Secondary infertility is another challenging type of infertility with over 2.9 million couples struggling with it. According to studies, the incidence of secondary infertility has doubled since 1995. In addition, fertility experts explain that diagnosing secondary infertility is also associated with unique challenges.
Anyway, What Does The Term Secondary Infertility Mean?
Secondary infertility is when a couple or a woman fails to attain another pregnancy despite having a biological child or children. This is generally regardless of whether the previous pregnancy resulted in a live birth or not.
Generally, the causes of secondary infertility don’t differ from the causes of primary infertility. Also, the treatment options may differ slightly depending on the couple’s goals.
Factors To Blame
As per the fertility experts, secondary infertility is commonly caused by more than one factor. The experts also move ahead to explain that male infertility is the major issue accountable for 25% of the infertility cases. Here, the problem is normally low sperm count and in general, 90% of male infertility cases result from a combination of low sperm count, poor quality sperm, and motility.
Other causes include
Many women commonly take a longer time to have children than it was in earlier days. In case a woman gets her first child at 32, the chance of finding it hard to conceive again increases.
Basically, the old age in women is associated with hormonal imbalances, an increased chance of ovulation problems, PCOS, endometriosis, fibroids, tubal problems, among others.
Complications From The First Pregnancy
Scarring after a C-section or a D&C after a miscarriage or placental complications can also trigger secondary infertility.
Diagnosing Secondary Infertility
In case a couple is finding it hard to have more children, it is generally recommended that they both undergo a thorough examination. During an examination, the fertility doctor will evaluate your medical history, treatments you have ever used, lifestyle, the number of children you have, and so on.
The doctor will also ask about your menstrual periods, i.e. how regular they are, the amount of blood, any suspected infection, among others.
The doctor will then recommend several blood tests such as TSH (thyroid stimulating hormone), AMH (antimüllerian hormone), thyroid test among others. An ultrasound will also be conducted to evaluate the ovaries, the tubes, and the uterus.
The Possible Secondary Infertility Treatment Approaches
The fertility expert will initially focus on helping you get pregnant naturally. Here, he may prescribe fertility drugs to correct the hormonal levels, ovulation, and oocyte development in the ovaries. Surgeries are also possible depending on the ultrasound findings.
Clinical treatment approaches include IUI (Intrauterine insemination) or IVF (In Vitro Fertilization). Help and support are necessary during secondary infertility treatment.