Secondary Infertility- What you need to know?
Secondary infertility is the inability to get pregnant despite regular unprotected sex for 6 months in a couple who have previously had a pregnancy.
What are the causes ?
The various causes in woman are blocked or damaged tubes, inability to grow and release eggs from the ovary, problems in the womb like scarring from previous surgery, fibroids and polyps. Other causes are endometriosis, problems in the mucus of the neck of the womb, and pelvic infections.
Factors in male which lead to secondary infertility are low sperm count and motility, genital surgeries and problems in sexual intercourse.
What is the way forward ?
Infertility evaluation will involve a detailed history and examination of both partners. The tests that may be required are:
- Blood tests for hormones
- Tube testing to check whether the tubes are open
- Pelvic sonography to rule out problems in the uterus or
- Laparoscopy and hysteroscopy (telescopic examination of abdomen and womb)
- Semen testing
How is secondary infertility managed ?
Based on the cause of infertility, the options available are hormones to assist multiple eggs to grow and get released (Ovulation induction), intrauterine insemination (IUI), In Vitro Fertilization (IVF) and surgical correction of endometriosis and uterine problems by surgery.
In intrauterine insemination, husband’s semen is washed in the laboratory and inserted in the uterus using a fine catheter on the day of egg release from the ovary.
Coping with infertility may be emotionally exhausting, hence supporting each other in that time of need can be quite relieving.
Consult an infertility specialist for fertility evaluation and treatment. We, at Prashanthi Hospitals , manage many patients with secondary infertility. Kindly refer to our infertility section for more information. We offer all services, like male evaluation, sonography, blood tests, laparoscopy, IUI & IVF under one roof. Which is a blessing in a city like Mumbai where moving from our place to another, for various services can be very taxing. We customize care and give individual attention to every couple who visits us, offering our expertise and success rates which make us proud.