February 29, 2024

Caesarean scar pregnancy is a complex condition that can often develop from a myriad of factors rather than a single phenomenon. From the prior medical history of Caesarean sections to lifestyle choices, Caesarean scar pregnancy is an interplay of multiple risk factors. 

Whether it is you navigating personally through this journey or supporting someone going through it, it is pivotal to understand the intricacies of CSP and its potential risks. 

What are the risk factors to watch out for in a Caesarean scar pregnancy?

Prior Caesarean sections

A history of caesarean scar pregnancy may increase the risk of developing CSP. The scar tissue from previous surgeries can create an environment conducive to the implantation of a pregnancy within the scar.

Endometrial or muscular injuries 

If you have any previous injuries to the endometrial or muscular layers of the uterus, it can increase the risk of developing a CSP. 

Curettage injuries 

Curettage, a procedure often used to remove tissue from the uterine lining, can sometimes lead to injuries that raise the risk of CSP. This can create a site where a subsequent pregnancy, particularly a caesarean scar pregnancy, can implant and grow.


Myomectomy surgery performed to remove fibroids involves cutting into uterine muscle and, in some cases, can lead to the formation of scar tissue. This can become a potential location for ectopic pregnancy to develop, such as a caesarean scar pregnancy. 

Hysteroscopy surgery

While hysteroscopy is a safe procedure, there is a potential risk of injury to the uterine lining during the procedure. It can result in scarring, leading to a caesarean scar pregnancy. 

In-vitro fertilisation 

In-vitro fertilization (IVF) is an assisted reproductive technique (ART) utilized to aid individuals and couples in achieving pregnancy. Although generally safe, IVF can sometimes cause damage or disturbance to the uterine lining. This can lead to the implantation of the embryo in an abnormal location outside the usual uterine cavity, potentially resulting in a CSP.


Adenomyosis develops when the usual uterine lining tissue extends its growth into the muscular wall of the uterus. This alteration in the structure and function of the uterine wall can raise the chances of experiencing a CSP.

Contact Dr. Shweta Wazir, the best gynecologist in Gurgaon. 

Individuals with these risk factors need to work closely with their healthcare providers. Early detection, monitoring, and appropriate management are crucial for the best possible outcomes.

For expert advice and support or to book your appointment, please call +91 8448128007 or visit www.drshwetawazir.com

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