The reality star has been very open about her desire to give baby North a brother or a sister. But it appears that despite her and husband Kanye West’s monumental effort of having sex “500 times a day” just to get pregnant, health issues might prevent her from becoming a mother again.

Kim confessed on the most recent episode of KUWTK that her doctor told her that she might not be able to carry a baby without any risk to herself. As she tearfully explained to Kanye, her “placenta grew onto (her) uterus.”

Her situation is a far cry from her first pregnancy and the irony wasn’t lost on the 34-year-old mother.

Kim Kardashian reveals devastation over pregnancy news: ‘I need my uterus removed’ http://t.co/TZSqJWHi8q pic.twitter.com/5ls8CQVJMx

— Closer Mag & Online (@CloserOnline) April 2, 2015

“I complain so much about how I hated being pregnant, and I never thought I would be begging to be pregnant,” she admitted to younger sister Kendall over dinner.

“There is nothing more on this earth that I want more than to be pregnant again and to go through that experience, I would pay any amount of money to have that,” Kim added.

But Kim is not giving up. The episode also showed her in the hospital to undergo a procedure to remove the placenta that was attached to her uterus. However, there’s no guarantee that the operation would fix the problem.

Her doctors have advised her that the safest way to have another baby is through a surrogate, an option that Kim is not keen on.

“I wouldn’t dare ask anyone to do this for me. It freaks me out, what if they’re a lunatic, what if they run off with my baby? I can’t do it, I just can’t,” Kim voiced her fears.

But mom Kris Jenner appears to have a solution to that as she volunteered Kim’s older sister Kourtney to act as a surrogate.

And if all else fails, Scott Disick has another solution to the dilemma – to hand over his third child to Kim and Kanye.

“I feel like you could have the one we’re having in two weeks…I mean, just out of respect,” he explained.