A lot of women subjected to CD (Caesarian delivery) can easily get pregnant even within 2 months after the operation. There is a general consensus among obstetricians and women that CS has little compromise of future fertility. Unfortunately, this consensus is not based on respectable studies.
Surgery may cause tissue ischemia (a restriction in blood supply to tissues) which is a predisposing factor for adhesion (fibrous bands that form between tissues and organs) formation. Subsequently, suppression of fibrinolysis (a process that prevents blood clots from growing and becoming problematic) and persistence of fibrin protein involved in the clotting of blood) follow. Infertility may end when adhesions distort the tissues of the ovaries and tubes, impeding the normal passage of the egg (ovum) from the ovary to the uterus.