Secondary Infertility – Why Can’t I Get Pregnant Again

Taking the decision to give your first child a baby sister or brother can be really exciting. If you had your first baby in a straightforward manner, it can come as s shock when you find it really difficult to get pregnant the second time. If you are facing this dilemma, you are experiencing “secondary infertility”.

What Is Secondary Infertility?

secondary infertilitySecondary infertility is the condition that is characterized by difficulty in getting pregnant in spite of regular and unprotected sexual intercourse. This can happen to women below the age 35 or couples who have just had their first baby about less than a year ago.

When couples find it hard to conceive after a year of constant trying, secondary infertility can be the culprit. Although primary infertility is often the center of attention, secondary infertility is also equally common.

Yet, not many are aware of this fact, so the struggle of couples experiencing this condition may not be recognized by other people, especially the doctors. The bad thing is, when testing and the right treatments are delayed, the problem could get worse eventually.

The Possible Causes

Secondary infertility can be caused the problems that cause primary infertility. These many include the following:

  • Impaired function and production as well as delivery of sperm
  • Damage to the fallopian tubes, ovulation problems caused by polycystic ovarian syndrome, uterine disorders and endometriosis
  • Pregnancy complications
  • Changes in the risk factors in both males and females like age, weight and medication use along with other factors
  • Repeated miscarriage
  • Previous surgical operations, such as caesarean section that could cause scar tissues promoting uterine adhesion
  • Conditions like underactive thyroid
  • Age, such as too early or too early pregnancy

When to Visit the Doctor?

If you are a couple who are having regular sexual intercourse for more than a year without contraception or other pregnancy control methods, visit your doctor. Infertility is something that you and your partner should worry about, so go to the doctor as a couple. In case of older couples that have conditions affecting their health, abrupt diagnosis as well as treatment is a must.

The doctor could carry out the primary tests that can check out things like whether you are producing eggs or your partner has enough sperm production. The doctor may also recommend treatments for secondary infertility such as the use of fertility drugs, like Clomid, in vitro fertilization, laparoscopic surgery to remove endometriosis deposits and fibroids.

If you are struggling with secondary fertility, it is best to consult with the health provider. Depending on certain conditions, both of you may be subjected to medical evaluations. A urologist or gynecologist could help identify whether there is an issue which require treatment.

It is true that secondary infertility can be stressful and shocking. But then, the best that you can do is not to deal with it alone. Seek out support not only from your partner, but your friends and family members as well as you speak with your doctor about the steps you should take.


Image: “I Is for Infertility” from Flickr by Kim

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