed. My husband and I want one more child – is it possible for me to get pregnant? What would be the risks involved for me and baby? I don’t want to ask my dr because I don’t want him to think I am crazy for wanting more- I am thankful for the 3 I have, but if it is possible we want more. Thanks for any input

  285. Elizabeth says:

    Hi Em, if you had an infection I would hope your doctor would have seen that, if he didn’t say you had an infection then you probably don’t but you could have pulled your internal stitches a little. If that’s the case you may have to give it a little time. Take it easy, keep an eye on how it feels.

  286. Elizabeth says:

    Hi Steve, scar tissue is difficult because every surgery causes some scar tissue, even the surgery to remove scar tissue will cause more scar tissue, it’s just a side effect of having surgery. In the case of your wife it is possible that a surgery to remove the adhesions and scar tissue could relieve her pain because it’s removing the adhesions from the area causing the pain, however any new adhesions forming may or may not cause more problems, it’s just a chance you take. It’s a tough call 🙁

    If you’re wife does opt for the surgery, ask your doctor about is a product called Seprafilm. This is an adhesion barrier that is used to prevent adhesions and the complications they can cause. I’m not sure if it works on patients who already have extensive adhesions. you’ll have to ask your doctor, but it may be worth mentioning to see if it can be used for your wife.

    All surgery has an element of risk but your wife dying of the surgery to remove the adhesions is not likely, it is quite safe.

    I’m not familiar with adhesions causing yeast infections. You might want to ask your doctor about that as well, but I haven’t run across that. Does your wife take any antibiotics? Those will often cause yeast infections.

    There are some studies and procedures being done with massage therapy called ART (active release technique) to relive the pain caused by adhesions. My experience is that most doctors don’t feel it’s effective although there are patients that have found it of benefit. It may be something to check into further. Try checking with trained, licensed physical therapists that do ART and see what you can find out. I’d check that out first before making a final decision on surgery. I hope that helps, and best of luck to you both.

  287. Em says:

    I have had 2 c-sections my last was june 2005. For the past month I have had a pain and pressure under my c-section scar on the left side, i also havn’t been feeling well and get a very sharp pain when i urinate in this spot . A week ago i had a urine sample taken, this coming back normal and also an ultrasound also normal apart from inflamation and a little bit of fluid in a cavity, this is what my doc told me. These feelings are much like when i had my c-sections. Just wondering if i could have torn my internal scar or have an infection underneath.

  288. Steve says:

    Hi, reading through all these comments has been very insightful. My wife has what her doctor believes is scar tissue causing her intense pain. She has pain all the time, just varying amounts day to day and depending on the weather since her c-section 5 years ago. We have discussed her having it removed via surgery, but she doesn’t feel safe to have any surgery unless it is absolutely necessary. We will now check into the other options found here and see if they may work for her, I am very hopeful as they sound very good. She also has yeast infections very often, can this be caused by the adhesions? Just how safe is the surgery to remove the scar tissue? Her doctor says it is very safe and successful, is that true? It sounds it to me, but I am not the one who had the c-section and is afraid of being cut up and having things worse instead of better. Is there a chance of death during the procedure?
    I work with someone who had it done and she says her pain went from a 10 down to a 1 on a scale of 1 to 10. She is also going to go in again and have more removed, since she put on weight she has been having more pain again. Is it normal for this to happen even if there is no weight gain, can all the scar tissue come back again in a short period of time or even over many more years? Thanks for your time, regards..

  289. Elizabeth says:

    Hi Elizabeth, it’s hard to say for sure, have you done any heavy lifting or strenuous exercise lately? You may have pulled the internal sutures or aggravated them in some way that has caused them to turn red. Itchy is a sign of healing so it sounds like there is something going on there. Depending on how red it is at the moment you may want to check with your doctor. If there is some problem with the internal sutures there may be the start of an infection. Again, it’s hard to say. You may just want to call your doctor as a precaution. If you don’t feel comfortable calling your doctor just watch it closely for a few days and make sure it doesn’t get worse, if it does, call your doctor immediately.

  290. Elizabeth says:

    I have had 3 c-sections, the last one was 5 years ago. This morning I noticed that the scar has suddenly turned red and is very itchy. I have had no issues with this scar for well over 4 years now so I am surprised that it could suddenly change this way. Do you have any ideas what may cause this?

  291. Elizabeth says:

    Hi Linda, I don’t know of any link between using tampons in younger years and bladder problems but this is not an area I am that familiar with. The problems with your bladder could be any number of things. I would suspect, just as you have, that the surgeries and infections may have affected your bladder but it’s hard to know for sure. Yes, there are many horrifying stories with regard to the urinary tract. I had many urinary tract infections in my earlier years but I’m lucky enough today that I don’t have any problems in that area. I’m sorry I can’t be of more help in this area but I’m keeping my fingers crossed for you ** hugs**.

  292. Linda S. says:

    07/29/10. Good morning, Thank You Ms. Elizabeth for your reply. My posting is not to scare anyone, but is to help others. For I have been research everything that I can. I need to ask you a few other questions. Does the use of tapons in younger years have any kind of baring in later years of female bladder problems? i ask, because in early teens pads were used, but on emergency bases tampon were used. Back in the late 70’s early 80’s when TSS was tied to certain tampons, My neighbor ‘s 18 year old came down with TSS, then a week afterwards I came down with it. I caught the first signs of having TSS . This was before my sons were born. I also could not use any form of birth control from the birth control foam to the pills. We had to rely on the calender method. On one of my first Ob/Gyn visits for the pills, a paps was done,along with screening for cervix polyps. Both a Cystoscopy & Ureteroscopy were sat for next day. For doctor feared that their was something more going on. So on the next day the ureteroscopy was done to check for kidney stone nothing . So then the Cystoscopy was done. Their was polyps, Their was 3 removed from the cervix and 2 more along the wall. They were sent off for cancer test for they were totally off color. They came back negative. Then in 2003 another cystoscopy was done just a couple weeks before hernia found. Another polyps was removed. at that time doctor said he thought that I had something more going on. So he sent me back to regular Ob/ Gyn. theyfound the hernia and that’s the emergency surgery. So now with all the surgeries polyps could all this lead up to the drop of the bladder? Ok back in 03/ 20 was refered to to Urological Associates. Another Cystoscopy was done of the bladder and Urethra. The urethra tube showed scar tissue, no polyps. Again he put me on Vasicare after trial runs of three different types of meds were used to see which would be best for UI control. Any way he also wants to do a Transobturator Sling Placement. Which at that time I said no, because of the fear of all the vaginal mesh tape or ribbon defects. i have researched more about the different types of UI Surgery and have read some horrifiing stories. . So what is your take on all of this?

  293. Elizabeth says:

    Linda, My advice is to get a second opinion. It is true that most doctors don’t want to operate when there have been several previous surgeries, it’s risky for them, but sometimes it’s just a matter of finding a doctor that is willing to find a solution for you.

    An abdominal binder should help you feel better, but I’m not sure it will produce a change internally. My best advice, however is to pursue this with other doctors and see if anyone can come up with a solution that will work. My best for your safe and full recovery 🙂

  294. Linda S. says:

    July 28,2010. Good morning, I just came across this site. Alot of information. I am 53 years of age. I had (2) emergency C-Sections, They were (5) years apart. They were in 1982&1987. I also had Tubaler done right after second son was delivered. They both were C-Sections due from tilted Uterus plus could not dialate pass 5 on either child. . During the end of third trimester,Ob/Gyn , back then some 30 years ago, Said due to the Uterus problem and all the scar tissue, adhesions ,I could not have any more children, and I would be wise to have a tubaler done,( for I could not use birth control pills) So sixteen years after #2 C-Sectional I had my first Ventral Hernia was found 08/2003. Something that I never knew I had. I was very active, between family, and working 8 to 10 hours a day in landscaping, in Florida. I at that time would have abdominal pain, signs of a hernia, but back at that time, I didn’t know anything about hernia’s. i was healthy didn’t get sick. Other then allergies to bee’s wasp etc.. Yet I would have alot of Yeast infections. So on my anual female check up. Pap smear. nurse found hernia. So emergency hernia surgery was done. This was done with stitch method or called Tension. Just like how C-Sections are sewn back together. So now I have a large scar running from under breast bone down the pubic area.Ok it is now 7 years later, I have both scar tissue & adhesions from now three abdominal surgeries. I moved from Fl. to Al. in 2008, started a new job at a book warehouse. I started to have acid, heartburn sour stomach problems, yeast infections. same signs from first hernia. So my OB/Gyn checked me out put in a referal to hernia surgeon who put order to quit job, I had a start of navel hernia, Back at that time I could not have surgery to repair no insurance, loss of job, all this on top of the blanket lawsuit of bad hernia mesh and now recurrence of hernia, Which I am finding new surgeons don’t want to touch another surgeons work, So any way I now have health insurance and on disability. I now have Thyroid problems Ui problems, on Vesicare for that. My urological whats do a bladder sling tack surgery. I said no to that for medical mesh law suit also. So I also have Edema. Which I tie all to having Hernia. Now my Health issues are posted, I just had a CTScan done last week 07/21, alot of scar tissue adhesions, also on the uterus. I feel that because of all the tissue problems the surgeon does not want to to surgery. He said to wear n abdominal binder 24/7. see you in 3-4 months and we will do another scan, he says scan did not show any hernia, Yet when I try bending over it fells just like insides falling through a hole. I am sorry for all details, but I advice. Thank You.

  295. Cheraki says:

    Hi I was seen in the ER on Friday spent 15 hours there… They did all kinds of lab work, ct scan, xrays, pelvic exams, urine tests everything came back normal. I have this pain so bad that I cry with it… I have a very high pain tolerence. The pain is in my left upper thigh into my pelvic area, through my abodmen around into my lower back… I have had 3 c-sections, my gallbladder was removed, I have had a tubal, a dnc and an ablation. Could this be caused by scar tissue? The Er sent me home with Dilaudid.. But it doesn’t take the pain away it keeps it at around a 2-3 pain level. I went in to the ER it was a 10+. I went to the ob/gyn and she tried to tell me it was all in my head and that it was just menstrual cramps.. I have had menstrual cramps and this is nothing like it. I got off the table told her to have a nice day and thanks for wasting my time. I don’t even have menstruals anymore. Due to the ablation. When I did have them I would cramp very bad…(again this is not the same pain). I couldn’t leave my home and had to take iron pills for my menstrual being so bad. I tried to explain all this to her but she didn’t want to hear nothing,.. She was to busy trying to tell me I was crazy.. The checked me for kidney stones which came back negative. They thought I had twisted ovaries which they tell me today Monday that I don’t have that…

  296. Elizabeth says:

    Hi Beatriz, if there are adhesions there is treatment which is like physical therapy massage. Here’s an article that may be helpful. I’m glad you are going to see your doctor though, adhesions could be the problem but it could very well be something else. Hope all goes well 🙂

  297. Beatriz says:

    Hi, I had a c-section on 04/15/08, after a few months of my surgery I noticed a lump, it never went away, for the las two years I had pain in my c-section cut, I can’t do exercise, or take long walks because my stomach gets swollen, I can’t strech, I feel a burning in the lump area, it hurts so much, any physical activity is hard for me right now, I am going to the doctor this week, is there a treatment for this? I am not sure from what I read above. Thank you.

  298. Elizabeth says:

    Aja, Typically most pregnant women are seen by their doctor once a month and based on your history your doctor would check for certain things. That type of monitoring is important and I wouldn’t bypass that.

  299. Aja says:

    Thanks, I do have one more question. If I wear to have another baby, could it be monitered, to make sure me and baby would be ok. Or is it just impossible and not worth trying ?

  300. Elizabeth says:

    Aja, C-section adhesions and scar tissue can be problematic. It’s hard to know what your doctor saw when he was in there but if you’ve got scar tissue around your bladder it can make things complicated. Adhesions can cause problems or damage to other organs, generally these things can be fixed it just means more surgeries and medical complications for you and of course the more surgeries the more risks are involved. I can understand how you would want a little boy but carefully consider your health too.

  301. Aja says:

    I had a emergency cection with my first child in 2006, then another in 2008 not emergency, and just recently one in febuary of 2010. When on the operating table the dr said he found a lot of scar tissue and that if I wear to have another it could cause them to cut into the bladder…I wasn’t to sure what he was talking about and not all there since he was preforming the csection. He wasn’t my Dr. I went into labor out of town earlier, and I didn’t really get a chance to follow up. I just would like a little addvice on what the risk are and what I should let my Dr. know when I do plan to have another baby. I have noticed that one side is alot bumpier than the other. I do wish to try one more time for another baby since I have 3 girls and would love a little boy, Please let me know any info that may help me 🙂

  302. Elizabeth says:

    Patricia, Don’t be concerned just yet, but do discuss those things with your doctor. Lower back pain isn’t unusual, the pain on top of your scar I’m not sure about, but I would say that as long as it isn’t showing outward signs of infection you don’t want to get concerned yet, but ask your doctor to see what s(he) says.

  303. Patricia says:

    Hi Elizabeth
    In 2002 I had an operation to remove a cyst on my right ovary, in 2004 had my first child, 2007 had my second, both c-section and same scar with the operationt, now I’m 16 weeks pregnant and I’m starting to be seriously concerned because I’m starting having pain in my lowerback and right on top of the scar. Should I be concerned?

  304. Elizabeth says:

    Hi Jo, Usually when you have pain that can’t be explained like that, scar tissue is always suspect. Not sure what ‘going in’ to look for scar tissue means. She may mean she’s going to use some sort of laproscopic procedure to look for scar tissue. If that’s the case they can’t do any nerve repair, I think that would mean regular surgery.

    I know this has to be hard for you, pain like that is no fun, chances are they will be successful at finding the culprit, so don’t stress, it will be over soon and I’m sure you’ll be feeling better soon *hugs* 🙂

  305. Elizabeth says:

    Hi Danielle, Scar tissue forms as your body heals. Even though your surgeries went well you can still have adhesions, but it’s hard to know if adhesions are the problem, even doctors can never really tell. Have you started your cycle again? You may be getting your period which is causing the cramping.

  306. Jo says:

    After 8 weeks of pain and every test known to man, my Dr is going in next week to look for scar tissue, she said if that did not help then they would have to open up the incision to release a trapped nerve. Dr said could not do both at same time. Not sure why. If I am in this much pain after surgery next week I will be so heart broken. Just want it over

  307. Danielle says:

    I had a C-section March ’09 then had a lap chole (Gall bladder) March ’10, today I have been experiencing crampy feelings around my c-section scar and I am puzzled. I have had bowel problems since I was pregnant (constipation) but this crampy feeling doesn’t feel like that. Could it be adheasions? Both of my surguries went well with no problems in healing so I don’t understand why I would start having problems now. It is so flippin’ lame.

  308. crystal says:

    Just wanted to say I went back to see my FACOG that done the removal of the uterine septum he says yes on the Amniocentesis and yes on a 36 week delivery if I make it that far. So wish me luck I’m off.

  309. Jennifer says:

    Thanks for your quick response Elizabeth; and yes, you certainly helped. Mom’s are lucky to have your knowledge so readily available to them. Thank you again. 🙂

  310. Elizabeth says:

    Hi Jennifer, it’s not likely that it’s a tumor or even scar tissue. Lumps around your scar are normal and many women get them, sometimes fluid builds up around the area, it’s not clear why this happens but often times it goes away with time. Of course I’m not a doctor and haven’t seen you so I can’t say anything with certainty but I don’t think you need to worry.

    You might try putting a heating pad on it, if it is fluid build up this may help break it down. If you don’t notice it getting smaller within the next week or so after doing that, give your Dr. a call just to see.

    Hope that helps 🙂

  311. Jennifer says:

    Hi Elizabeth,
    I had a C-section about 3 1/2 months ago, and everything went perfectly. The c-section cut healed quickly and nicely. Tonight I notcied a round lump the size of the tip of my thumb, just below my c-section scar. You can’t see if from the outside; you have to feel around for it. No pain. I can’t really say how long it’s been there, or if it just appeared. I’m not even sure why I felt inclined to poke around my scar; but while I was doing it, that’s when I felt it. Would it be safe to say it’s scar tissue and can it form rather quickly and can scar tissue come in all shapes and sizes, months after a c-section? Of course the first worry is a tumor; so if you could relieve that worry and tell me hard round lumps post c-section are normal, that would be great…. 🙂 Thanks much!

  312. Elizabeth says:

    It sounds like you had a sloppy stitching and if that’s the case the continual scabbing and healing may be causing adhesions or scar tissue which can cause pain. It’s impossible for me to know for sure but this could be the reason for the pain you’re having. You need to address the issue with your doctor and focus on how you can get this resolved. It may take some time but it will help you in the long run.

  313. d thomas says:

    hi.i had a normal delivery in feb 2004 and an emergency c-section in 2006 which i healed really good and them i had to have another emergency c section may last year.they didnt stitch the centre of my wound and it weeped for weeks on end as the skin wasnt healing.they cut me in a higher up place second time.now a year on and i still get stabbing pains in my scar and its all horrible,hard,lumpy and painful all over and i hate touching it.where they didnt stitch the centre i keep getting little scabs healing over all the time.it feels as though im going to burst open again.they think i might have adhesions.what do you think? thank you

  314. Elizabeth says:

    Julie, it’s hard to know for sure whether or not your miscarriage was from scar tissue, I would say that scar tissue behind your uterus was probably not the cause. Endometreosis could also be the culprit, in fact over 40% of women with endometreosis have miscarried, that’s mainly because it can cause hormonal imbalances. Here’s some more good information on the topic http://www.endo-resolved.com/infertility.html

  315. julie says:

    I have had serval cyst ruptures and i also had a miscarriage in the past mths i finally had surgery to remove the adhesion scar tissue the doctor said that was located behind my uterus i do also have a little endometrosis above my left tube Do you think that the miscarriage was due to the scar tissue behind my uterus it was a missed misscarriage i had no signs of losing the baby i lost it befor 5 wks but didnt find out til 14 wks

  316. Jo says:

    Background sorry, 2nd c section 7 weeks ago. Doctor said that I had a lot of scaring when she went in to do the 2nd c section and that is what took so long, to cut through it. It actually caused the baby problems because of the length of time. Not sure if this could be adhesions or something else. I am just so sick of going to the doctor and not being able to do activites. Thanks

  317. Jo says:

    Ok, the pain has gotten worse. I have a 2.5 cm cyst but my doctor said it should not cause that much pain. I wake up crying at night because it is so bad at times. The pain is on my left side. It is swollen and painful to walk, lay flat, sit or stand for a long time. I have had an ultra sound (many), and a ct scan. Nothing was found but the cyst. However, when my dr pushes on it the pain is so bad i jump. I have had an on and off fever. I limp when I walk it is so bad. I just wish it would stop hurting so I can enjoy holding my child and do summer activities wiht my 6 year old. Any suggestions would be great. I go back to my ob on thursday, my family doctor today said “Well I just don’t know”, but you want pain meds. I said no I want the problem solved not masked. I was so upset with her blowing it off.
    Any suggestions would be great and thanks so much for your help

  318. Elizabeth says:

    Melissa, that’s a good question. Itching usually occurs from healing and if your body is changing. In the case of old scars, the scar tissue gets a little stretched causing the nerve endings in the surrounding area to be stimulated, this is what causes the itching sensation in older scars and your weight loss may also be contributing to the changes going on. Try not it itch or rub it, this could cause it to swell up. If it doesn’t eventually go away, I’d check with your doctor.

  319. Elizabeth says:

    Crystal, The doctor probably does not want you to go into labor, this is because of the fear of internal stitching rupturing. I’m not familiar with uterine septum but I’m guessing that labor may not be a good thing for that either. 36 weeks is not optimal but certainly OK. If your doctor feels 36 weeks is best I’d go with that, he knows your circumstances best.

  320. crystal says:

    I had a very complicated C section the first time due to a uterine septum, which was corrected and the second pregnancy the OB that done the first C section and the new doctor decided to agree on a 36 week delivery due to the scarred tissue…. Now I’m due at Christmas with a 3rd should this also be a 36 week delivery?

  321. Melissa says:

    Hello. I had a c-section 14 months ago and healed quickly and perfectly. I have recently started a gym and have worked hard the past 2 months. I was considered obese at the time of my ceserean and while I still am I have lost 10 lbs. Since starting my weight loss I have noticed that my scar is very itchy and I scratch a lot at night while I’m sleeping. We wondered if this could be my body “reshaping” from my different weight. Can this happen?

  322. Elizabeth says:

    Jodi, Having yet another c-section will mean your doctor will have to cut through all of your adhesions before actually delivering your baby. For women who have had more than three c-section this could take ten minutes to an hour or more. If your baby had any type of fetal distress this could place your baby at risk.

    The more c-sections you have the more adhesions you’ll have and adhesions can cause pain, bowel obstruction and infertility. My biggest concern would be abdominal pain that you could experience later on. Adhesions cause pain because they can wrap around other organs causing pain when you move. But an even bigger problem would be bowel obstruction. If scar tissue forms around your intestines you could experience blockages which means you’ll have trouble excreting waste and that is simply no fun.

    No one has any way of knowing if you’ll have any of these problems but the risk is that you could. If you absolutely want another baby be careful to consider all the risks, think carefully because it’s not just you that is under risk, it’s your baby and your other children. If you have health problems your children will see a lot less of their mom :- (

  323. Jodi says:


    I’ve had 3 c-sections. My last it took the Dr. about 30 minutes to get my baby out. After the delivery I was in the recovery room and my Dr. came in about 3 times and told me that I shouldn’t have any more babies because I had too much scar tissue and that is why it took so long to deliver the baby. She said I had it all over my bladder and just all over that general area She said she cut it all out but it would most likely come back and to not have any more babies. I didn’t press too many q’s on her at the time 1) because I’m sure I was pretty drugged up didn’t think to and 2) because at the time I didn’t think I wanted any more kids. It’s been 15 months and now I’m starting to think I might want to have another baby. So I’m wondering what the danger in having another baby with so much scar tissue from previous c-sections?

  324. Elizabeth says:

    Jo, it could be some fluid or blood that accumulated under the skin. If this is what it is it should break down and disappear over time. That may be what your doctor is waiting for, to see if it dissolves. Of course I can’t be sure this is what it is but it wouldn’t hurt to try applying a heating pad to the incision to help break up the fluid. If it turns out to be something else this may not help but it certainly can’t hurt.

  325. Jo says:

    I had my second csection four weeks ago. It has been a tough time, really sick and had to be put back in the hospital for four days. Now I am home and things seem to be going better however I keep having pain right above the left side of where they cut me. There is a 1 cm mass. It sends shooting pain down my left leg at times. I went to a nother doctor (not obgyn) and she pushed on it and now it is even more painful. My ob said to wait and we will re look at it later. It showed up in the ultra sound. Any ideas what this might be? I thought maybe scar tissue but if that does not show up on an ultrasound then what might it be? I was just told it was a 1 cm mass and would discuss it later at 6 week follow up. But the pain at times is unbarriable now, since the other doctor pushed on it.

    Any help would be great

  326. Monica says:

    I have had two c-sections one in 2002 and 2005. After my first I had pain all the time and my doctor told me I had scar tissue and would remove it during my next delivery. When I delivered in 2005 he removed scar tissue in which he said it was the size of his thumb. Soon after the pain returned in the same spot only this time it’s a blackish purple area approximately an inch and a half long that drains a dark brown liquid (does not have an odor) every so often. I have been to the doctor with but have yet to get answers. Please Help!

  327. Elizabeth says:

    Lacey, I’m not an expert on this but here is a page I found that may help. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769132/
    If you do have incisional endometriosis it looks like surgery is the best choice. On the other hand it could be a hernia. I agree, your doctor should know what it is. My suggestion is to get another professional opinion. Any time you have surgery a second opinion is always a good idea. I hope that helps 🙂

  328. Lacey says:

    I have some concern with regard to scar tissue. My first and only child was delivered via C-section. When he was about six, I started noticing a hard mass just above my ceserean scar. I had an ultrasound done at that time and it was determined that it was a hard mass. I took that data to a genereal surgeon who was confused as to what it was. He had thought that it may be scar tissue and had considered the possibility of a hernia. He decided to leave it alone unless it became systemic. I have raised concerns with my OB doc and he believes it to be incisional endometriosis. It has become more noticeable now and is sensitive. Sometimes it appears to be sorta purplish like a bruise. My OB doc wants to remove “the nodule” nex week but I am concerned. This may be a dumb question but he would know if it was a hernia. I don’t want him removing something that might cause damage or death. I know that is probably a simple question but….it is on my mind.

  329. Elizabeth says:

    Hey Gretchen, scar tissue is not generally in the form of a hard mass. It’s not possible for me to know what that is for sure so just to be on the safe side I’d check with your doctor.

  330. Michelle Alston says:

    hello, my name is gretchen and i have had 3 c sections and have a lot of abdominial pain since my last c section about 6 years ago. I seem to feel a lump on my right side and it usually start to hurt until after my cycle goes off. i usually hurt about 2 weeks and then it relaxes or stops hurting until my cycle comes and goes again do you think this could be from adhesions or scarr tissues from the c section….

  331. Elizabeth says:

    Hi Jen, Adhesions are not often felt nor can they be seen from an ultrasound or xray. Pain from adhesions can worsen but it can also go away. Sorry, I know that’s not much help.

    Women often get a hard a tissue mass that is nothing to worry about, it usually dissolves and goes away with time, but it’s also not painful. Since yours is sore it may be due to something else. Sometimes it can be your bodies reaction to the stitches or the area may be infected. Since you’ve been to the doctor and had a CT scan and ultrasound and your doctor didn’t seem to have concerns, I would say that it will most likely dissolve with time. I’m not an adhesion expert but I’d say that if the pain worsens you should let your doctor know.

  332. Jen says:

    I had an emergency c-section in 2007. About 8 months ago, I started having extrem pain during my period. I also noticed an internal lump on the left side of my abdomen a few inches above my c-section scar. I had an Ultrasound and CT scan, neither of which found anything wrong. Since then, the lump has grown and is very firm and painful when pushed on. I am also experiencing bouts of constipation and diarrhea, lower back pain, anemia, pain when straining (ie, lifting, or bowel movements). My questions are, can you feel internal adhesion/scar tissue from the outside? And is pain from adhesions constant, or does it worsen/improve with other factors, (ie, period, exercise, strain,etc)? Thank you for your time and sharing your knowledge!
    Jen 🙂

  333. Elizabeth says:

    Sarah, This could be scar tissue but it could be anything. I’d check with your doctor. For you and me, it’s on speculation and you need to know what’s going on. Don’t get too worried about it but do check with your doctor.

  334. Elizabeth says:

    Sylvia, You need to give this more time. 5 weeks isn’t long enough to really know. Often times the knots and tenderness will dissipate with time, so try giving it a few more months.

  335. Elizabeth says:

    Hey Kath, it’s hard to tell but it may be a combination of hernia and weak muscles. You could have some scar tissue pulling as well. I’d check back with your doctor and see.

  336. Sarah says:

    Hi Elizabeth,
    My name is Sarah, and I’m 30 weeks pregnant with my 2nd child. I had an emergency C section with my first, and have a planned C section in 8 weeks for this pregnancy. I am in extreme pain in my lower abdomen, not so much when I’m sitting, but when I stand up and try to take a few steps, it feels like a very bad pulled muscle. Do you think it could be scar tissue? Should I be concerned and get in to see my doctor right away? Thanks for your help!

  337. Sylvia says:

    I’ve given birth to our first child a bit more than 5 weeks ago, by emergency c-section due to labour not progressing enough and the baby’s head pointing in the wrong direction (two attempts at vacuum extration were not successful). The whole process took 54 hours from the moment my waters broke! I now still have sometimes quite strong pain on both sides of the incision, and today at the check-up the midwife could feel the knots from the internal stitches exactly at the places where I have pain. He said this was normal and that they would go away/dissolve eventually. However, I’m still concerned that scar tissue or adhesions are forming already – could this be the case? Or should I simply give it more time for the pain to go away? And should I lie down more or is moving around better for the healing process? I would really appreciate your advice. Many thanks!

  338. kath says:

    Hi im 8 months after my emergency c section due to not progressing. In theatre my uterus didnt contract and i haemoraged badly losing an awful lot of blood. I had to have a balloon in my uterus for 24 hours to get it to contract back. Following this I got an infection in my womb and a blockage which left me in intensive care. It cleared up after two weeks in hospital. Now 8 months after I am back exercising and doing some part time work tennis coaching however my upper abdominal has an aching burning like sensation using by the afternoon most days. I have a egg shaped bulge in my tummy from my belly button to just below my breasts which doctor thinks may be a hernia but I thought it might be abdominal separation after reading about it. Would this be causing the pain or is it just weak muscles? Its not a sharp pain but a nagging pain a bit like back ache. Thank you

  339. Elizabeth says:

    Hey Marion, Scar tissue can always be a problem, it’s just difficult to tell, even for your doctor. Have you consulted with your doctor lately? Also trapped gas could be the problem as it is very painful! You could even have a combination of things.

    If you are on medication for your IBS, scar tissue could very well be the problem since you’ve had several surgeries. I’m not a doctor and even if I was, it’s hard to tell these things without an examination. On your next doctor’s visit I would suggest scar tissue complications to him/her and see if s(he) is willing to pursue the pain from a scar tissue perspective.

  340. Marion says:

    Hi, I had C-sections in1997 and 1999 and a hernia repair through same scar in 2001. After a couple of years I returned to the doctor with abdominal pain (also under ribs and into shoulder) which resulted in removal of my gallbladder in 2003 (keyhole surgery). 2 months after this the original abdominal pain returned and continues till now. It would be brought on by activities which require bending – cleaning, gardening etc. The pain builds up and lying down is the only thing to bring relief (that and leaving trousers open which helps a little, but that’s not always possible!). I have been on various tablets and had various tests done over recent years to establish the cause but i’m no further on. I had wondered if trapped wind was to blame as I also have IBS (predates the children!) but could scar tissue be causing a problem?

  341. Elizabeth says:

    I’d check with your doctor on what that is. If your skin is overlapping your incision that could be creating a slight infection. Since I don’t know what your incision looks like I don’t want to recommend putting anything on it to keep it dry, I’d prefer you check with your doctor. The stretch mark that is sore to the tough may be an internal incision infection, again I can’t say for sure, but I’d definitely recommend calling your doctors office and at least describe it to them. I’m guessing they will want to see you.

  342. kare lynn says:

    i had a csection 4 weeks ago and it has been closed up for aiittle while …my stomache hangs over and it seems like there is a white buid uo of some sort,,,barely any but it has a slight odor its not puss its just kind of there.also i have a sort of stretchmark if you will…that is really sore to th touch it wasnt there before my c-section it is sore to the touch and the skin around it is irritable to the touch.its beyween my bellybutton and the incision site is this normal,and what do you do for sweating in the area where skin hangs down???

  343. Elizabeth says:

    Hey Pat, Thank you for posting.

    That’s a great testament to what physical therapy can do and thank goodness you were persistent about seeing a physical therapist. I’m finding that doctors are a little resistant to seeing PT’s, not sure why; but I’m finding that a good PT can help with adhesions. I’m hoping to do more research on this topic so as to give other women some beneficial news on how to overcome the problems that adhesions can bring. Blessings.

  344. Pat says:

    My first child was an emergency c-section, but afterwards an overfull bladder pushed everything up and busted internal stitches (found several days later) and I am full of adhesion scar tissue. I did have a vaginal birth after cesarean (V-BAC) which was WONDERFUL, and a piece of cake compared to the cesarean, both then and afterwards. After 12 years of abdominal pains, tons of invasive testing and my doctor giving me meds (Levsin etc) and diagnosed w/irritable bowel, a Physical Therapist (I was seeing for my neck) told me I could stretch and maybe even break the adhesions that were causing me sleepless nights and pain filled days. She even called over to my doctor. My doctor said, no, he wouldn’t give me orders to go to PT for that, he’d never even heard of it. Months later I Begged to go to PT, having had problems with the medication he’d given me, nearly stroking on it in hot weather. Only after I cried, he got disgusted and wrote the order for PT saying it wouldn’t do me any good. The Physical Therapist I saw was wonderful. She, too, had suffered abdominal adhesions. She taught me stretches and excercises to do to loosen up the tight pulling painful areas. It hurt like MAD to do them, but afterwards I would take 2 ibuprofen and put a heat pack on the area, and the next day realize that amazing progress had been made. Within 4 treatments I was able to learn how to help myself, and for years now have been managing on my own, THANK GOD for the kind Physical Therapist. (I no longer see that doctor, but did tell him of the sucess of the PT).
    I now think of the excercises as my adhesion massage exercises, but I think it is called myofascial tissue manipulation or something like that.

  345. Sam says:

    I had my first baby by emergency cesarean in 2004. I then couldn’t get pregnant again and was finally told that the internal adhesions had stuck my organs together and caused infertility. ( I had also been suffering with bowel problems and been told it was IBS. I had a sigmoidoscopy which they had to stop as it was too painful . I later found out my bowel was at right angles and stuck to my ovaries, causing infertility.)
    I then had a laparoscopy to treat the adhesions. I fell pregnant and had my son in 2008, again by emergency c-section.
    I’m pregnant again (I’m 44, unplanned ) and am very concerned about the risks caused by scarring. I don’t want to put myself or baby at risk but will likely have extensive scarring and increased risks with a cesarean.

  346. Elizabeth says:

    Hey Rachel, Call me old fashioned but I’d follow the advice of your doctors. The risks you are up against are permanent damage to your internal organs. Having another c-section could complicate the problem you already have. Having another baby is certainly not impossible but at what risk to your health? Removing scar tissue is a viscous cycle. You might remove the scar tissue you have but the surgery to remove it causes more scar tissue so you can never really get rid of it so for most doctors that’s not an option.

    There are physical therapy remedies that they say can break up the scar tissue. Try asking if your doctor has information on that. I’m still researching that topic and hope to have to good information on it soon.

  347. rachel smith says:

    hi there,I had a section in 2007 and another late 2009.during the second it took a while as found out after i have alot of scar tissue,my bowel and bladder are abit stuck with it.was told another child by c section could be risky but not impossible.they warned me about bowel and bladder damage during another op but at the same time they said it could be dealt with.Am so confused what to do as would love another baby but don`t` want to put myself at risk.
    What are the risks? could I have my scar tissue removed? if a problem arose could it be sorted.
    hoping you can help.

  348. Elizabeth says:

    Robin, a swollen knot is not normal. It could be scar tissue but never hesitate to call your doctor. Anything that hurts that much means there is something amiss. Your doctor should at least know about it. Call your doctor.

  349. Robin says:

    I am 33 weeks pregnant with my second child. I had a c-section with my first and I got pregnant again nine months later. I woke up this morning with a swollen knot on the right side of my scar and it has doubled in size by tonight. The pain from it just keeps getting worse. It hurts to stand, sit down, or lay down. DO you think this is something I should be concerned about and call my doctor. Or, is this completely normal? I’m kind of worried

  350. Lourdes says:

    Hi my name is Lourdes, I am 21 yrs old I’ve had 2 c-sections my last one was 9 months ago. These past couple of days I began to have stomach pains and now my right side is red swollen and hurts i also had a lil puss come out around that area also has an odor. What do you think it is?

  351. Christa says:

    I am Christa and I am 41 years of age. I had an extremely easy vaginal delivery in 1999, then twins delivered c~section in 2002. A few years later, I began having some lower abdominal discomfort and then strong sudden urges when having to urinate. In 2006 I was tested, scoped and eventually underwent adhesion removal from my uterus, which was attaching to my bladder.
    I recently have been back for testing for all the same issues again. My doctor is recommending removing my uterus to give me relief from my bothersome issues. Siting more surgeries for removing the thick adhesions growing all around my uterus, the risks of the surgery itself, and the fact that surgery would only promote more scar tissue, I should consider a hysterectomy of just the uterus. I do not desire more children so don’t want to hold~on to my uterus” just because’… It just seems so barbaric…. Is this done occasionally for treating my issues? Keeping in mind, my issues are , bothersome, painful and interupting my life daily.

  352. hayley says:

    Hi there. I had twins in 2007 and had to have a c section. I thought i recovered quite well. but noticed niggeling pain round my scar the doctor told me it was adhesions. the pain did calm down. now im pregnant again with 1 baby and i was hoping this time for vaginal birth (vbac) im 32 weeks pregnant and my belly has been quite sore. the same pulling feeling you women have described. i think it could well be my adhesions and im now scared to death on the best dessicion to make do i try vbac or a section????? im really scared about these adhesions. im actually terrified. please help. anyone been through this. is it more dangerous to give birth with adhesions or more dangerous for a section

  353. Kylie says:

    I would also suggest you be checked for diverticulosis, which is a condition of the bowels. I have this and it causes a lot of pain on my left side when it flares up. Your doctor can detect this by doing a colonoscopy.

    Hope that helps!

  354. Elizabeth says:

    It could be adhesions, the problem is it’s hard for anyone to know for sure, even the doctor as adhesions don’t show up on xrays or ultrasounds. I’d check out the bloating, not sure if that is a side effect of adhesions. I’d check with your doctor on that.

  355. Kelley says:

    I had two c-sections; one in ’96 and the other in ’00, and two miscarriages and a d&c in between. I’m truly grateful that I have two healthy children. The past 6 years or so I noticed a gradual change in bowels, from chronic loose stools (since childhood) to constipation. Of course I was given a colonoscopy and the only thing the doctor found was that my bowels were “kinky”. She had to give me more medication part of the way through the procedure because it was so painful. I’ve also had an endoscopy since then due to heartburn – which I have never experienced before in my life – even with pregnancy. A small hiatal hernia was found, nothing else.
    The only explanation for these symptoms that I can come up with is adhesions. Does this sound plausible or familiar to anyone?
    Thanks so much for your time.

  356. Jane says:

    I am 39 this August. Had a c-section 4/5/06. At times, when sitting down, I feel as if there is something in my lower abdominal area that is ‘in they way’ and it is uncomfortable and sometimes, painful. I am now beginning to experience a nagging discomfort (almost a scraping feeling), behind the left edge of my scar. Additionally, my stomach at certain times during the month is so bloated I look like I’m 5 months pregnant! Could this be adhesion or some other issue?

  357. Elizabeth says:

    What a wonderful person you are. Your sister is a lucky lady. I actually just found out myself that my sister will be losing a kidney due to cancer. It’s forced me to think about what it might be like having to donate a kidney myself, although if her remaining kidney fails her husband is a perfect match so I guess that would fall on his shoulders, but having thought about it myself it’s a big step in someone’s life to have to do that. May God bless you and best of luck to you 🙂

  358. Elizabeth says:

    Yes, scar tissue may very well be the culprit. Try the ICAN Network, here’s the link. http://www.ican-online.org/ they do quite a bit of support for c-section moms and they also have a forum that you can bring your questions and concerns to. I think you’ll get a lot of feedback there. Good luck 🙂

  359. Shirlie says:

    Hi Shirlie again!
    Yes I have just recently found out that I’m a match to donate my kidney to my
    sister, she has renal failure for 9 years! My sister older than her died November with the same illness. I just want her to have a better quality of life and live long enough to see her daughter (5) marry and have children! She has not expectations on me, but I don’t believe she should suffer any longer!

  360. Amy Portray says:

    I had 2 pregnancies & 2 c-sections…the last one being 11 years ago. For the past year I have had severe back pain which wakes me up every night. We bought a new mattress, but that didn’t fix it. So I ended up at the chiropractor. After many visits and little relief, we did x-rays & discovered scoliosis (but the kind that causes the spine to rotate), bulging discs, pinched nerves & arthritis. The chiro said it didn’t make sense why his treatments weren’t bringing me relief. My range of motion is fantastic…I can lift my legs like a dancer, but have muscle spasms in my lower back and pain across the hips. He eventually put me on an inversion table and figured that would start relieving those disc problems. As I laid on the table, I noticed that my abdomen was really hard. I told him about it and when he started examining the area he found a considerable amount of scar tissue related to my c-sections. He then explained that it made total sense for the scar tissue to draw up the abdominal muscles which in turn is causing the spine to rotate thus the disc & muscle problems. Now we’re trying to figure out what to do. Do you know of other women with this problem and where I can turn to for relief. Is there a support group out there? Any help is appreciated.

  361. Lee-Ann McCann says:

    I have had 3 c Sections in the last 5 years. 4 1/2 months after my last one I have had chronic loose stools. I have had ct scan, mri, ultrasounds, stools samples, colonoscopy, endoscopy and blood work done all are okay. the only test that came back with a problem was a test for malabsorption – 72 hour fecal fat was at 27mmol/d. i took flagyl (antiobiotic) which temporarily cleared up the problem. this has been an ongoing problem for 6 months . anyone else have this happen after their c section? could adhesions cause this problem? I have no pain. they have ruled out crohns, colitis, celiac. HEELP

  362. Elizabeth says:

    Martha, it’s unusual to have problems with redness 24 years later. How long have you had the redness and soreness? It may be an ingrown hair or an acne formation. It’s hard for me to tell but I’d watch it and if it doesn’t go away or gets worse check with your doctor.

  363. Martha says:

    I had a c-section 24 years ago and 2 succesful vbac’s after that. The incision was vertical and recently at the lower end of the scaring, it seems to have stretched and is red and very sensitive. Is this normal so many years later? Infection wouldn’t be a concern would it? That same area of the scar was slower in healing as well, because of it’s location, and was not as nice and clean in looks as the rest of the scar.

  364. Elizabeth says:

    I’m so sorry Shirlie to hear of your pain and discomfort but I have to say I’m with your husband, I think you should go for further tests and consider having it removed. Having surgery may end the problem, not having surgery could prolong your pain and suffering indefinitely. It’s certainly something to consider.

    Are you expecting donate your kidney as well?

  365. Shirlie says:

    I’m Shirlie, I’ve had an emergency c-section 2007. I managed to get back on my feet after 3 months, but then suddenly began to experience strong burning pains just below the stitching, and a lump that appears to be growing. This discomfort occurs a fee weeks before my menistration, and after! It is extremely painful at times I’m bed ridden. When I cough sneeze, or try to get up from sitting or lying down is absolutely painful! If my knickers touches this area, or any item of clothing, the agony I’m in is so unbearable for my husband and children to see! I have visited my doctor and told me I’m not alone, gave tablets to take and said it was the stomache muscle tissue stitched in an error of emergency! My husbands wants me to go for further tests to have it removed, but I am scared of experiencing more pain! I’m also a match to donate my kidney to my sister who has Renal failure. Please bless me with your wisdom!

    Kind Regards

  366. Elizabeth says:

    Hey Michelle, so sorry to hear about our pain, I know that must be troublesome for you.

    I can’t confirm that this is from adhesions, in fact it may be difficult for a doctor to determine that. The scarring on your bladder may have something to do with it. Adhesions can affect other nerves and organs the problem is it’s very hard to confirm that.

  367. Michelle says:

    Hi-I have had 2 sections in 05 and 07 without complications. In 09 I started to notice some discomfort in my left lower abdomen that radiates up to my hip at times. I notice that it starts during ovulation and continues for a few weeks on and off. Over the past 4 months I’m having problems with my bladder-urgency and irritation around the urethra area with a negative U/A. I have had 2 Ultrasounds-both negative and a cystoscopy that showed scarring on my bladder. The urologist said that was probably from my c-sections. I guess my question is can this all be caused from c-section adhesions and can these adhesions effect neighboring nerves? I can live with the discomfort in my abdomen but how can I confirm that it’s from adhesions? Any help or suggestions is much appreciated!!

  368. Jenny says:

    I have been having mild pain and buring since I had a c section in 2007. I assume its adhesions but recently I noticed a bean size lump an inch or two above the incision sight. Its on the inside and I was just wondering if you can feel adhesions. Its sore on that side and in that area. Its a new thing though. That area has been sore before and I would feel around and it kinda felt like there should be a bruise there but there never was. It always felf kinda lumpy but I am guessing it was just fatty tissue until I felt this one that seems harder and tender. ANy help?

  369. Elizabeth says:

    Danni, it’s hard for me to say but scar tissue can cause some problems, short and long term. The itchy and lumpiness should go away at some point. I’ve known it to take a year or more. When you say you have trouble going to the bathroom, what kind of trouble? Usually when scar tissue adheres to other organs you have a lot of internal pain, if this is what’s happening you should check with your doctor. The problem is there’s not a lot that can be done for adhesions. Having surgery to remove them just creates more adhesions. They also can’t be seen in x-rays or sonograms. Massage therapy has been the popular trend and I understand it does help, but talk to your doctor first, if he isn’t concerned then I’d sit tight and let your body heal completely.

  370. Danni says:

    Hi – I was just wondering if scarr tissue could really be dangerous in the future. I had my second c-section 4 months ago and the Dr. said there was a lot of scar tissue and it could affect me in the future. My scar does not seem like it is heeling as good as the first time. It is still very sensitive, itchy and lumpy and I have started working out again and my scar really starts bothering me. I dontk now for sure if I should contact the Dr, is the scar tissue getting worse, maybe connecting to other organs and if so, can this harm you? I have had problems going to the bathroom every since the surgery….It is just always so uncomfortable. Any advice?

  371. Mahaveer says:

    My name is Mahaveer My wife had c-section 4 days back, I would like to know the methods to follow to remove/reduce her internal and external scares, any oil, massage,creams, yoga, excises etc.. that can bring her back to normal postion, and completely take away marks on her tommy and bring her body back to shape.. Please help us to follow best methods.

  372. samantha says:

    hi my name is samantha i have had 2 c-sections one 5 years ago and the other 4 years ago. i have also had two misscages and an etopic pregnancy there last year. From i have had my daughter i have had problems with my section scar its always been sore. After i had an etopic pregnancy i noticed a red lump on my scar i have been to see the doctor and they said there was nothng wrong with i didnt believe the doctor so i ask to see another doctor and she was saying she thinks i could be a stitch that has not went away has i had to get the other stitches cut out. It get really sore around that time off the month its can be very tender to

  373. Elizabeth says:

    Hi Amy, this could be adhesions but I have no way of knowing for sure. If it does turn out to be adhesions try looking into physical therapy or visceral manipulation. This is a massage therapy that can loosen adhesions if they attach themselves to organs or other tissues. It can also help reduce the pain and other complications they may cause.

    The best thing for you right now is NOT TO WORRY. Worry is stressful and can make you sick. Take a deep breath and relax. It doesn’t sound life threatening to me. You’re doing the right thing by having it checked out so simply sit tight until you truly know what is going on – promise me you will do that 🙂

  374. Elizabeth says:

    Hi Aimee, Unfortunately an ultrasound won’t detect adhesions or scar tissue. Not sure either about the blood test, only thing I can think of is that the blood test could possibly detect something that might be going on such as an infection. Hope all turns out OK for you 🙂

  375. Aimee says:

    Hi I’ve had the same burning pain in my right side an slight swelling on my right side since my caserean four years ago. Had ultrasound Friday and the lady said nothing was jumping out to her.doctor wants me to have LH/FHS blood test and I’m unsure why.

  376. Elizabeth says:

    You should check with your doctor however the swelling and lumpy feelings around your incision is often normal and should go away with time, however since you’re also experiencing pain in your abdomen when urinating there may be something more going on. I would urge you to ask your doctor.

  377. Fifi says:

    Hi, i had a c-section 10 day ago, i am experiencing pain when i urinate in my lower abdomen, and I also have a painless swelling near the right side of my incision. I had two c-sections before , the last in 2008 January and both had no issues. Please advise

  378. Elizabeth says:

    It’s hard for me to say what will happen next without knowing what the problem actually is. The amount of pain your having and the cause will determine what you doctor wants to do. If adhesions are the the problem you may want to look into visceral manipulation or physical therapy, something you should check with your doctor about.

  379. Caroline says:

    I have had 2 C Sections, the last one being 1996. I Have had a pain on my lower right side for many years, whilst stretching or sneeezing. My abdomen has swelled and gone away for most of this time. Now my abdomen has been swollen for about 3 months without going down. I have been given movacol to take regularly. I have had an MRI scan, CT scan and sigmoidoscopy, I am waiting for results. Sigmoidoscopy was clear. Is it likely to be adhesions? If so, what will happen next.

  380. Elizabeth says:

    Hi Von, Adhesions can complicate things but what does your doctor say? He’s really your best indicator. Since this will be your 4th c-section the surgery itself may take longer because there is more scar tissue for the doctor to get through, but for many women, they are fine. Placenta problems can also be a risk, specifically placenta accreta but if you are 2 weeks away from delivery you’re probably fine as bleeding may occur in the third trimester with placenta accreta.

    Be aware that your doctor may urge you not to have more children as the next c-section would put you at even greater risk. Having had your last c-section in 2008 isn’t as much of a concern, it would be more of a concern if you were having a VBAC and that’s not an option after 3 c-sections.

    Don’t be afraid, if you’ve had a healthly pregnancy and you’re feeling good you have every reason to believe everything will be fine. On your next visit to the doctor, if you have one, ask about these things, discuss your fears and get your doctor to tell you what these things mean for you and how he deals with complications he comes across. Best of luck to you and your little one and don’t worry!

  381. von says:

    i am 2 weeks away from having my fourth c section honestly im very afraid. what would be the risk of having 4? the last was done in 2008

  382. Elizabeth says:

    Hey RJ, C-Section adhesions that are removed through surgery are fairly successful and they help over 60% of the time, so there’s a good chance your friend should be able to have more kids, however that’s just a general observance, since I don’t know anything about your friend and her medical history I can’t say for sure but for most healthy women the outcome is positive.

  383. RJ says:

    My girlfreind is going in for surgery to try an remove scar tissue from her c-sections. She worrys that she may not be able to have more kids if her uterus has attached to the scar tissue. Is there any truth to this and can it be fixed if so?

  384. Elizabeth says:

    Amber, Just off the top of my head this sounds like an adhesion problem and yes, adhesions can cause pain many years later, in fact it happens quite a bit, however it’s important to check with your doctor, even though it sounds like an adhesion problem no one can know for sure without seeing a doctor first.

  385. Amber says:

    My name is Amber…and I had a c-section 8 yrs ago with my twins. I have had some discomfort and pulling and burning on my right side right at the scar site. And have recently noticed a hard lump in that area. Could it be scar tissue causing this pain? And can it happen this long after my c-section? (8yrs)

  386. Elizabeth says:

    Hey Shani, it’s possible that scar tissue could be causing the problem. Scar tissue doesn’t show up on scans and xrays so it’s hard to know, even for the doctors.

    Has a doctor examined you yet? He should be able to determine the problem from an exam. IBS and pain can be symptoms of scar tissue but obviously I can’t say for sure. Until your doctor can examine you it’s anybody’s guess – but scar tissue is a good possibility.

  387. shani burdett says:

    hi my name is shani i am 48 and have had to normal del and 3 sections since the birth of my last child who is now 19 i have suffererd with ibs and crippling pain in my left side i have had tests done and scans which havent showed anything the pain is so bad sometims i just curl up with a hot water bottle it gets really bad during and after a menstral cycle if i need to cough i have to hold my stomach becoz it is to painful i am wondering if this cauld know be adhesions when i went for my scan the scan lady said what i was discribing sounded like a problem with muscle damage but im not so sure i would be gratfeful if you cauld let me know what you think thanks

  388. Elizabeth says:

    Sounds to me like that doctor doesn’t want your case 🙂

    I’m a little perplexed that a doctor would say your uterus will explode and both you and baby will die, that’s a little over the top. I don’t think this is a doctor you want anyway… goodness!

    Having had 4 c-sections means you have adhesions which is a problem for many doctors and with good reason, rupture of the uterus or other complications are a concern but there are women who have had 5 or more c-sections and they didn’t die.

    Do you or did you have pain or complications from adhesions now or in the past? That may be a clue as to whether you may have adhesion complications.

    I would suggest finding a doctor that is willing to not only take your case but is willing to support you and watch your pregnancy closely, someone that isn’t going to scare you. I personally feel the attitude and communication you get from your doctor makes a big difference, you need someone caring, willing and experienced. Worry also complicates things so try not to let this doctor cause you unnecessary fear and worry, often easier said than done, I know, but it’s important to be positive and surround yourself with professional people that are too.

  389. Jo says:

    I am 43 , I had 4 c-sections before I was 24. I am pregnant after 19 years .the doctor i went to see tells me that my uterus will explode and me and the baby will die. he did not check me, it was a consult.. what are the odds for me dieing? I don’t have much time to make a decision and i’m scared to death.. please help..

  390. Elizabeth says:

    Hi BIndu,

    At the present time I don’t have useful information in my book about adhesion massage or visceral manipulation. I’m researching the topic to inclusion to my book for the next release. I don’t know precisely enough about how to do self-massage to instruct you on this, however you can check on Amazon as they have several books on the topic that may help.

    Kind Regards, Elizabeth

  391. bindu says:

    my name is bindu. my first child is a c-section baby, now 3yrs old. now i am 8months pregnant.
    my first incision is still itchy and i still feel some discomfort in that area. i heard of adhesions and massages to cure it. does your book cover this area. are there any self-massages included in your book. i live in place where i cant find any experts or therapists to cure adhesions. my c-section is due in 50 days. please help.

  392. Elizabeth says:

    Hi Lavon,

    You may very well have scar tissue that is pulling on your muscles. Have you checked with your doctor on this? The problem is that x-rays and ultrasounds do not detect scar tissue. It’s mostly through examination that a doctor can detect how much scar tissue you have.

    There is a procedure now called visceral minipulation. This is a gentle massage technique that helps release scar tissue and internal adhesions, it’s designed to increase your range of motion in your organs. This procedure is used for a lot of things and scar tissue is also one of them.

    There are many centers that perform the procedure, however I would check with your doctor first, see what s(he) says about your scar tissue first. The procedure may not be for everyone but it might be worth checking into.

  393. LAVON says:


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