Will Kim Kardashian get a hysterectomy?

Kim Kardashian wants her baby North West to have a sibling soon, but fertility issues have put her plans on hold. Tonight’s episode of Keeping Up With The Kardashians deals with the possibility that Kim may need an hysterectomy if she has another baby, and may need to rely on surrogate for her next child with husband Kanye West.

“I’m trying to get a hold of Kanye, because I just came from my fertility doctor and they need me to go into surgery to clear out something in my uterus,” Kim said in a preview clip.

Kim says doctors told her the next baby she gets pregnant with will be her last one because her placenta grew on her uterus, and after she gives birth to her next child, she will have to have a hysterectomy (have her uterus removed) right there on the spot to prevent her from bleeding too much.

Although she wants to be pregnant again, if she is to have another child (or more than one,) she may have to rely on surrogates. There were some rumors that Kim even approached her sisters Kourtney and Khloe about being her surrogates, but they both declined.