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Secondary Infertility Unveiled: Understanding the Symptoms, Causes & Treatments

Secondary Infertility Unveiled: Understanding the Symptoms, Causes & Treatments

| 24 Jul 2023 | 1703 Views |


Struggling with the silent battle of secondary infertility can be an emotional roller coaster. As an understanding companion on this journey, India IVF Fertility, with its advanced clinics in DelhiNoidaGurgaon and Gwalior, is determined to shed light on this often overlooked fertility issue. Our specialists, armed with world-class technology, aim to address the poignant question, We had our first child with ease, why are we having trouble now?

What is Secondary Infertility?

Secondary infertility is a term that might sound foreign to many. It’s a condition affecting couples who have had a child before but are unable to conceive or carry another pregnancy to term after a year of trying. It can be a disheartening experience, clouded with misconceptions and stigma, often leaving couples confused and alone in their struggle.

What is Unexplained Secondary Infertility?

Sometimes, the wizardry of medical science hits a roadblock, and we encounter the baffling phenomenon of unexplained secondary infertility. This is when, despite thorough medical evaluations, the reason behind a couple’s inability to conceive remains elusive. It’s a mystery even Holmes would have trouble cracking!

Signs & Symptoms of Secondary Infertility:

Identifying secondary infertility can be a bit like piecing together a jigsaw puzzle. However, recognizing the following signs may indicate it’s time to seek professional help:

  • Difficulty in conceiving despite regular unprotected intercourse.
  • Recurrent miscarriages.
  • Irregular menstrual cycles.
  • Changes in sexual desire.
  • Issues with ejaculation or erections in men.

Causes of Secondary Infertility in Women

Although as diverse as a box of Bertie Bott’s Every Flavour Beans, the causes of secondary infertility in women often boil down to the following:

  • Age-related decline in fertility: As women age, the quality and quantity of eggs decrease, making conception more challenging.
  • Weight issues: Both being underweight or overweight can interfere with ovulation.
  • Uterine or cervical abnormalities: Polyps, fibroids, or scar tissue can impede conception or implantation of the embryo.
  • Endometriosis: This painful disorder can affect the functioning of the uterus, fallopian tubes, and ovaries.

Causes of Secondary Infertility in Men

Men are half of the equation, and factors affecting their fertility can include:

  • Sperm production disorders: These can be due to genetic reasons, health issues, or certain medications.
  • Ejaculatory dysfunctions: Conditions like retrograde ejaculation can interfere with sperm reaching the egg.
  • Varicocele: Swelling of the veins in the scrotum can impact sperm quality.
  • Lifestyle factors: Excessive alcohol, smoking, and drug use can contribute to infertility.

Diagnosing Secondary Infertility:

At India IVF Fertility, we believe in leaving no stone unturned. Our diagnostic process for secondary infertility typically includes:

  • A detailed medical history review.
  • Physical examinations.
  • Blood tests to check hormone levels.
  • Semen analysis for men.
  • Tests to evaluate ovulation in women.
  • Imaging tests to examine the uterus and fallopian tubes.

Treatment Options for Secondary Infertility

The magical world of medicine offers an array of treatments for secondary infertility, including:

  • Lifestyle modifications: Achieving a healthy weight, limiting alcohol, and quitting smoking can enhance fertility.
  • Medications: Drugs can be used to stimulate ovulation or improve sperm production.
  • Surgery: Procedures can correct issues like fibroids, polyps, or varicoceles.
  • Assisted reproductive technology (ART): Techniques like in-vitro fertilization (IVF) or intrauterine insemination (IUI) can be beneficial.

Can You Get Pregnant with Secondary Infertility at 40?

Here’s the good news – it’s absolutely possible! While natural fertility does decline with age, treatments like IVF can help couples achieve their dream of expanding their family, even in their 40s.

Primary vs. Secondary Infertility: What’s the Difference?

Like two sides of the same coin, primary and secondary infertility share common ground but have distinct differences. Primary infertility refers to couples who have never conceived despite trying for at least a year, while secondary infertility affects those who have previously been pregnant but are having difficulty conceiving again.


Secondary infertility, a maze of emotions and uncertainty, can be challenging to navigate. But remember, it’s not a journey you have to undertake alone. At India IVF Fertility, our team of empathetic professionals is committed to offering guidance, understanding, and the most advanced treatment options.



Absolutely! Achieving a healthy weight, maintaining a balanced diet, and limiting alcohol and smoking can significantly improve fertility in both men and women.

Secondary infertility is more common than most people realize. In fact, it accounts for about 60% of infertility cases.

Yes, age can significantly impact fertility. Women's fertility starts to decline in their early 30s and decreases more rapidly after 37.

While some causes of secondary infertility, like age or certain medical conditions, can't be prevented, maintaining a healthy lifestyle can enhance overall fertility.

India IVF Fertility offers a comprehensive range of diagnostic and treatment options, along with personalized care, to help couples struggling with secondary infertility.

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India IVF Clinic

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