Secondary Infertility

Secondary Infertility Causes & Treatment

While it is a common belief that once a couple has had a child, it means that they are fertile enough to have a second one. In fact, a number of couples who face infertility do so when they plan their second or third child.

When a couple fails to conceive another child naturally, the condition is called secondary infertility. For couples unable to conceive their first child, it is easy to seek treatment. However, for couples with child/children conceived naturally before remain in the misconception that they can do it again, naturally. It is not true that once a couple becomes fertile, they remain fertile. On the contrary, the truth is that in between these 2 pregnancies, a lot of things. can change. This can be attributed to secondary infertility in male or female partner. Our experienced fertility specialists at Seeds of Innocence will tell you more about what is secondary infertility, secondary infertility causes, secondary infertility symptoms, secondary infertility treatment, and more. With the right secondary infertility investigations, we help in ensuring high secondary infertility success rates.

Causes of Secondary Infertility

The causes of secondary infertility may remain the same as primary infertility. In the time between the two attempts, there are chances that the husband or wife may have gained weight, had a condition develop, or developed an unhealthy lifestyle. Furthermore, in the time that passed by, the health of the eggs or the sperms may have decreased. For men, the main cause of secondary infertility is often abnormalities in sperm and ejaculate. For women, however, the major causes of secondary infertility are as follows:

  • Irregular menstrual cycles
  • Endometriosis
  • Pelvic Adhesions
  • Fibroids and Polyps
  • Dimished Ovarian Reserve


Primary infertility refers to the first time a couple decides to get pregnant but is unable to do so because of many reasons. Secondary infertility is the condition in which a couple has had a child before, but has developed conditions between the gap, causing infertility on their second or third pregnancy.

Quite common. Because of the social structure, the common age of having a second child has increased from mid 20s to mid 30s now, which makes it a common cause of secondary infertility.

Since the causes of infertility are the same in primary infertility and secondary infertility, the answer really depends on the reason behind it. For more information, talk about your condition with an expert. Book an appointment today.

Yes. Solutions of assisted or natural conception that work in the case of primary infertility can and will work for secondary infertility as well. It all depends on the person and their health.

Secondary infertility: Struggle inconceivable Vs Conceivable

A woman empowered to give birth to her own child embarks the journey of life smoothly and happily is a well-known fact. The stigma and agony of being infertile may not be experienced by some women as they naturally conceived and gave birth to a healthy baby in the first go. It is also possible that some couples may not believe that they are having problem in conceiving for the second time as they experienced their first pregnancy without any medical help.

What is secondary infertility?

Inability to conceive or to carry the baby to term for the second time is referred to as secondary infertility. The female must have had at least one conception, successful or unsuccessful in the past. The pain, anxiety and sheer despair is not less than primary infertility and approximately 11% couples suffer from secondary infertility.

The main causes of secondary infertility may be same as of primary infertility.

Age : Fertility declines with advancing age. It is very much likely that if you had conceived earlier in your early 30’s and now trying in late 30’s you face the problem of secondary infertility. Ovarian reserve declines rapidly in females with advancing age, sperm quality is also affected with age.

Primary infertility cause : It is possible that if a woman has conceived to full term through IVF in the previous attempt then she might face the same problem for the second time as the reason of primary infertility might have not been cured yet.

Fertility issues : Fertility issues such as PCOS, endometriosis, poor ovarian reserve, fallopian tube factors play a significant role in secondary infertility. Problems with the uterus, fibroids or endometrial polyps, previous miscarriages also diminish the chances of pregnancy. Sperm quality also declines by age, the use of narcotics, infection, some drugs and excessive smoking or abuse of alcohol may lead to secondary infertility.

How is secondary infertility diagnosed?

The diagnosis of secondary infertility is same as of primary infertility. Blood tests for hormones, ultrasounds, CT scan, hysteroscopy and laparoscopy may be performed to rule out the cause. For males, semen analysis and blood tests may serve the purpose.

What is the treatment of secondary infertility?

Fertility drugs to boost up the hormones, IUI, IVF, ICSI or donor (egg or sperm) may be the treatment options. If age is too advanced or the case is of uterine dysfunction or hysterectomy.

Secondary infertility sufferers often don’t seek advice early, till the time they had convinced themselves that they are not able to produce their offspring now on their own. At Seeds of Innocence we encourage such couples to open up and advise them not to keep themselves in isolation for long. It is not incurable and it is too exhilarating to have the bundle of joy again.

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