As a
matter of fact, secondary infertility is bewildering and difficult to
understand. You did not find it difficult getting pregnant previously, so, what
is hindering your conception now?
A
number of people think that primary infertility is common than secondary
infertility which is not true. Primary infertility conceive. However, the
chances are 50 / 50.
According
to the Center for Disease Control, 11% of couples who already have a child go
on to experience secondary infertility. That's approximately 4 million families
or about half of all infertility cases.
Couples
going through secondary infertility might not consider seeking help from family
members, friends and even doctors thinking it might make them feel less
important.
After
all, they have one child. Isn’t that enough?
The truth
is that whether you’re struggling for just a child or more children, there is
perplexity and pain to deal with. Therefore, handling secondary infertility has
its own challenges.
You
have visualized the type of family you desire. Your child may be asking for a
sibling. The same medical causes of secondary infertility is related to primary
infertility.
Causes of Secondary infertility
These causes are:
·
Blocked fallopian tube
·
Endometriosis: Abnormal tissue grows outside uterine lining.
·
Fibroids
·
Male infertility: problems associated with low sperm count ie. Sperm
shape or sperm movement
·
Problems with ovulation: whether anovulation or irregular ovulation
·
Hostile cervical mucus
·
Recurrent miscarriage
·
Problems
with endometrium etc.
Research
proved that about one-third of infertility cases are related to male
infertility, another third are related to female infertility, and another third
are related to problems in both the man and woman or remain unexplained.
Why Can’t I get Pregnant This Time Around?
This
is the biggest question on the minds of those experiencing secondary
infertility. Secondary infertility may strike when one is older. For instance,
if you had your first child at 33, and you are trying for a second at 37, it
implies that your fertility has naturally declined.
Age is
a major factor in secondary infertility.
You’ve gained weight: This can also affect fertility.
Being over or underweight can lead to ovulation problems in women, and possible
impact sperm health in men.
New
parents often gain weight (partially from the pregnancy, partially from the
stress and lack of sleep.) This may be enough reason to push you to the
infertile side.
Probably a new health problem: perhaps you or your partner developed diabetes. Maybe he's taking
medication for high blood pressure. Or, perhaps you are suffering from other
health challenges.
Any of
these illnesses may have adverse effect on your fertility or require
medication that can affect your fertility.
The last pregnancy or birth led to fertility problem:
pelvic infection or multiple D&C procedures may cause blocked
fallopian tubes or uterine adhesions
If you
had a C-section, you might have developed scar tissue, which can also have
adverse effect on your fertility.
There is no certain reason this time is different: often
times, no one can say precisely why your particular fertility issue didn’t stop
you from conceiving last time.
There
is a lot about fertility that we don’t understand. No one has all the answers.
When Should You Seek Medical Help?
If you
are under 35 years old, you should look for help if you do not get pregnant
after one year of trying.
If you
are already 35years old and above, try to get help after six months.
Also,
no matter how old you are, if you have experienced two(2) consecutive
miscarriages, you should get help.
Please
don’t delay in getting help. Some causes of infertility worsen over time.
Delaying help may decrease your odds of pregnancy success.
The
fact that you conceived in the past doesn’t guarantee you will get pregnant
again on your own. There is no fertility assurance for anyone
Testing
Testing
for secondary infertility is the same as testing for primary infertility mostly.
Both the man and woman need to be managed.
May be
you are with a new partner, and one of you had a child before and the other has
not. Does the “proven fertile” partner really need fertility testing? Yes they
do.
As
mentioned above, having had children doesn’t mean you can’t experience
infertility.
Treatments
Treatments
may include:
·
Fertility drugs: starting with the most commonly prescribed fertility
drug Clomid. Injectable fertility drugs, known as gonadotropins.
·
IUI
·
IVF, sometimes in combination with other assisted reproductive options
·
Surgery, usually laparoscopic surgery, to repair blocked fallopian
tubes, or to remove fibroids or endometriosis deposits etc
The
earlier the treatment, the better for you.
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