Secondary infertility is the inability to become pregnant or to carry a baby to term after previously giving birth to a baby. Secondary infertility shares many of the same causes of primary infertility.
Among the possible causes of secondary infertility are:
Impaired sperm production, function or delivery in men
Fallopian tube damage, ovulation disorders, endometriosis and uterine conditions in women
Complications related to prior pregnancy or surgery
Risk factor changes for you or your partner, such as age, weight and use of certain medications
If you have frequent, unprotected sex but don’t become pregnant — after a year if you’re younger than 35 or after six months if you’re 35 or older — talk to your health care provider.
Depending on the circumstances, both you and your partner might need medical evaluations. Your doctor can help determine whether there’s an issue that requires a specialist or treatment at a fertility clinic.
‘Why can’t I get pregnant this time around?’ is a bugging question couples with secondary infertility often ask.
Well, here are a few other reasons you might consider:
Age: Fertility naturally declines as age decreases.
New Partner: Your new partner might have an undiagnosed infertility problem.
Worsened underlying fertility problem: You might have had endometriosis, subclinical PCOS or maybe your ovarian reserves were already decreasing. These issues might lead to a worsened fertility problem.
Weight Gain: This may lead to ovulation problems in women, and possibly impact sperm health in men.
Fertility Problem from Previous Pregnancy: Child birth may cause a pelvic infection or multiple D&C procedures may cause uterine adhesions or blocked fallopian tubes. Also, having a C-section, can cause a scarred tissue, which can impact fertility too.