Center for Reproductive and Fetal Medicine

SECONDARY INFERTILITY-WHY DOES IT HAPPEN EVEN AFTER THE FIRST CHILD?

Disappointed Couple Sitting On Floor In Bathroom At Home With Negative Home Pregnancy Test

SECONDARY INFERTILITY-WHY DOES IT HAPPEN EVEN AFTER THE FIRST CHILD?

After having their first child, some women find it difficult to conceive a second time. There can be many reasons behind this. In this article, we will discuss secondary infertility.

The primary Infertility can be defined as a situation for a couple who are unable to achieve a pregnancy after regular unprotected sex while the secondary infertility indicates the difficulty for a couple to conceive if they have had at least one pregnancy. Both primary and secondary infertility have the same causes. The following are some of the major causes of infertility, which are often associated with secondary infertility.

  1. The Ovulation disorders is one of the most common causes of infertility.  Ovulation disorders are the set of abnormalities due to which ovulation does not occur, or occurs at sparse or irregular intervals.
  2. THE tubal obstruction is a major cause of infertility in women. The fallopian tube plays a vital role in conception, as it carries the egg from the ovary to the uterus. If the trumpets are closed then the fertilization process is interrupted.
  3. Secondary infertility can be caused by endometriosis which occurs when the endometrium, that is, the tissue of the uterus which under normal conditions is inside the wall, grows outside the uterus and grows outside it, which prevents conception and also damages the pelvic organs.
  4. THE age is important for fertility. A woman's fertility begins to decline along with the quality and quantity of eggs after the age of 35.
  5. It can be difficult for a couple to have a second pregnancy because of it other reasonssuch as polycystic ovary syndrome, obesity, autoimmune disorder, uterine fibroids, pelvic inflammatory disease, abnormal uterine shape, polyps and infections. These can also affect her primary infertility.

If couples can not conceive even if they try for 6-12 months without precautions, then they can seek help from a Specialist in Reproductive Medicine. Once the specialist finds out about the infertility problem, he will ask you to do some tests such as ovulation test, blood test, fallopian tube x-ray, pelvic exam, transvaginal ultrasound, etc.

The specialist will then suggest the best possible treatment for you to become a parent for the second time.

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FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered evidence that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "succeeded" at least once. On the other hand, we need to know that in the meantime things may have changed and a problem may have arisen (eg the man may have had some inflammation that affects the quality of his sperm or has mediated something that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.). In any case, if a reasonable period of time (one year) passes and a couple can not achieve a pregnancy, then he should with the help of his doctor investigate if there has been a problem that causes infertility.