Kim Kardashian has been advised against getting pregnant, so how will she and Kanye West expand their family?

According to a new report, the Keeping Up With the Kardashians star is determined to give her two children, four-year-old North West and one-year-old Saint West, a sibling even if it means she will have to resort to adoption or surrogacy.

"Kim and Kanye definitely want to have more kids, but there's no way Kim can go through another difficult pregnancy and birth again," a Kardashian insider revealed to Hollywood Life on Tuesday.

"In fact, at this stage, she's pretty sure she couldn't get pregnant again naturally, even if she tried. So, they are considering adoption, but they're also looking seriously into using a surrogate, as they would love all of their children to have their genes."

As fans may recall, Kardashian appeared on an episode of Watch What Happens Live in May and admitted to the host, Andy Cohen, that she's been "begging" her sister Khloe to be her surrogate.

Prior to the appearance, Kardashian revealed on Keeping Up With the Kardashians that another pregnancy could be deadly.

"Kim was adamant that she didn't want any more kids after Saint's difficult birth, but she admits that the Paris ordeal has really changed her outlook on life and priorities," the insider continued. "It's basically why she's dressing a LOT more low-key than she used to and is very careful about wearing too much flashy jewelry when she's out and about. She's really simplified her life, and is even more focused on being a wife and mother now, and views her multiple business ventures as a lower priority."