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“Kim also had three surgeries to repair her uterus,” a source close to the star tells PEOPLE.

“The inner lining had been so damaged that she was told conceiving on her own wasn’t possible.” Kardashian West is thrilled — but having a hard time with the pregnancy.

“I have the worst morning sickness, day sickness, night sickness,” she told reporters Monday night at the Council of Fashion Designers of America Awards.

Adds the source, “this pregnancy is very different because she’s sick all the time.

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Her first pregnancy ended in a complicated delivery due to preeclampsia, a potentially dangerous condition in which a woman’s blood pressure skyrockets during pregnancy, as well as placenta accreta, where blood vessels from the placenta grow into the uterine wall and remain attached.

Kardashian West, 34, and husband Kanye West, 37, tried to expand their family for eight months, but it wasn’t until the couple had the help of in vitro fertilization that they were able to conceive.

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