What is secondary infertility and why does it happen?

Did you know that having had a child does not mean that you may not get affected by infertility issues? Yes, you read it right. Cases, where a couple is unable to conceive the second or third child after a perfectly healthy pregnancy and childbirth, could be explained by secondary infertility.

What is secondary infertility?

Secondary infertility is when a couple has had a child or children in the past but is finding it difficult to conceive again. In general, if the couple has been trying unsuccessfully for over a year, it is advisable to consult a doctor for secondary infertility. Either partner may have an issue, resulting in the inability to conceive. This means both partners must discuss options with the doctor, and get tests done as deemed necessary.

Secondary infertility may also refer to the inability to carry the baby to full term despite a successful full-term pregnancy and childbirth in the past.

Common causes of secondary infertility

• Sperm inadequacy or sperm motility issues

• Inadequate quantity/quality of eggs

• Ovulation issues

• Endometriosis scarring

• Complications from previous pregnancy especially if it required surgery

• Excessive weight

• Fallopian tube issues that prevent egg fertilization or egg from reaching the uterus

• Uterine fibroids or other uterine conditions

• Some medications

• Age factors

• Excessive smoking and/or alcohol use

Also, remember as long as you are breastfeeding your child, your body is not ready for another pregnancy and ovulation does not take place.

When should you consult a doctor?

The older you get, the more difficult it is to conceive. If you are trying for a second child post the age of 40 years, then getting an evaluation immediately is advisable. Do not wait to try for a few months to see if you are successful. Start with an evaluation of secondary infertility risk.

For those aged 35 years and above, if you have been trying for six months without success, this is a good time to consult your doctor. For those below this age threshold, failed attempts to conceive for over a year are a good indicator that you need a doctor’s advice.

Secondary infertility is more common than you think. You need to get to the root of the problem and address it instead of trying over and over again and losing heart. Keeping in mind that age plays against you in this matter, understand when you need to get expert advice and consult your doctor in time.