L.S. originally presented at 42 years of age G-1, P1001, with an over one-year history of secondary infertility. L.S. and P.R. conceived their first child without delay and delivered via Caesarean section nearly 3 years prior. This delivery was complicated by post-partum hemorrhage and retained placental fragments requiring an emergent dilation and curettage (D&C). Her recovery after this intervention was unremarkable. She nursed for 1 year and had return of regular cyclic menses after weaning.