Cesarean Scar Syndrome (CSS)is known to cause abnormal genital bleeding and dysmenorrhea, and has recently been reported to contribute to secondary infertility. The hypothesis is thought that pooled blood in a cesarean scar defect interrupts the implantation of the embryo. There are some reports that operative therapy is superior to conservative therapy when treating secondary infertility. Our case is a 40 year old woman who was gravidity three, parity one, whose previous pregnancy was an

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... ncy cesarean section delivery. The previous baby died from complications due to the trisomy 13. The patient presented with secondary infertility and was introduced to our hospital by another clinic. Her Anti-Mullerian-Hormone (AMH) was