What Is Secondary Infertility? Expert Shares What To Do When You Can't Conceive Again

What Is Secondary Infertility?

Secondary infertility is defined as the inability to conceive after having one or more children without any prior difficulties. Many couples believe that having successfully conceived once makes subsequent pregnancies easier. However, secondary infertility can emerge unexpectedly, leading to feelings of frustration and confusion. Dr. Rupali Tambe, emphasises, “Couples may find themselves navigating a complex path when trying to conceive again. Understanding the various factors contributing to secondary infertility is essential.”

Secondary Infertility: Causes

Several factors can contribute to secondary infertility, even if conceiving previously was uncomplicated. Here are some common causes:

1. Age: One of the most significant factors affecting fertility is age. Women naturally experience a decline in both the quality and quantity of their eggs as they age. “A woman may face additional difficulties while trying to conceive again in her mid-thirties or later, even if she had her first child in her late twenties,” explains Dr. Tambe.
2. Changes in Health: Health issues that may develop over time can impact fertility. Conditions like endometriosis, thyroid disorders, and polycystic ovarian syndrome (PCOS) can complicate the reproductive process. Additionally, weight fluctuations, hormonal imbalances, and other medical conditions can affect fertility.
3. Male Factor Infertility: Changes in male fertility can also play a role. “Sperm quality and quantity can change over time,” Dr. Tambe notes, “resulting in secondary infertility due to decreased sperm count or motility caused by ageing, lifestyle modifications, or health issues.”
4. Scarring from Previous Pregnancies: Previous pregnancies can leave physical impacts, such as Asherman’s syndrome, where scar tissue forms in the uterus. This can hinder implantation or lead to miscarriages, making it more difficult to conceive again.
5. Blocked Fallopian Tubes: A previously healthy fallopian tube may become blocked due to sexually transmitted diseases or pelvic inflammatory disease (PID). Surgical interventions like dilation and curettage (D&C) can also cause blockages that hinder conception.

What To Do When You Can’t Conceive Again?

If you’re facing secondary infertility, taking proactive steps can significantly improve your chances of conception. Here are some recommendations:

• Seek Medical Advice: The first step for couples experiencing secondary infertility is to consult a fertility specialist. Dr. Tambe advises, “Through physical examinations, blood tests, and possibly ultrasounds or semen analysis, the doctor will evaluate both partners. This assessment can help identify any underlying medical conditions that may be affecting fertility.”
• Consider Treatment Options: Based on the medical evaluation, various treatment options may be suggested. “These might include in vitro fertilization (IVF), intrauterine insemination (IUI), or fertility drugs that regulate ovulation,” Dr. Tambe explains. Alongside medical interventions, lifestyle changes such as adopting a healthier diet, engaging in regular exercise, and managing stress can enhance fertility outcomes.
• Don’t Delay Treatment: Couples often feel inclined to wait and see if conception occurs naturally, especially if they have successfully conceived before. However, Dr. Tambe cautions, “Waiting too long may diminish the chances of conception, particularly with factors such as age or existing medical issues. Timely intervention can make a significant difference.”
• Address Emotional Well-being: The emotional toll of secondary infertility can be considerable. Couples may feel isolated or misunderstood, especially when friends or family assume that previous pregnancies make it easier to conceive again. Dr. Tambe suggests, “It’s important to acknowledge these feelings. Seeking support through counselling or support groups can provide comfort and connection with others experiencing similar challenges.”

Facing secondary infertility can be surprising and overwhelming, but it’s essential to know that many couples successfully conceive again with the right medical support and emotional guidance. It is important to remember, you are not alone in this experience, and help is available.

Image Credits: Freepik

If you liked this story, then please share it. To read more such stories, stay connected to HerZindagi.