If you are considering having children, I suggest you consult a professional doctor first to understand your physical condition and fertility. At the same time, fertility can be improved by maintaining a healthy lifestyle, such as a balanced diet, proper exercise and adequate rest. In addition, if you are thinking about having children later, you also need to consider the influence of age on fertility.
Generally speaking, Pluto in the fifth house may imply the instability of children, but that doesn't mean you can't have a stable and healthy family. Whenever you decide to have children, you need to think carefully and make the decision that suits your family best.