Hey there! I am slightly different because I did have two children prior to my j-pouch. I did see a fertility specialist, did a few months of clomid and then got pregnant after giving that up. In regards to complications, any pouch issues I had totally disappeared during pregnancy and I was able to eat my fill of dairy (a no go for me since the pouch). I know that is probably not everyone’s experience but over all my pouch pregnancy was not much different than my pregnancies pre-pouch.