During a preview for an upcoming episode of her 'E!' reality series, Kim announced at the dinner table she will be undergoing surgery to repair her uterus.
The 36-year-old brought the topic up when Kris Jenner talked about throwing a baby shower for her friend, Joyce Bonelli.
"Should I try to change my surgery?" Kim asked, adding that she had to go in and prepare her uterus because she has decided to try having one more baby.
Khloe Kardashian then asked Kim what surgery she is having.
"I have to have surgery on my uterus, to kind of repair this hole," Kim explained, adding that doctors will clean out her uterus because it has scar tissue.
Kim added that the surgery will be a high-risk one, but will enable her to get pregnant one more time.
Her sister Khloe seemed stunned that Kim was considering going through with the surgery, and wondered why she wants to get pregnant again.
In her one-on-one interview, Kim, who is in a relationship with rap star Kanye West, explained that she did not want to regret looking back and thinking she could have put more effort to give her children siblings.
She voiced her belief that having more children is going to be a struggle, saying that she has gone through many difficulties with conceiving.
Kim added that doctors are concerned that it's not safe for her to conceive again, but she wants her kids to have siblings.
Kim suffered from preeclampsia when she was pregnant with daughter North.
North is now three years old.